Reports/Forms
Claims Management
Compensable, or not?
Hodge Podge
Solutions
100

A form, signed by the worker and supervisor, listing duties that fall under the HCP recommended restrictions and limitations, assigned to the injured worker.

What is the Modified Work Offer Form?

100

The potential monetary penalty charged by WCB for late reporting. 

Hint: Dollar amount

What is 25K per late claim?

100

Worker hurt his back shoveling snow in his driveway before heading to work.  Is this compensable?

What is No? Injury occurred at home. Regular commute to and from work are not considered compensable.

100

Home Care Allowance is a type of benefit payable under the Act, to a severely injured worker. True or False

What is True?

100

Who pays worker while on site performing modified duties?

Who is the Employer?

200

This consent form allows Occupational Health to communicate with Health Care Providers regarding the worker's work related injury/illness.

What is the Access to Information Form?

200

We have ___ hours to report an injury to WCB.

What is 72 hours?

200

Worker sustained an injury at work. During your investigation, you discover that the root cause of the incident was because the worker was not wearing appropriate PPE. Is this compensable?

What is Yes?  There was an incident on site, that resulted in an injury.

200

Only an injured worker can ask for Medical Review Panel. True or False.

What is True? Only after the appeal has be heard by the Appeals Department and Board Appeal Tribunal.

200

Who pays for WCB Benefits?

Who is the employer?

300

A bystander's report of events as they recall.

What is a Witness Statement?

300

This document advises the employer of any discounts or surcharges to the employers base rate.

What is Premium Rate Statement?

300

Worker was involved in a motor vehicle incident on her way to a company golf tournament, and sustained injuries. Is this compensable?

What is no? Trick question. In this scenario, the answer is no. Attending functions such as golf tournaments are considered voluntary activities. However, if she was expected to be there and had been directed by her supervisor to attend, then yes, this would be compensable.

300

The employer pulled a clearance and it is on “hold” but the contractor is asking the employer  to pay. What should the employer do?

What is do not pay the contractor?


300

Worker was cleared for modified duties and signed off on the modified work offer. So far, worker has been participating but one morning, supervisor receives a text from the injured worker, stating they had a bad sleep due to pain related to the work injury, and won't be coming in that day. Who pays the worker for the day?

No one pays. Absence is not medically supported.

 

400

A report outlining the series of events that lead to the incident and identifies the root cause the incident.

What is the incident investigation report?

400

Name the 3 levels of Appeal

1. Case Management/Supervisor Level/Initial 

2. DRDRB - Appeal Commission/Appeals Departments

3. Tribunal

400

Worker claims he developed anxiety and clinical depression from stress associated with the company reorganization. Is this Compensable?

What is No?  If condition arose from regular business activities such as promotion, demotion, relocation, performance management meetings and reorganization, to name a few, this would not be considered compensable.

400

How long will WCB continue benefits?

Wage loss or permanent disability benefits will continue for as long as there is a disability but will stop at age 65, unless the worker can show that they would have worked after age 65.

400

Worker has been cleared to work modified duties but only for half of the day.  Who pays the worker?

Combination. Employer pays for the hours worked, and WCB pays for the hours not worked.

500

A report containing, the worker's personal information, explaining the event(s), body part/system injured, wage information. This report is written and signed by the worker.

What is the WCB Worker Report?

500

Once supervision has been notified of an injury/illness, what is the first step?

What is assess the need for medical attention?

The well being of the worker is always our #1 priority, whether or not we agree with the injury/illness's validity or probability.

500

Worker was hurt when he and his friends engaged in horseplay on work premises, during work hours.  Is this compensable?

What is No?  Workers' action was not directed from a supervisor and the tasks were not related to work activities.

500

A form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for the tort of negligence.

What is Workers Compensation?

500

At the end of a job, all workers are laid off, but you still have one worker on modified duties. There are no projects that can accommodate a worker on modified duties. What happens?

WCB will pay the worker until they are cleared to return to regular duties, or worker finds alternate employment that covers their date of incident wages.

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