Rehabilitation Report

As the regulatory body for workers' compensation, we have a role in facilitating injured workers and employers having certain decisions that have been made by an insurer, reviewed. 

 

This is a free service and grounds for review are simply that an individual believes that the insurer's decision is wrong. It is vital however, that the grounds for review relate directly to the injury itself. It is also important to note that Q-COMP cannot review the way an insurer managed a claim or the insurer's internal processes.

 

The types of decisions reviewable include:

• acceptance or rejection of a claim for compensation
• termination or suspension of a compensation entitlement
• calculation of normal weekly earnings (NEW)
• waive or not to waive time for applying
• premiums
• damages.

 

There are also decisions that are not able to be reviewed and these include:

• surgery
• medical costs
• rehabilitation costs.

 

Q-COMP carries out an administrative review only - this means we review all of the paperwork but we don't contact doctors, witnesses etc for further information.  Therefore any crucial information that might support the application for review should be submitted at this time. 

 

Timelines

 

Keeping to timelines is important during the process of review for everyone involved. There are certain timeframes that must be adhered to including:

 

• an application for review must be lodged with Q-COMP within three months of receiving the insurers written reasons for their decision
• once an application for review is lodged, the decision is made within 25 business days
• once a decision is made the applicant and the other party will both be notified of the Q-COMP review decision in writing within 10 business days.

 

If you have any questions about the review process or the types of decisions that are reviewable, contact the team on 1300 739 021 or review@qcomp.com.au