656.780 Certification and training of claims examiners; records of certification and training of examiners; department inspection of records; penalt

232 words·~1 min read·/or/ors-chapter-656/workers-compensation/administration/656-780

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656.780 Certification and training of claims examiners; records of certification and training of examiners; department inspection of records; penalties; rules.

(1)The Director of the Department of Consumer and Business Services shall:

(a)Adopt by rule standards for certification of workers’ compensation claims examiners that shall be administered by workers’ compensation insurers, self-insured employers and service companies; and

(b)Develop or approve any training curriculum used by insurers, self-insured employers and service companies that is related to interactions with independent medical examination providers required under ORS 656.325.

(2)(a) Each insurer, self-insured employer and service company shall maintain records of the certification and training of their workers’ compensation claims examiners. These records are subject to inspection and review by the director.

(b)The director may impose a civil penalty against any insurer, self-insured employer or service company that fails to:

(A)Maintain or produce certification and training records as required by the rules of the director; or

(B)Provide training based on a curriculum approved by the director related to interactions with independent medical examination providers required under ORS 656.325.

(3)Insurers, self-insured employers and service companies may employ only certified workers’ compensation claims examiners to process workers’ compensation claims. The director may impose a civil penalty against any insurer, self-insured employer or service company that violates this subsection. [1990 c.2 §52; 1999 c.418 §1; 2005 c.675 §3; 2015 c.194 §2]

(Advisory Committees)