The Advanced Workers' Compensation Training Courses assume a basic understanding of claim administration either through job experience, or completion of our basic courses.

This is an annual update course. Each week a video news podcast will be posted that will discuss new legal, medical, regulatory and other significant events that effect the workers' compensation claims process. 

Each podcast is available on our website, or in the Apple iTunes store. 

However in order to receive professional credit you need to view the podcast within this online school environment where a record of attendance by way of our software logs can be maintained. Each podcast is between 15 to 30 minutes in length, and varies from week to week. At the end of the year, credit will be given for the total of time of the videos that are viewed during the year.

George Parisotto is the Administrative Director of the Division of Workers' Compensation.  He was the luncheon speaker at the Employers Fraud Task Force November 27, 2018 meeting.  His presentation discussed the creation of the DWC Anti Fraud Unit (AFU) in 2017. He explains how this unit makes use of the Workers' Compensation Information System (WCIS) and the Electronic Adjudication Management System (EAMS) databases to help fraud fighting efforts.

He discusses the implementation of new fraud prevention law, AB 1244, SB 1160, and AB 1422 clean up legislation, and changes to the Fraud Assessment Commission as a result of AB 2014.

He then discusses the results of the AFU efforts in terms of criminal investigations, and data sharing agreements with other law enforcement agencies.

He concludes his presentation by discussing updates to regulations regarding the Medical-Legal Fee Schedule, MTUS, the Drug Formulary, and the IMR process.

This course provides 1.5 hours of Legal Specialization Credit for Workers' Compensation, as well as credit for continuing education credit for California Workers' Compensation Claim Adjusters



This is an annual update course. Each week a video news podcast will be posted that will discuss new legal, medical, regulatory and other significant events that effect the workers' compensation claims process.

Each podcast is available on our website, or in the Apple iTunes store.

However in order to receive professional credit you need to view the podcast within this online school environment where a record of attendance by way of our software logs can be maintained. Each podcast is between 15 to 30 minutes in length, and varies from week to week. At the end of the year, credit will be given for the total of time of the videos that are viewed during the year.

The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total "economic burden" of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.

The California Workers' Compensation system has recognized the problem, and provided tools for attorneys and claims administrators to manage the use of addictive medications.

One tool, the CURES or California Controlled Substance Utilization Review and Evaluation System is a database that shows a patient's history of use of Schedule II, III and IV medications. The California Legislature mandated that all prescribing physicians consult this database before prescribing these drugs for the first time, and periodically thereafter.

In addition, the DWC has adopted a new Chronic Pain Guideline and prescription drug formulary as part of the Medical Treatment Utilization Schedule.

This course will discuss these new tools and how they can be used in the management of claims involving opioid medications.


This course, "Know Your Labor Code", is designed to help workers'  compensation adjusters learn tips and tricks to customize their labor code for their own use, to allow accessing crucial information effectively, as well as give an overview of key sections of the California Labor Code. Veteran workers' compensation adjuster Dennis Knotts shares his successful strategies with his trademark flair. This 5.25 hour course covers the following topics:

    1. Making Your Labor Code User Friendly (27 Minutes)
    2. Exclusive Remedy (19 Minutes)
    3. Exceptions to Exclusive Remedy (15 Minutes)
    4. Statutory Defenses (29 Minutes)
    5. Psychiatric Injuries (27 Minutes)
    6. Employee Defined (23 Minutes)
    7. Statute of Limitations and Presumption of Compensability (23 Minutes)
    8. Medical Benefits and Payments (29 Minutes)
    9. Medical Control (24 Minutes)
  10. Temporary Disability (40 Minutes)
  11. Job Displacement and Permanent Disability (28 Minutes)
  12. Death Benefits (14 Minutes)
  13. Liens and Fraud (13 Minutes)
Shine a light on a dark side of the insurance industry in this course on identity theft and medical identity theft, learning techniques on how to spot and prevent this costly crime. Join Mike McKee, special agent for the National Insurance Crime Bureau, to prepare you to "ID" identity theft.
Where there is insurance, there is fraud. This course "Management of Fraudulent Claims", reviews what fraud is, how to spot it, current fraud trends in the industry, and the procedures to report it. Dennis Knotts, a claims adjuster veteran, shares his extensive knowledge and experience in spotting and reporting fraud. This 1.5 hour course covers the following topics:

