The following table provides the numbers of employers and workers covered by the workers’ compensation system, the number of accepted disabling claims (ADCs), the disabling claims rate (the ADCs per 100 workers), the number of compensable fatality claims, and the fatality rate (fatality claims per 100,000 workers).
Workers' compensation claims
||Accepted disabling claims
||Rate: accepted disabling claims per 100 employees
||Rate: fatality claims per 100,000 employees
View the data above on data.oregon.govWorkers' compensation claims
If a claim is accepted by the insurer, temporary disability payments, if any, continue at 14-day intervals for as long as the attending physician verifies the worker’s inability to work or until claim closure. Within 14 days of receiving the qualifying closure information, the insurer determines the extent of the worker’s disability, and closes the claim with a notice of closure. Within 30 days of the notice of closure, the insurer must begin paying the award, either permanent partial or permanent total disability. If the accepted claim is attached to a death, the insurer must begin paying the death benefits within 30 days of claim acceptance.
If a claim is classified as nondisabling by the insurer, the worker may request a reclassification. The worker then has 60 days to appeal the insurer’s refusal to reclassify the claim.
If a claim is denied by the insurer, a denial letter is issued and temporary disability payments stop. Within 60 days of denial, the worker may request a hearing to dispute the denial of the claim.
The following table provides the percentage of disabling claims originally accepted by insurers. The table also provides the median days between injury and claim acceptance or denial, the percentage of disabling claims for which the decision was made within the statutory time period, and the percentage of disabling claims for which the initial temporary disability payment was made timely.
Workers' compensation claims administration
||Disabling claim denial rate
||Disabling claims: median days to insurer acceptance
||Disabling claims: median days to insurer denial
||Disabling claims: Percent accepted or denied timely
||Disabling claims: Percent with first payment timely
View the data above on data.oregon.govWorkers' compensation claims administration
Oregon workers’ compensation record-level claims
Oregon workers' compensation record level details for accepted disabling claims from 2013 through 2017. Personally identifiable information has been removed to maintain confidentiality.
View the record level claims dataset
View the data definitions for the record level claims dataset