Workers Compensation Adjuster Examination

1.A grocery warehouse clerk strains a shoulder while lifting a case the supervisor assigned. The clerk followed the posted lift method. Must the clerk prove the employer was negligent to receive workers compensation?

2.A hotel housekeeper is injured while changing linens, and the injury is accepted as compensable. She wants to sue the hotel, her employer, for that same injury. What is the usual result?

3.A parcel driver is hurt when a contractor's employee negligently drives a forklift into him on the contractor's dock during a scheduled pickup. He also has a compensable claim through his own employer. Which other claim can he still pursue?

4.Which event meets the basic test for a covered workers compensation injury?

5.A bakery employee is hurt in a crash while driving from home to the bakery to start a regular shift. How should the adjuster generally treat that drive?

6.During a shift, a print-shop supervisor tells a press operator to drive to a supplier and pick up ink the shop needs that afternoon. The operator is hurt in a crash on that trip. Can the trip be covered?

7.Two warehouse workers leave their assigned aisle and spend twenty minutes racing pallet jacks in an empty yard. One is thrown off and injured. How does the horseplay rule apply?

8.A roofer falls from a low scaffold, cannot do any work, and is still healing. Which indemnity benefit matches that status?

9.A hospital nurse is still healing from a work injury and has returned to restricted duty at lower pay. Which benefit matches?

10.A machinist has finished healing and has a lasting impairment of one hand, but he can work. Which benefit matches the impairment?

11.A welder's work injury has left a lasting condition, and the welder has no ability to work. Which benefit matches?

12.A textile worker develops a lung condition after years of daily fiber dust in the mill. There was no single accident. Can this still be compensable?

13.An adjuster opens a claim for a cook burned at a restaurant grill. Which set should the adjuster gather before deciding compensability?

14.Why would the adjuster take a recorded statement from a janitor who reported a work injury?

15.A compensable knee injury at a lumber yard requires clinic visits. How should the adjuster classify that care?

16.One state system lets the employee choose the treating doctor. Another state system requires a doctor from an approved panel. What is true about physician choice?

17.This claim uses a benefit of two-thirds of a $900 average weekly wage. The worker is temporarily totally disabled. What is the weekly indemnity?

18.This claim pays two-thirds of the wage loss. The average weekly wage is $1,200. While healing, the worker earns $300 at restricted duty. What is the weekly temporary partial benefit?

19.A cashier is struck by a falling case while stocking a shelf the manager assigned. No one claims the store was careless. Is the injury compensable if it arose out of and in the course of employment?

20.An accepted claim pays benefits to a factory assembler hurt by the plant's own conveyor. The assembler wants damages from the factory for that covered injury. What is the general rule?

21.A transit-shop mechanic is injured when a vendor's technician negligently drops a heavy tool on the mechanic's foot. The vendor does not employ the mechanic. Which statement is right?

22.A school custodian slips on a wet corridor while mopping it during the assigned shift. Which conclusion fits?

23.An office clerk finishes the day and is injured while driving a personal car home on the usual route. The employer assigned no errand. How is that drive generally treated?

24.On shift, a pharmacist directs a technician to drive to another store in the chain and bring back a medication the pharmacy has run out of. The technician is injured on that drive. Which statement fits?

25.A restaurant server leaves assigned tables and spends a long stretch doing skateboard tricks in the parking lot. The server is injured during a trick. Which statement fits?

26.A house painter fell while painting a room the contractor assigned. The painter cannot work at all, and the shoulder is still healing. Which benefit applies?

27.A dental assistant is still healing from a compensable injury and works half days at lower pay. Which benefit applies?

28.A carpenter has finished healing after a compensable cut. A lasting thumb impairment remains, and the carpenter is back at work. Which benefit names that impairment?

29.A mill worker's compensable injury is now a lasting condition, and the worker has no ability to work. Which benefit applies?

30.A stone cutter's hearing declines after years beside loud cutting equipment. There is no one-day accident. Which description is accurate?

31.A lab technician is splashed once by a chemical during an assigned experiment and is burned that same day. How should the adjuster classify the event?

32.The accident report, clinic notes, and payroll are in the file for a greenhouse worker's claimed injury. What does the adjuster use those facts to decide?

33.A laborer's recorded statement says a trench board struck him while he was shoring an assigned trench. The medical records are not in the file yet. What is the statement's role?

34.A florist's compensable cut is treated at a clinic the same day, and the florist misses no work. Are the clinic charges a workers compensation benefit?

35.This claim's state system requires treatment by a physician on the employer's approved list. The employee wants a physician who is not on that list. What should the adjuster follow?

36.This claim uses a benefit of two-thirds of a $1,500 average weekly wage for temporary total disability. What is the weekly benefit?

