West Virginia Adjusters Practice Exam

An insurer or self-insured employer has how many days to make a decision on all injury and occupational disease claims, except those involving occupational pneumoconiosis?

1. 10

2. 15

3. 20

4. 30

The correct answer is: 10

The standard timeframe for an insurer or self-insured employer to make a decision on all injury and occupational disease claims, excluding those related to occupational pneumoconiosis, is 15 days. This ensures that claims are processed within a reasonable period, which is beneficial for both the claimant and the insurer. The importance of this timeline is to facilitate timely resolutions and support workers who may be depending on benefits due to their injuries or occupational diseases. Pneumoconiosis claims are distinct and typically have different regulations and timeframes due to the unique nature of the disease and its long-term implications. This specialized process contributes to the complexity surrounding occupational disease claims, necessitating a separate set of guidelines.