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With ongoing review and reforms to post-2010 legislation regarding auto insurance, the demands within the medical-legal field are constantly evolving. SIA's rigourous methodology of research, analysis and service redesign, enables us to consistently develop services to meet the needs of clients and their legal representatives. These newly designed services are not only state of art and scientifically grounded, but also exclusive to SIA, keeping SIA a cut above the rest in serving our clients expanding needs.

 

 

 








 

 

 

Post 104 IRB Entitlement Assessments and Rebuttals

 

Pre and Post 104 Week Income Replacement Entitlement Assessments/ IE Review & Challenge

In conjunction with RIHM, this service consists of a multi-day situational work assessment to provide an evidence based disability assessment to evaluate the client's capacity to sustain attention/concentration, work activity pace, persistence, productivity and stamina at a competitive level in consideration of presenting cognitive, emotional, social-interactional and/or physical impairments in the context of work demands across these same domains. Standardized work samples and simulated work activities form the basis of the evaluations. The following two disability criteria may be distinctly evaluated using this methodology:

(a)   the 'own occupation' (pre-2 year) disability status is evaluated by considering the client's capacity to perform pre-condition essential job tasks at a competitive employment level. The evaluation may be used as an initial assessment or as a rebuttal to an insurer examination.

(b)   the 'any occupation' (Post 104 week/2 year) disability status is evaluated by considering the client's capacity to perform occupations previously selected as being suited by reason of 'education, training or experience' at a competitive employment level. The evaluation may be used as an initial assessment or as a rebuttal to an insurer examination.

If used as a rebuttal to an insurer examination (IE), the assessment considers whether the IE selected appropriate occupations for the individual, and whether the IE considered the case law requirements of 'commensurate remuneration' and 'commensurate socioeconomic status' in rejecting the client's Post 104 week eligibility. It also provides a multi-day situational work assessment to ascertain the individual's actual competitive employability on a full time basis as required of the Post 104 case law, but typically ignored in Post-104 Week Disability IE assessments.

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