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Workers Compensation — Insurance Claims Definition

Workers Comp

Insurance providing medical benefits and wage replacement to employees injured in the course of employment, and protecting employers from most tort suits.

Workers compensation is a statutory system: benefits are defined by state law. Coverage is usually mandatory for employers with minimum employee counts. Exclusive remedy bars most employee suits against employers for covered injuries.

Examples

A warehouse worker strains a back lifting boxes; WC pays medical care and temporary disability benefits per state schedule.

Common Mistakes

Misclassifying employees as independent contractors to avoid WC — major compliance risk. Operating in monopolistic states without the state fund where required.

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