OAR 436-055-0005
Definitions
(1)
“Claims examiner” means anyone who has primary responsibility for decision making or benefit determination in a claim.(2)
“Director” means the director of the Department of Consumer and Business Services or the director’s designee.(3)
“Hearings Division” means the Hearings Division of the Workers’ Compensation Board.(4)
“Insurer” means the State Accident Insurance Fund Corporation; an insurer authorized under ORS chapter 731 to transact workers’ compensation insurance in this state ; an assigned claims agent selected by the director under ORS 656.054 (Claim of injured worker of noncomplying employer); an employer certified under ORS 656.430 (Certification of self-insured employer) that meets the qualifications of a self-insured employer under ORS 656.407 (Qualifications of insured employers); or a service company that processes claims for an insurer or self-insured employer under the conditions prescribed in ORS 731.475 (Records storage required of workers’ compensation insurers)(3) and ORS 656.455 (Self-insured employers required to keep records of compensation claims)(1).(5)
“Party” means a claimant for compensation, the employer of the worker at the time of injury, the insurer of the employer, or the insurer’s service company, if any.(6)
“Process claims” means the determination of compensability and management of workers’ compensation claims.
Source:
Rule 436-055-0005 — Definitions, https://secure.sos.state.or.us/oard/view.action?ruleNumber=436-055-0005.