SAIF Claims Adjuster Practice Exam 2025 - Free Claims Adjuster Practice Questions and Study Guide

Question: 1 / 400

Which of the following situations would typically make a claim not compensable?

An injury occurs while performing work duties

An injury occurs during a social or recreational activity

The situation in which an injury occurs during a social or recreational activity is typically considered not compensable because workers' compensation laws generally focus on injuries that happen as a direct result of job-related duties or activities. When an employee is engaged in social or recreational activities, it is viewed as being outside the scope of their work responsibilities. For a claim to be compensable, the injury must arise in the course and scope of employment; this requirement excludes injuries that occur while participating in activities that are primarily for personal enjoyment or social interaction.

In contrast, the other scenarios involve circumstances that align more closely with work-related activities. An injury occurring while performing work duties, due to a sudden, acute incident, or as a result of an on-site accident typically falls under situations where the employer's liability for workers' compensation may apply. These situations are directly related to the work environment and job functions, making them more likely to be deemed compensable under most workers' compensation systems.

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An injury occurs due to a sudden, acute incident

An injury is caused by an on-site accident

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