Compensable Injury
An injury or illness that arises out of and in the course of employment and qualifies for workers compensation benefits.
Compensability requires employment connection — not commuting (going and coming rule exceptions exist), not horseplay in some cases, and not purely idiopathic events unless work contributed. Occupational diseases have additional tests.
Examples
A nurse contracts a bloodborne pathogen from a needlestick at work — likely compensable; same disease from community exposure is not.
Common Misconceptions
Assuming all pain at work is compensable without medical causation. Missing reporting deadlines that bar claims.
Related Terms
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Back to Glossary Claims Pages AcademyThis definition is provided for informational and educational purposes. Insurance terminology may vary by jurisdiction, policy, and context. Consult a licensed professional for guidance specific to your situation.
