AK Claims Adjuster study materials
AK Claims Adjuster study resources

AK Claims Adjuster study plan

AK Claims Adjuster · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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%