  1. What is Fraud and the SIU (29 Minutes)
  2. The Red Flag Approach (22 Minutes)
  3. Reporting the Fraud (27 Minutes)
  4. Fraud Trends (16 Minutes)
The Survival Skills for Claims Adjusters course is designed to help new, and seasoned claims adjusters survive and thrive as they engage in the profession of administering claims of industrial injuries. At times this occupation can be demanding and fatiguing, and even frustrating. Dennis Knotts, a seasoned claims professional and talented instructor shares his secrets of years of experience in the Workers' Compensation community. This 5 hour course covers the following topics:
  1. Survival Skills (42 Minutes)
  2. How Did We Get Where We Are? (23 Minutes)
  3. Multi~Tasking in a Fast-Paced Environment (19 Minutes)
  4. Professionalism (35 Minutes)
  5. Goal Setting (9 Minutes)
  6. Documentation (19 Minutes)
  7. Diary (19 Minutes)
  8. Important Labor Codes (43 Minutes)
  9. Time Management (48 Minutes)
  10. Mental Health (30 Minutes)
Claims administrators can obtain 5 hours of educational credit for taking this course.
The Self Insured Examination can be taken at anytime year-round. If you intend to take this examination, you may wish to take a review course to help you prepare. This is a 11 hour course that covers the following topics.

  1. Introduction to the SIA Examination and Test Taking Strategies
  2. Mandatory Training Requirement for Claims Professionals
  3. The Administration of Self Insured Programs
  4. The Claim Process Workflow and Time Limits
  5. Claim File Reserving Requirements
  6. Subrogation
  7. Audits and Compliance
  8. Industrial Medicine Fundamentals
  9. Death Benefits
  10. Jurisdiction and Injury AOE-COE
  11. Course of Employment
  12. Earnings
  13. Temporary Disability Benefits
  14. Rating Permanent Disability
  15. Utilization Review
  16. Medical Provider Networks
  17. SSSOP - Spinal Surgery Second Opinion Process
  18. QME Process
This is a fast paced, advanced level course. It assumes that you have a basic understanding of the fundamentals of workers' compensation, and professional experience handling claims. The course will discuss advanced issues in each one of the above topics.
This brief course covers the new QME Regulations that were adopted by the California Division of Workers' Compensation in 2009 that became effective February 17, 2009. The new regulations made a number of changes to the QME process. This two hour course will discuss the most significant provisions of the new law. Some of the changes are as follows.
  • New definition of the medical specialties that can be requested by the parties.
  • New training requirements to become a QME
  • New forms that requests additional data.
  • Provisions for requesting replacement panels
  • Provisions to obtain an additional panel in a different specialty
  • Mandatory information that must be provided by a QME in the narrative report.
  • Methods to distribute a psychiatric QME report that may be harmful to a claimant.
This course will give the students a basic understanding of these new provisions. Attorneys may receive two hours MCLE or Legal Specialization credit. Claims adjusters may receive two hours continuing education credit upon completion of this course.
"Preparing for a Claim Audit" is a course designed to help claims adjusters survive the auditing process, by approaching it with the proper mentality, and nuances such as properly calculating a worker's average weekly wage. Dennis Knotts, veteran workers compensation claims adjuster, shares his process to get ready for audits with his usual comprehensive approach. This 2 hour course covers the following topics:

  1. The Audit Mentality (43 Minutes)
  2. The Average Weekly Wage (24 Minutes)
  3. Benefits (32 Minutes)
  4. The Waiting Period and Wage Loss (21 Minutes)

Insurance fraud increasingly is becoming riddled with large transnational rings. Complex rings come from many nations, and often a ring may have members from several countries. They effectively hide their operations behind networks of shell companies, front companies and off-shore financial centers.

Insurance schemes are part of a modern global crime nexus that steals an estimated $1 trillion per year.1 Criminal groups based in nations throughout the globe are exploiting the interlinked nature of modern trading, transportation, banking and monetary systems that fluidly move people and commerce throughout the global economy and across international borders. This is a basic introduction that was given on January 27, 2015 by the Employer's Fraud Task Force at its luncheon meeting.  These were the presenters:

  • Al MacKenzie - Retired Deputy District Attorney
  • Timothy Fives - Special Agent California DOJ
  • Amy Suehiro - Deputy District Attorney Los Angeles County
  • Robert Hammond - Retired Investigator Franchise Tax Board

Federal law states that Medicare must be considered in any Workers' Compensation settlement when the injured worker might rely on Medicare to cover any future medical costs related to the injury. This obligation is satisfied when a claims administrator funds a CMS approved Medicare Set-Aside trust.

