Record the Queensland review path for an insurer's compensation decision

MaintainedLast reviewed

Key facts

Human involvement
YellowClose supervision
How AI is used
From the decision and the date it was received, using a firm-controlled tool, name the Office of Industrial Relations review and the periods the review page states. Do not write the review application, and do not call a procedure refusal reviewable.
What the lawyer must review
  • You decide whether the decision is reviewable, and you write the application.
  • If the notice stated reasons, count 3 months from receipt. If not, section 542(4) restarts that count from the reasons.
  • Do not send the page's particular-procedure example down the review path.
  • Use a firm-controlled tool. Check ASCR r 9, APP 11 and any notifiable breach.
Written for / version
Queensland versionQLDNSWVIC

Rules that apply

The document starts from the task name. Change it if this piece of work is different.

The work product

Forum. Review of a Queensland workers' compensation insurer decision

Produce. The review body and the two periods. No application.

Have ready. The decision; The date it was received; What the decision does.

Example of the limit. Illustrative example: The letter rejects the claim and was received on 1 June 2026. The note names a review to the Office of Industrial Relations and a 3-month period from receiving that written decision. It does not draft the application.

Stop and hand it back when

  • The decision is a refusal to fund a particular procedure.
  • The received date is not known.

Sources for this task were checked on 2026-10-23.

Who does what

Who does what
RoleWhat they do
AssistanceDo not begin AI assistance until the responsible lawyer has defined and confirmed its permitted scope.
LawyerSet the scope, supervise the work closely, verify every part relied on, resolve omissions and exceptions, and approve the exact output.

Checklist

  1. Match the decision to an example on the review page before calling it reviewable.
  2. Record that a person may ask the insurer for reasons within 20 business days of being advised of the decision, and may lodge a review with the Office of Industrial Relations within 3 months of receiving the written decision.
  3. Do not draft the application.

Forms and precedents for this task

Forms and precedents for this task
Form or precedentKindAI useSummary
Covering letter for a Workplace Injury Commission conciliation applicationLetterAI use YellowCovering letter sent with a Workplace Injury Commission Application for Conciliation.

Signed-in accounts can read the full text of each one. All precedents.

Sources

Health, wage and scheme records stay in a firm-controlled tool. Check ASCR r 9, APP 11, and whether a disclosure is notifiable under the Privacy Act 1988 (Cth).

The review page says a person may ask the insurer for reasons within 20 business days of being advised of the decision, and may lodge a review with the Office of Industrial Relations within 3 months of receiving the written decision. The review officer does not re-investigate and will not request further information. Examples of reviewable decisions include allowing or rejecting a claim, terminating or suspending compensation, increasing or decreasing a weekly payment, failing to decide, and the time to apply. A decision not to fund a particular medical procedure is an example of a decision that is not reviewable. Some non-reviewable decisions may be appealed to an Industrial Magistrate. Section 540 is the statutory list of reviewable decisions. Section 542(1) requires the application within 3 months after the applicant receives written notice of the decision, or the failure, and the reasons, unless section 542(4) applies. If the notice did not state the reasons, the applicant must ask within 20 business days after receiving the notice, the decision-maker must give reasons within 5 business days, and the review runs 3 months after the reasons are received.

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