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Benefits & Certification Unit
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Purpose
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Respond to inquiries from
injured workers, insurers, employers, medical providers and attorneys in an effort
to resolve misunderstandings and differences which might otherwise result in sanctions
or litigation.
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Responsibilities
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General
inquiries: Interpret workers' compensation law and respond in person, by phone or
in writing.
Litigation - Review/interpret litigation orders to determine the effect they may
have on claims and if further division action is required.
Insurer responsibility - When responsibility for a claim is the only issue between
insurers, designates a paying agent until this issue can be resolved at hearing. Direct
any necessary monetary adjustments between parties. This is also called a 307 order.
Pro rata distributions - When concurrent disability is due the worker on two or
more accepted claims the division may make a pro rata distribution between two or more
insurers. |
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Functions
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benefit consultants respond to general inquiries in person, over the telephone or by
letter, including written responses for signature by the administrator, the director,
a legislator or the governor. Workers' compensation issues related to injured worker
benefits are usually resolved by letter or phone, but in some cases, the benefit consultants
issue administrative orders summarizing case decisions. |
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Primary
governing rules
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| OAR
436-060: Claims Administration |
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For
more information contact:
Compliance
Section: 503-947-7585
Workers' Compensation Info-line: 1-800-452-0288 |
