OAR 436-055-0005: Definitions

Except where the context requires otherwise, the definitions under ORS 656.005 and the following apply to OAR 436-055-0008 to 436-055-0110: (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; an employer certified under ORS 656.430 that meets the qualifications of a self-insured employer under ORS 656.407; or a service company that processes claims for an insurer or self-insured employer under the conditions prescribed in ORS 731.475(3) and ORS 656.455(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.