Topics Discussed:

  • Medicare Secondary Payer Act History
  • What is an Allocation Report
  • When and Why to Obtain CMS Approval
  • "Reasonable Expectation" Standard for Eligibility
  • When is a MSA not Needed
  • Calculating the Total Settlement Amount
  • Documents to be Submitted to CMS
  • MSA Trust Administration Options
  • Structured WCMSA Options

In order to handle Medicare claims, adjusters and attorneys alike must know the most efficient way to utilize Medicare's payments. This course, helmed by Ciara Koba, Esq., of Burns-White, LLC, reviews how to properly handle a Medicare claim, and use various strategies to reduce Medicare's final costs and stay within the strict guidelines for Medicare claims.
Learn from real Workers' Compensation professionals in a mock trial! This trial focuses on cross examination of a medical expert after presentation of sub-rosa video surveillance footage. Participants include the Hon. Gregory Palmberg as the WCJ, Robert Nichols from the firm of Floyd, Skeren & Kelly as defense counsel, and Adam Dombchik from Gordon, Edelstien, Krepack, Grant & Goldstein as the applicant attorney. AME is David Pechman, orthopedic surgeon, and moderated by Terry Smith, Esq. also from FS&K LLP.
Workers' Compensation practitioners need to keep up to date with regulatory and judicial developments that changes the law that applies to Worker's Compensation claims.

This three hour course is designed to provide updated information about relevant Board level, Court of Appeal and Supreme Court decision that effect Workers' Compensation Law for approximately the two years prior to 2011. It should be takes only by those who have not kept up with case law literature.

Our 2014 Case Law Update course is more appropriate for those who are reasonably current.

The cases are organized by topic of law. The topics covered are as follows
  • Introduction
  • Jurisdiction and Exclusive Remedy
  • Injury AOE-COE
  • Employment Issues
  • Insurance Coverage
  • TD, PD Apportionment
  • Cost of Living Adjustment
  • Medical Care and MPN Issues
  • Death Benefits
  • Penalties & Extraordinary Remedies
  • AME/QME, UR and SSSOP Process
  • Medicare Set Aside Issues
  • CIGA Litigation
  • Practice and Procedure
  • Subrogation

Three hours of MCLE or Legal Specialization credit will be given to attorneys, and Continuing Education credit will be given to claims administrators.

Workers' Compensation practitioners need to keep up to date with regulatory and judicial developments that changes the law that applies to Worker's Compensation claims.

This three hour course is designed to provide updated information about relevant Board level, Court of Appeal and Supreme Court decision that effect Workers' Compensation Law for approximately the last two years. This course is current as of July 2014.

The cases are organized by topic of law. The topics covered are as follows
  • Introduction
  • Jurisdiction and Exclusive Remedy
  • Injury AOE-COE
  • Employment Issues
  • Insurance Coverage
  • TD, PD –Apportionment
  • Cost of Living Adjustment
  • Medical Care and MPN Issues
  • Death Benefits
  • Penalties & Extraordinary Remedies
  • AME/QME, UR and SSSOP Process
  • Medicare Set Aside Issues
  • CIGA Litigation
  • Practice and Procedure
  • Subrogation

2.5 hours of MCLE or Legal Specialization credit will be given to attorneys, and Continuing Education credit will be given to claims administrators.

Suzanne P. Honor-Vangerov, Managing Attorney of Floyd Skeren & Kelly's lien unit, discusses the new lien declaration rules effective as of January 1st, 2017.

The FSML Update Course is for enrollment by its staff and attorneys only.

This 0.75 hour course, recorded at the WeTip Conference in Ontario, CA, goes over preparation, response, and aftermath of an active shooter situation, using the December 2, 2015 terror attack that killed 14 people at the Inland Regional Center in San Bernardino as an example. Chief of San Bernardino Unified Schools District Police, Joe Paulino, describes the chilling attack, what law enforcement did to respond, and how regular citizens should act if they are caught in one of these attacks.