S-44000-00017296_Att I_Assessment Questions.docx
DOCX document 36 KB Posted
- Attached to
- RFP - Assigned Claims Processing Agent Services
- Solicitation number
- S-44000-00017296
- Issued by
- Oregon
About this file
Assessment Questions for Assigned Claims Processing Agent Services
This document contains assessment questions for the State of Oregon Department of Consumer and Business Services, Workers' Compensation Division's Request for Proposal for Assigned Claims Processing Agent Services. The assessment questions are designed to evaluate the qualifications, capacity, and approach of bidders responding to the RFP. These questions address key evaluation criteria and allow the state to assess how well prospective vendors understand the scope of work, their experience with workers' compensation claims processing, their organizational capabilities, and their ability to manage assigned claims effectively. The questions form part of the formal evaluation process used to determine contract award eligibility and vendor suitability.
The assessment questions serve as a standardized tool for comparing bidder responses against established criteria set forth in the RFP. Responses to these questions will be evaluated as part of the overall proposal submission, contributing to the state's determination of the most qualified vendor to provide assigned claims processing services. The questions likely address operational capacity, technical expertise in workers' compensation claims administration, quality assurance procedures, staffing and training capabilities, timeline adherence, and compliance with state requirements. These assessment mechanisms ensure transparency in the procurement process and provide a structured framework for evaluating bidder qualifications and proposed service delivery models.
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Other files
| File | Type | Posted |
|---|---|---|
| S-44000-00017296_Att G_Proposer Responsibility~1.docx | DOCX document | |
| S-44000-00017296_Att D_References.docx | DOCX document | |
| S-44000-00017296_Att E_Price Proposal.docx | DOCX document | |
| S-44000-00017296_Att F_COBID.docx | DOCX document | |
| RFP_S-44000-00017296_Assigned Claims Processing Agent Services.pdf | ||
| S-44000-00017296_Att B_Disclosure Affidavit.docx | DOCX document | |
| S-44000-00017296_Att A_Sample Contract.pdf | ||
| S-44000-00017296_Att C_Proposer Information.docx | DOCX document | |
| S-44000-00017296_Att H_Key Persons.docx | DOCX document |
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Text version
RFP S-44000-00017296 Assigned Claims Processing Agent Att. I
ATTACHMENT I
ASSESSMENT QUESTIONS
Proposer Name:
Proposer must complete and submit Attachment I, Assessment Questions.
Attachment I must be submitted as a separate document from the remainder of the Proposal.
Attachment I will be evaluated as per Section 4.10.2.5 of the RFP.
Select the correct answer(s) to the following questions:
| 1. |
| Which are typical aspects of investigating a claim? |
| ☐ |
| a. |
| Obtaining a statement from the worker |
| ☐ |
| b. |
| Obtaining information from the medical provider |
| ☐ |
| c. |
| Determining if the employer had WC coverage |
| ☐ |
| d. |
| Determining if the worker has pre-existing conditions |
| ☐ |
| e. |
| All of the above |
| 2. |
| Which are elements of a compensable claim? |
| ☐ |
| a. |
| Injury arose out of employment |
| ☐ |
| b. |
| Worker passed a drug test |
| ☐ |
| c. |
| Employer was aware of the injury/incident |
| ☐ |
| d. |
| Claim was filed on a form 801 or 827 |
| ☐ |
| e. |
| Injury occurred in the course and scope of employment |
| ☐ |
| f. |
| All of the above |
| 3. |
| Under what circumstances does a claim qualify for closure? |
| ☐ |
| a. |
| Off work authorized by a medical doctor |
| ☐ |
| b. |
| Worker has withdrawn from the workforce |
| ☐ |
| c. |
| Worker has been off work for 14 consecutive days |
| ☐ |
| d. |
| Wages lost during authorized modified duty |
| ☐ |
| e. |
| All of the above |
| 4. |
| Which conditions cause temporary disability to be due? |
| ☐ | a. |
| Worker has withdrawn from the workforce |
| ☐ | b. |
| Off work authorized by a physical therapist |
| ☐ | c. |
| Worker has been off work for 14 consecutive days |
| ☐ | d. |
| Wages lost during authorized modified duty |
| ☐ | e. |
| All of the above |
| 5. |
| Which types of earnings are included in the worker’s weekly wage calculation? |
| ☐ | a. |
| Irregular earnings |
| ☐ | b. |
| Regular earnings |
| ☐ | c. |
| Retirement benefits |
| ☐ | d. |
| Overtime earnings |
| ☐ | e. |
| Shift differential pay |
| ☐ | f. |
| Health insurance premium |
| ☐ | g. |
| All of the above |
| 6. |
| A worker may choose to change attending physicians how many times after the initial choice, without insurer or director approval? |
| ☐ | a. |
| Once |
| ☐ | b. |
| Twice |
| ☐ | c. |
| Three times |
| ☐ | d. |
| Four times |
| ☐ | e. |
| No Limit |
| 7. |
| The insurer must date-stamp all medical bills, chart notes, and other documentation upon receipt. |
| ☐ | a. |
| True |
| ☐ | b. |
| False |
| 8. |
| How much time does an insurer have to pay a compensable medical bill? |
| ☐ | a. |
| 14 days |
| ☐ | b. |
| 30 days |
| ☐ | c. |
| 45 days |
| ☐ | d. |
| 60 days |
Assessment Questions Page 1 of 2
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