State Insurance Regulatory Authority
Dispute Resolution Service
- Exceptional Professional Opportunity
- Decision-Makers (Merit Reviewers, Medical Assessors, Claims Assessors)
The State Insurance Regulatory Authority (SIRA) is responsible for regulating workers compensation insurance, motor accidents compulsory third party (CTP) insurance and home building compensation insurance in NSW. SIRA’s Dispute Resolution Services Division delivers independent, alternative to Court, dispute resolution services including the Motor Accidents Medical Assessment Service, the Motor Accidents Claims Assessment and Resolution Service, NSW and ACT CTP Lifetime Care Dispute Reviews, and the Workers Compensation Merit Review Service.
The new Motor Accident Injuries Act (2017) launched a new CTP scheme which commenced on 1st December 2017. A new one-stop shop and a new CTP scheme Dispute Resolution Service (DRS) will be established and delivered by SIRA’s Dispute Resolution Services Division for resolving all disputes arising in the new CTP scheme. DRS will deliver more inquisitorial, less adversarial, faster, more accessible, technologically enabled dispute resolution services to injured people and insurers in the new CTP scheme.
SIRA’s Dispute Resolution Services Division is seeking applications from experienced registered medical and other health practitioners, legal practitioners and personal injury and claims management insurance professionals to be appointed to a panel of decision-makers to perform one or more of the following statutory decision-making roles:
DRS Merit Reviewer
- undertaking merit reviews of merit review matters in statutory benefits claims, including the amount, variation and suspension of weekly benefits, treatment and care, funeral expenses and legal costs, and in damages claims including provision of particulars and delaying offers of settlement, and conducting panel reviews of single merit reviewer’s decisions.
DRS Medical Assessor
- undertaking medical assessments of medical assessment matters in statutory benefits and damages claims, including about permanent impairment, reasonable and necessary and causally related treatment, whether treatment has improved recovery, whether an injury is a minor injury, the degree of impairment to earning capacity, providing non-binding medical opinions to other decision makers, further medical assessments, and conducting panel reviews of medical assessments by single medical assessors.
DRS Claims Assessor
- undertaking claims assessments of miscellaneous claims assessment matters in statutory benefits and damages claims, including about due search and enquiry, late claims, incomplete claims, assessing issues relating to fault, liability, contributory negligence, and serious injury exclusions, and in damages claims approving settlements involving self-represented claimants, assessing suitability of claims for assessment, and conducting assessments of damages, liability and legal costs.
Decision-makers are appointed to the panel for an initial period of up to 3 years.
Your application should include a single page cover letter, a three page CV and also address the relevant selection criteria. In addition, if you are a medical practitioner it is essential that you include your AHPRA registration certificate. Please ensure your contact details in your application states your legal name, personal email addresses and direct contact number.
Applications along with required documentation must be lodged via SIRA@hays.com.au on or before COB 5pm Monday 9th April 2018.