What’s the Model for Work Capacity Decision Reviews?

The Work Capacity Decision review process, including the ability to seek a Merit Review by the authority, was introduced into the Workers Compensation Scheme in 2012 Amendments to the Workers Compensation Act 1987 (the Act).Those reforms effectively split what had formerly been the exclusive jurisdiction of the Workers Compensation Commission (WCC) to determine Workers Compensation disputes into two streams, except for exempt workers who remain covered by the former provisions.

Post 2012 WCC Disputes and Work Capacity Decision Reviews

The chart below highlights the disputes, decision types and issues which remain the exclusive jurisdiction of the WCC, and those which proceed down the Work Capacity Decision review path. (See Chart)[ezcol_1half]

Workers Compensation Commission (WCC)

Liability - a decision to dispute liability for weekly payments of compensationMedical - a medical dispute under Part 7 of Chapter 7 of the 1998 ActWIM - Work Injury Management disputesWID - Work Injury Damages disputesLegal Costs - S.341 'each party bears their own costs'ILARS (WIRO) - Grants for legal representation of workers at WCC, costs schedule increased by 15%[/ezcol_1half] [ezcol_1half_end]

Work Capacity Decision (s.43) Reviews (s.44BB, IR, MRS, WIRO)

Work capacity - a decision about a worker's current work capacitySuitable Employment - a decision about what constitutes suitable employment and the amount a worker is able to earn in suitable employmentPIAWE & CWE - a decision about Pre Injury Average Weekly Earnings or Current Weekly Earnings amountsInjury Risk - a decision about a worker's ability to engage in employment without risk of injury. Any other decision of an insurer that affects a worker's entitlement to weekly payments of compensation[/ezcol_1half_end]

Work Capacity Decision Reviews WIRO Lawyer Sydney
Download Article PDF

— Featured Articles —

Section 11A Claims in Workers Compensation: Case Study

Psychological claims are a highly disputed area of Workers Compensation in NSW. We are seeing an increasing number of claims being declined

Application of Section 323 in Workers Compensation: Case Study

Section 323 of the Workplace Injury Management and Workers Compensation Act 1998 is a frequently...

Overturning a Threshold Injury Finding in a NSW CTP Claim: A Case Study

Under the Motor Accident Injuries Act 2017 (NSW) (the Act), injured persons are entitled to statutory...

Schedule a Consultation Today

Our experienced team of lawyers is ready to assist you with your legal needs. Contact us today to schedule a consultation and discuss your case.