Conducting merit reviews

An independent decision maker from the SIRA Merit Review Service will conduct a merit review of the insurer’s work capacity decision and will outline findings and recommendations. These are binding on the insurer.

They will send the details of the findings and recommendations (with their reasons) to you and the insurer as soon as possible, and preferably within 30 days of the merit review being lodged.

The Guidelines for claiming workers compensation  and the Merit Review user guide  has detailed information about the processes for merit reviews.

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