Workers ' Compensation Third Party Administrator

2026-11-03

Scope of work During the period of the Agreement the successful Proposer shall , at the direction of the Contract Administrator , represent and act for the County in matters pertaining to the liability of the County for claims filed and / or occurring during the term or terms of the Agreement under the Workers ' Compensation Act of the State of Oregon . In order to propose services , you must be able to provide the following required services which shall include , but may not be limited to : Receive notice of , and create files for , each claim reported and maintain these files for the County for the prescribed statutory period . It is understood that the files remain the County ’ s property . Investigate all claims , as required or at the request of the County , to determine validity and compensability . Special investigations that require the use of outside investigators will be conducted at the direction of the County . In coordination with County Risk Management , timely acceptance of clearly compensable claims , determine and issue appropriate benefits due . Ensure a balance between an employee - focused approach and being good stewards of County funds . Establish contact with the County within 1 business day of claim notification on all claims and report - only incidents . Establish contact with the injured worker and medical provider within 1 business day on all indemnity claims . Establish contact with medical provider within 2 business days on all medical only claims . Establish contact with injured worker at the discretion of Washington County Risk Management on any medical only claim . Follow up on unsuccessful attempts must be made via letter or email until voice - to - voice contact is made . Make timely payments of benefits due to injured workers in accordance with payment procedures established by Statute , Administrative Rules , and County policy . This includes calculating and paying any Temporary Partial Disability payment due in addition to pay continuation . Further , any additional payment of benefits to the injured worker , medical provider or other parties must be made timely and in accordance with statutory requirements . The County shall be responsible for providing such funds as may be required for payments . Prepare documentation and defense of cases to be litigated ; assist legal counsel selected by the County in the preparation of cases for hearing , appeal , and / or trial . Represent the County at the Workers ' Compensation Board hearings and at mediations and any other conferences with legal counsel as required . It is the expectation that claims staff will partner with Washington County Risk Management staff and designated counsel in the resolution of litigated issues . Maintain active engagement with claims throughout litigation . Maintain pertinent data on all claims payments in a manner approved by the County and provide such information to the County in an approved format . Produce and submit in a timely manner all required Workers ’ Compensation related reports required by the State of Oregon Department of Consumer and Business Services Workers ’ Compensation Division .

Oregon

2026-04-08