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Adjuster Certification Test > Workers' Comp Regulatory Information > Flashcards

Workers' Comp Regulatory Information Flashcards

1
Q

Which section in the Oregon Revised Statute (ORS) covers the statutes related to workers’ compensation?

A

ORS 656 – Laws related to Workers’ Compensation.

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2
Q

Which chapter of the Oregon Administrative Rules (OARs) covers the rules related to workers’ compensation?

A

OAR 436

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3
Q

Division 55

A

Certification of Claims Examiners Rules

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4
Q

Division 60

A

Claims Administration Rules

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5
Q

Division 9

A

Oregon Medical Fee and Payment Rules

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6
Q

Division 10

A

Medical Services Rules

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7
Q

Division 15

A

Managed Care Organization Rules

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8
Q

Division 30

A

Claim Closure and Reconsideration Rules

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9
Q

Division 35

A

Disability Rating Standards

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10
Q

Division 105

A

Employer-at-Injury Program Rules

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11
Q

Division 110

A

Preferred Worker Program Rules

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12
Q

Division 120

A

Vocational Assistance to Injured Workers

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13
Q

What is the name of the state agency that regulates workers’ compensation?

A

Department of Consumer and Business Services (DCBS)

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14
Q

What are the divisions within DCBS that deal specifically with workers’ compensation, and what types of issues are reviewed by these divisions?

A

Workers’ Compensation Division (WCD)
and
Workers’ Compensation Board (WCB)

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15
Q

Workers’ Compensation Division (WCD)

A
  • Administers rules related to claims processing
  • Handles disputes related to medical services and vocational services issues
  • Administers the reconsideration process for claim closures
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16
Q

Workers’ Compensation Board (WCB)

A
  • Administers the rules related to administrative hearings and litigation
17
Q

What is the role of case law in applying the statute and rules?

A
  • Case law is an interpretation of the statute and rules by the WCB, Oregon Court of Appeals, or Oregon Supreme Court.
  • It provides additional direction to the insurers on how to apply the law.

Adjuster Certification Test (16 decks)

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