Settlement and Legal Management Flashcards
1
Q
What are the 4 levels of litigation (Appeal) that can occur
A
Administrative hearing (ALJ)
Board review of ALJ’s findings (WCB)
Review by Oregon Court of Appeals
Review by Oregon Supreme Court
2
Q
Two common settlement types in a Denied Claim
A
Disputed Claim Settlement (DCS) - Settles all benefits in a claim
Stipulation Order (Stip) - An agreement to resend the denial and accept the claim
3
Q
What are the settlement options in an Accepted claim
A
Claims Disposition Agreement (CDA)
Disputed Claim Settlement (DCS) *for partial denial claims
Stipulation Order (Stip)
4
Q
What is the only benefit workers Cannot settle when agreeing to a CDA
A
Medical Benefits
5
Q
How many days do insurers have to pay a CDA once approved
A
14 Days
