Disputes are assigned to the most appropriate dispute resolution pathway.
Most disputes that go through this pathway are about the degree of permanent impairment that has been caused by a work-related injury, but they can also concern the medical nature of a worker’s injury and whether medical treatment is reasonably necessary.
The medical disputes pathway usually includes an assessment of the injury or condition by a Medical Assessor. Medical Assessors are independent medical specialists appointed by the Commission. The Medical Assessor will usually examine the worker and review the information provided by the parties, especially the medical and imaging reports.
The Medical Assessor provides the Commission with a Medical Assessment Certificate that outlines their independent and unbiased assessment about the injury or condition. Based on this assessment, the worker, the employer and the employer’s insurer may agree to resolve the dispute and agree on the amount of compensation payable. If a dispute continues, or there are outstanding issues to be resolved, the Commission may refer the matter to a Member to resolve the dispute.