AK Claims Adjuster study plan
AK Claims Adjuster · Give each week a clear focus.
8 weeks · About 7 hours per week
Alaska Workers' Compensation Statute and Regulations
Map the structure of the Alaska Workers' Compensation Act by outlining its major articles and identifying which articles govern coverage, benefits, and procedure
Define the key statutory terms (employer, employee, compensable injury, arising out of and in the course of employment) and write plain-language definitions in your own words
Locate and summarize the Alaska Workers' Compensation Board regulations that address claim filing and notice requirements
Build a one-page reference sheet of statutory citations you will need to recall for coverage questions
Your checkpoint
A citation index of at least 20 key statute/regulation references organized by topic, with a one-sentence note on each
Alaska Workers' Compensation Statute and Regulations & Compensability and Coverage Determination
Explain how Alaska defines compensable injury and distinguish it from non-compensable conditions using statutory language
Apply the arising-out-of and in-the-course-of tests to five hypothetical fact patterns and justify each conclusion
Identify statutory coverage exclusions and exceptions and state the reasoning behind each
Describe how coverage questions interact with the exclusive remedy provision
Your checkpoint
A written analysis of five fact patterns, each with a conclusion, the controlling statute, and a two-to-three sentence rationale
Claims Handling and Investigation
Sequence the steps of a workers' compensation investigation from first notice through claim decision
Draft a list of interview questions for the injured worker, witnesses, and employer contact
Identify the records and evidence types needed to verify an injury and explain how each supports or undermines compensability
Outline how to document an investigation file so the record supports the eventual decision
Recognize red flags that warrant deeper investigation and describe the next step for each
Your checkpoint
A complete investigation checklist template covering notice, interviews, records, and red-flag escalation
Benefits: Medical, Indemnity, and Disability
Distinguish medical, indemnity, and disability benefit categories and state the purpose of each
Calculate a temporary total disability benefit using a stated average weekly wage and the applicable statutory rate
Explain how the waiting period and retroactive payment rules affect the timing of indemnity benefits
Describe the adjuster's role in authorizing and monitoring medical treatment
Identify the documentation needed to support each benefit type in the claim file
Your checkpoint
A benefits calculation worksheet with three worked examples (average weekly wage, compensation rate, and benefit amount) showing each step
Permanent Partial Impairment and Return to Work
Explain how permanent partial impairment is rated and how the rating translates into a benefit
Distinguish permanent partial impairment from permanent total disability and loss-of-earning-capacity concepts
Describe return-to-work options including modified duty and reemployment and the adjuster's role in each
Identify the documentation that supports a return-to-work determination and a vocational assessment
Your checkpoint
A one-page decision tree for return-to-work scenarios with the documentation required at each branch
Claims Administration, Reporting, and Documentation & Dispute Resolution, Hearings, and Appeals
List the reporting and filing deadlines that apply to a claim and state the consequence of missing each
Draft a sample claim file note that meets documentation standards for a contested issue
Outline the dispute resolution path from informal conference through hearing and appeal
Explain the adjuster's obligations when a claim is disputed and how to prepare a hearing-ready file
Describe the standards for appealing a Board decision and the timeline involved
Your checkpoint
A dispute timeline diagram plus a hearing-preparation checklist tied to the claim file
Ethics, Adjuster Conduct, and Fraud Prevention & Claims Administration, Reporting, and Documentation
Apply the ethical standards governing adjuster conduct to three conflict-of-interest scenarios
Identify indicators of claimant and provider fraud and describe the appropriate referral step
Explain the adjuster's duty of good faith and the consequences of unfair claim practices
Describe confidentiality and record-handling obligations for claim information
Audit a sample claim file against documentation and ethics requirements and note gaps
Your checkpoint
A file audit of a self-created sample claim identifying at least five compliance or ethics gaps with corrective actions
Alaska Workers' Compensation Statute and Regulations & Claims Handling and Investigation & Compensability and Coverage Determination & Benefits: Medical, Indemnity, and Disability & Permanent Partial Impairment and Return to Work & Claims Administration, Reporting, and Documentation & Dispute Resolution, Hearings, and Appeals & Ethics, Adjuster Conduct, and Fraud Prevention
Complete a timed practice set weighted to match domain percentages and score each domain separately
Re-review the two lowest-scoring domains and rewrite your reference notes for those areas
Recite the key deadlines, benefit formulas, and dispute steps from memory without notes
Build a final one-page quick-reference sheet covering all eight domains
Your checkpoint
A scored practice exam summary by domain plus a final one-page quick-reference sheet
Milestones
Week 2: Can explain compensability using statutory language and correctly resolve at least 4 of 5 fact patterns with cited authority
Week 4: Can calculate a temporary total disability benefit from an average weekly wage without notes and identify the waiting-period rule
Week 6: Can list all major reporting deadlines and outline the dispute path from conference to appeal from memory
Week 8: Scores at least 80% overall on the weighted practice set with no single domain below 70%