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 |
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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:
|
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:
|
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. |