IRO's Solutions Group investigates and resolves
complaints made by injured workers about an insurer's
conduct or decision in managing a workers
compensation claim.
The Solutions Group will endeavour to resolve
complaints within 2 business days and does so by
contacting the parties to clarify any confusion and assist with
negotiating a solution.
Complaints which are considered frivolous, vexatious, historical
or are those which relate to a close compensation claim will not be
investigated.
IRO manages complaints in three stages:
- Preliminary Inquiries
Within 24 hours of receiving a complaint, the Solutions Group
will contact the insurer for more information about the issue so as
to determine an appropriate solution. The insurer will be requested
to respond within 48 hours.