Investigation of Claims
Summary
Insurers may undertake factual and/or medical investigations.
Factual Investigation
Statements may be requested by an insurer‑appointed investigator. A support person can attend; request a draft for review before signing. Invasive surveillance may warrant complaints.
Independent Medical Examination (IME)
Attendance may be required in limited circumstances; workers may be entitled to choose from three doctors.
Referral or Escalation
Do a legal referral to review draft statements, address surveillance concerns, or clarify IME requirements and doctor selection.
Practical Tips
- Be cautious with social media; content can be evidence.
- Request time to review any statement before signing.
Related Content
- Provisional Liability
- Denial of a Claim
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