37.Four weekly gross pays are $600, $600, $600, and $600. This claim sets average weekly wage as that total divided by 4, then pays two-thirds of it for temporary total disability. What is the weekly benefit?

38.This claim pays two-thirds of the wage loss while the worker heals. The average weekly wage is $1,800, and restricted-duty earnings are $600. What is the weekly temporary partial benefit?

39.A driver for another company negligently backs a van into a warehouse loading clerk. The clerk's employer is the warehouse, not the van's owner. Which statement is right?

40.A utility meter reader is bitten by a dog while reading a meter on the assigned route during the shift. Which statement is correct?

41.Which trip can be covered as an employer-directed errand during the workday?

42.Which event is often outside the course of employment under the horseplay rule?

43.A food-plant worker is off work completely. The notes say the worker is still healing and has not reached a lasting end point. Which benefit is the wage replacement?

44.Healing is complete for a tailor. Two fingers have a lasting impairment, and the tailor is sewing again. Which benefit names that impairment?

45.A dock supervisor's work injury has left a lasting condition, and the supervisor has no ability to return to any work. Which benefit fits?

46.A poultry-plant worker develops a wrist condition after months of the same cutting motion the job requires. There is no single blow. Which statement is true?

47.A claimant asks the adjuster which exercises will heal a compensable back strain. What is the adjuster's proper role?

48.Why does the adjuster request wage records on a lost-time claim for a hotel laundry worker?

49.This claim uses a benefit of two-thirds of a $720 average weekly wage. A security guard is temporarily totally disabled. What is the weekly indemnity?

50.This claim uses a benefit of three-fourths of an $800 average weekly wage for temporary total disability. What is the weekly benefit?

51.A covered cannery injury is accepted. The employee asks whether a damages suit against the cannery, the employer, is generally allowed for that same injury. What is the answer?

52.A negligent delivery company caused a covered injury. That company does not employ the injured worker. Exclusive remedy generally bars a suit against the worker's own employer. Which claim can remain?

53.An electrician is shocked while installing a fixture the foreman assigned, on the job site, during the shift. Which conclusion fits?

54.A hospital aide is injured while riding a city bus from home to the hospital to begin a normal shift. The hospital directed no stop. How is the ride generally treated?

55.Mid-shift, a hotel manager tells a bellhop to take the hotel van to the airport and pick up a guest's delayed luggage for the hotel. The bellhop is injured during that trip. Can it be covered?

56.Instead of sanding assigned furniture, two plant employees race floor sweepers through the shop and one is injured in the race. How does the horseplay rule apply?

57.This claim pays temporary total disability at two-thirds of a $960 average weekly wage. A plumber cannot work at all and is still healing. What is the weekly amount?

58.A hotel laundry worker is still healing from a compensable wrist injury and folds only light loads, earning less than before. Which benefit applies?

59.A shipyard fitter has finished healing. A lasting impairment remains in one foot, and the fitter has returned to work. Which benefit names that impairment?

60.A window installer's work injury has become lasting, and the installer has no ability to work. Which benefit applies?

61.A bank vault technician cannot do any work while a compensable shoulder injury is still healing. Which benefit applies?

62.A farmhand is kicked by a cow while milking, the task the farm assigned. The farm used its routine pen setup, and the farmhand followed it. What must the farmhand prove about employer fault?

63.The accident report says a librarian was shelving books when a ladder slipped. Medical records describe the injury, and wage records show the pay. What should the adjuster do with those facts?

64.The injured baker's recorded statement conflicts with the accident report about where the burn happened. What should the adjuster do?

65.A compensable eye injury at a jewelry bench requires an emergency clinic visit and later follow-up care. Which statement is correct about those bills?

66.This claim's state system lets the injured employee choose the treating physician. A supervisor tells the adjuster to impose a company doctor instead. What controls?

67.This claim uses a benefit of two-thirds of an $840 average weekly wage. A surveyor is temporarily totally disabled. What is the weekly indemnity?

68.A worker earns $18 an hour and works 40 hours a week. This claim sets average weekly wage at the hourly rate times 40, then pays two-thirds of that wage for temporary total disability. What is the weekly benefit?

69.This claim pays two-thirds of the wage loss. The average weekly wage is $1,500. The healing worker earns $600 on restricted duty. What is the weekly benefit?

70.This claim uses a benefit of one-half of a $1,000 average weekly wage for temporary total disability. What is the weekly benefit?

71.A museum installer receiving temporary total disability returns to regular duty, is able to do the job, and earns the full pre-injury wage. Which statement fits?

72.A ticket agent is still healing and is released only to restricted duty, where pay is lower. The agent is doing that restricted job. Which benefit fits?

