6.2.2.8 Review IIA report

The IB Impairment Benefits Specialist receives and analyses the IIA Independent impairment assessment report/s.

The whole person impairment percentage assessed by the IIA is used by the Agent to determine and calculate the compensation amount for the claimed injury.

Process

Follow these steps to review the IIA report.

Step Agent action
Verify report The IB Specialist verifies that the impairment assessment report complies with the AMA Guides 4th Edition.
Combining values

The IB Specialist verifies that when combining impairment values, the correct total whole person impairment has been determined by applying the appropriate method as follows:

  • Combined Values Chart when combining two impairments
  • Formula method when combining three or more impairments.
Inform worker and solicitor

Keep the worker informed if issues have been presented to the IIA for clarification. This is to minimise the likelihood of any complaints.

Provide a worker’s solicitor with an examiner’s initial report together with correspondence requesting a supplementary report (if applicable), at the time of writing to the examiner.

If unidentified injuries are identified

If previously unidentified injuries (arising from the same work-related incident) are identified in the IIA report:

  • contact the worker and invite them to amend the IB claim to include the additional injuries. Liability for additional injuries must be determined in the same way as outlined in Liability determination
  • delay finalising the impairment assessment until the worker has taken or refused this opportunity.
Ensure that all injuries have been assessed

The Agent must be satisfied that the worker has been assessed by an IIA for all accepted injuries sustained in the one work-related incident. Only then can the impairment assessment be finalised.

Note: Resolution of an IB claim may prejudice a worker’s ability to make a further claim or recover further compensation for the same circumstance or incident, at a later time.


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