ComPro, Inc. Worker Benefit Fund Program processing
There are currently five programs funded by the Worker Benefit Fund:
Retroactive Program (very old TTD benefits, Permanent Total Disability
and Fatality claims), subsequent injuries for Preferred Workers(Preferred
Worker Program), the Employer-at-Injury Program
Reopened Claims Program (insurer voluntary and Board's Own Motion reopened
claims) and the Handicapped Workers Program. (Technically, there is a
Vocational Assistance Costs Program as well but it is largely inactive
- only pre-1986 injuries with vocational rehabilitation services qualify).
Compensation benefits and sometimes medical costs paid on claims that
qualify under these programs can be either fully or partly recovered by
the self-insured employer or insurer. The monies must be requested in
the proper amounts, within the allotted time frame and in the required
format (as prescribed by WCD). ComPro, Inc. is currently handling many
of these reimbursements for employers, third party administrators and
insurers in a very cost effective manner.
How does the process work?
Generally, ComPro, Inc. will conduct a brief initial review of each
claim to gather/verify required information and establish that the
claim qualifies for reimbursement under the various programs. An initial
request for reimbursement can be made following this review. If the
client so desires, ComPro, Inc. can also audit the claim to verify
that past reimbursements have been made appropriately to maximize
the use of the program.
ComPro, Inc. will file reimbursement requests on a quarterly basis,
as required by rule. Reimbursements for claims with ongoing expenses
are also handled on a quarterly basis.
For claims with ongoing expenses, the client can choose to either
e-mail/fax the required information to ComPro, Inc. each quarter or
have us continue to review the claims on site.
Once filed, the client will receive a copy of the reimbursement request
form indicating the amounts requested for each claim. Reimbursement
checks are issued directly to the employer or insurer by the State
of Oregon, usually within a few weeks of filing the request.
ComPro, Inc. can also provide assistance with audit referrals produced
by WCD field auditors in relation to reimbursements requested, accuracy
of rates, etc.
As an additional service, ComPro, Inc. can calculate October 1 Retroactive
Program increases for each claim every year. We typically provide
a calculation worksheet that indicates the amount of the claimant's
monthly benefit and a letter that explains the increase to his/her
benefit. The letter and worksheet can be mailed directly to the claimant
by the client. This service meshes very well with the quarterly reimbursement
requests as the same information is used for both services.
Why have ComPro, Inc. handle your reimbursement processing?
The employees at ComPro, Inc. have been processing reimbursements
for many years and can ensure the accuracy of the reimbursements/benefit
increases. This also has the effect of ensuring the accuracy of benefits
paid since we are essentially "monitoring" the payments for the client.
Improved WCD field audit results usually follow.
Utilizing ComPro, Inc. in handling reimbursements/calculation of
benefit increases will save the client considerable staff time that
can be allocated to other functions.
ComPro, Inc.'s experience with all of the funds can be advantageous
in maximizing recovery of claims costs. These reimbursements are essentially
"free money" that certainly should not be overlooked.
Because claims which qualify for relief under the various programs
ocurr on an infrequent basis, your claims examiner may not have the
time and/or be currently skilled to accurately process reimbursement
requests. It is a major part of our business product so we make it
a high priority to stay current and understand the use of the Programs.
How much does it cost to have ComPro "take care" of this function?
The reimbursement filing service is billed at $60 per claim, per quarter
requested. The benefit increase calculation service is billed at $60 per
claim, per year (the increase only happens once per year on October 1).
If you would like to make arrangements for the service or just discuss
details, call us at (503) 485-2344 or e-mail email@example.com.
Return to Top
Home | Claim
Closure | OWCS | CompCourse
| Contact Us