73.A landscaper has finished healing. A lasting knee impairment remains, and the landscaper has resumed employment. Which benefit matches the impairment?

74.Which condition fits an occupational disease?

75.Medical and work histories show a disease arose from a condition of the employment over time. What is the compensability point?

76.An adjuster has only a phone rumor about a fishery worker's injury and does not yet have the accident report, medical records, or wage records. What is the sound next step?

77.Several people offer to talk about a reported work injury. Which statement belongs in the investigation?

78.A subcontractor negligently leaves a cord loose. An employee of the general contractor trips on it and is hurt. The injured worker does not work for the subcontractor. What should the adjuster recognize?

79.Mid-shift, a bookstore clerk leaves the store on a personal trip to pick up dry cleaning. The employer did not direct the trip. The clerk is hurt during that trip. How should it be treated?

80.This claim uses a benefit of two-thirds of a $2,100 average weekly wage. A refinery operator is temporarily totally disabled. What is the weekly indemnity?

81.This claim uses a 7-day waiting period before any temporary total indemnity is paid. A stagehand was unable to work for 4 days and then returned. How many of those days are payable under this claim's rule?

82.This claim pays temporary total indemnity only for disability days after a 3-day waiting period, and it does not pay the waiting days. A glazier was unable to work for 10 days. How many days are payable?

83.This claim pays no indemnity for the first 5 disability days and pays the days after that. A tile setter was unable to work for 14 days. How many days are payable?

84.This claim uses a benefit of 60 percent of a $1,000 average weekly wage for temporary total disability. What is the weekly benefit?

85.A compensable injury keeps a warehouse picker off work while healing and also requires physician care. Which pair can the claim pay?

86.A covered injury at a bottling plant is accepted. Which statement fits both the benefit rule and the exclusive-remedy rule?

87.Which injury arises out of and in the course of employment?

88.A bank teller asks how an ordinary commute from home to the bank, and back home after the shift, is generally treated. What is the rule?

89.A locksmith asks when a drive away from the shop can be covered. Which answer fits?

90.During work, two stock clerks leave their duties for a long unauthorized game of catch with a heavy box and one is injured. Which statement fits the horseplay rule?

91.An aquarium technician cannot work at all. The notes say the condition is still healing and is not a lasting end state. Earnings are zero. Which benefit applies?

92.A call-center employee is still healing, works restricted hours, and earns $400 a week instead of the $1,000 pre-injury wage. The case is not at a lasting end point. Which benefit applies?

93.An instrument repairer has finished healing. A lasting shoulder impairment remains, and the repairer continues to earn wages. Which benefit names the impairment?

94.A ferry deckhand's medical outcome is lasting, and the deckhand has no ability to work. Which benefit applies?

95.This claim pays two-thirds of the wage loss. The average weekly wage is $960. Restricted-duty pay while healing is $360. What is the weekly temporary partial benefit?

96.This claim uses a benefit of two-thirds of a $1,320 average weekly wage for temporary total disability. What is the weekly benefit?

97.Four weekly gross pays are $750, $750, $750, and $750. This claim sets average weekly wage as the total divided by 4 and pays two-thirds of that wage for temporary total disability. What is the weekly benefit?

98.A worker earns $24 an hour for a 40-hour week. This claim sets average weekly wage as the hourly rate times 40 and pays two-thirds for temporary total disability. What is the weekly benefit?

99.A clinic bill arrives for treatment of an accepted compensable injury to a glass blower. What is that bill from the claim's point of view?

100.The employer's workers compensation policy, allowed by this claim's state system, says the employer directs care for the first physician visit. What should the adjuster apply?

101.A new adjuster asks for the one weekly dollar cap that applies to indemnity in every state. What is the right response?

102.A trainee asks what percentage of wages every state must pay for temporary total disability. What should the trainer say?

103.A worker's history shows a disease came from years of a solvent used in the assigned process, not from one accident and not from a hobby. How should the adjuster view it?

104.The accident report and the recorded statement agree that a worker was driving from home to start a normal shift, with no employer-directed errand. Medical records confirm the crash injuries. What conclusion fits?

105.The accident report, recorded statement, and medical records all say a parts runner was hurt during an employer-directed parts pickup in the middle of the shift. Wage records are in the file. Which conclusion fits?

106.The records show an employee left an assigned press and was hurt in a long unauthorized paintball game in the parking lot, unrelated to any job task. Which conclusion fits?

107.Gross wages for 6 weeks are $600 each week. This claim sets average weekly wage as total wages divided by 6. What is the average weekly wage?

108.A covered injury to a pier warehouse clerk is accepted. The clerk asks what the claim can provide and whether the clerk can also sue the warehouse employer. Which answer is accurate?