Short Answers 2 examples of who is/is NOT covered under the WSIA Rule = injury OR illness MUST have occurred during the scope of employment Rule = IF accident happens while at work THEN presumed to be work related! Rule = benefit of doubt goes to the claimant Exceptions to Misconduct = Rule = EVEN IF injury results from wilful misconduct THEN benefits will still be paid where injury leads to serious impairment OR death of a worker Rule = IF work contributed in any significant OR material way THEN the worker will receive WSI benefits Calculating LOE Right to reinstatement - what does the employer have to do & how long does it last WSIA appeal process . 3 examples of effective claims management