attorney who fights safe saif claims

by Fredrick Gislason 8 min read

Who does Saif cover?

SAIF is a not-for-profit company providing workers comp insurance in the state of Oregon. Learn how we can help you stay safe and healthy in the workplace. Workers' compensation insurance for Oregon 800.285.8525

Does Saif reimburse injured workers for treatment pending litigation?

Once SAIF has received the 801 form, you will hear from a member of our claims division if further information is required. If you have questions, give us a call at 800.285.8525. Our claims division is filled with experts ready to manage claims and help workers obtain benefits, keep them informed about their claim, and help get them back to ...

Do you have an Saif claim in Oregon?

PeopleClaim provides free and low-cost dispute resolution services for consumers, employees, patients, and anyone else who's been treated unfairly. Would you like help resolving a dispute against SAIF Corporation. PeopleClaim is a new way to resolve disputes online and at a fraction of the cost of mediation, arbitration, litigation and other ...

How long does Saif have to make a decision on claims?

SAIF is a not-for-profit workers' compensation company in Oregon. Find the contact information for your SAIF representatives in your area. SAIF is a not-for-profit workers' compensation company in Oregon. ... Claims questions Contact your adjuster. If you don't have your adjuster's direct line or email address, just call us at 800.285.8525.

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Dave

As a senior safety management consultant, I help workplaces build strong safety programs by supporting sound safety, health, and wellness programs. But my journey has gone far beyond the fulfilling job of helping Oregon businesses and workers.

Tom

Since 2003 I've been a trial attorney for SAIF. I have the privilege of representing SAIF and its policyholders in claims involving litigation before the Workers' Compensation Division or the Workers' Compensation Board.

Kim

I love that my job, web developer and designer, challenges me every day in different ways and enables me to use my skills and knowledge to help keep workers safe. The environment at SAIF encourages me to push myself to grow in new areas. I learn from amazing co-workers who care about what they do because they believe in our mission.

What other jobs do people do here?

A wide range of talented teams and people contribute to our mission.

How to help your employees be resilient

Employees who feel safe and are mentally well perform better on the job and are less likely to get physically injured.

About SAIF

SAIF is Oregon’s not-for-profit insurance company. Since 1914, we’ve been protecting Oregon employers and employees with exceptional, affordable workers’ comp coverage.

How to file an 801 claim?

How do I file a claim? Fill out the 801. If an injury occurs on the job, both you and the injured employee should fill out the claim form, known as the 801 Report of Job Injury or Illness, as soon as possible. If the employee is unavailable, complete as much of the form as possible, leaving the signature line blank and your name in ...

What is the phone number for unemployment?

If you have questions, give us a call at 800.285.8525. Our claims division is filled with experts ready to manage claims and help workers obtain benefits, keep them informed about their claim, and help get them back to work as soon as possible.

What is an open claim?

Definition | A claim is "open" once the insurer has determined that the claim meets the definition of a compensable workers' comp claim under the statutes, administrative rules, and case law.

What is a CDA settlement?

Claims disposition agreement (CDA) | This type of settlement is sometimes used to bring an open claim to closure. This settlement does not affect medical benefits. The worker does not have to reach medically stationary to enter into a CDA, and the attending physician can still treat the worker.

What does the status of a claim mean?

The status of a claim may determine how issues, such as the authorization of referrals, are handled. This section should help you figure out what you need to do, and when.

How long does it take for an insurance company to accept a claim?

During this time, the insurer gathers information to determine if the claim should be accepted or denied. The law allows an insurer up to 60 days from the date the worker's employer knew about the injury or disease to determine whether or not to accept the claim.

What is an omitted condition?

A new condition is diagnosed during the course of the treatment; an omitted condition is one the worker believes was incorrectly omitted from the notice of acceptance. The attending physician must submit an 827 form for the new or omitted condition (s).

What is DCS in healthcare?

DCS is a method of finalizing a denial; therefore, no future treatment is covered. Any bills received prior to denial will be reviewed at the time of the decision. As of January 1, 2015, providers can bill and seek authorization from the health benefit plan while the claim is in "new" status.

Can an insurance company deny a claim?

On accepted claims, the insurer may deny certain conditions only (known as a "partial denial"). Only the worker can appeal a denial of a claim. Medical providers are notified within 60 days of a claim denial. If the worker does not appeal the denial, it becomes final, and providers are notified in writing.

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