We are committed to making decisions that are fair and we want to make sure you understand all the decisions that affect your worker's claim. We know that sometimes you may not agree with some of the decisions made on your worker's claim, and we're here to help.
It is important that you know your rights when it comes to questioning a decision made on a claim that affects your policy. We will make every attempt to resolve disagreements whenever possible.
Give us a call
If you don't understand or don't agree with a decision on a claim, please call the assigned adjudicator or case manager. He or she will be able to explain the decision and answer any questions you have. If you have new information that could affect the claim decision, let the adjudicator or case manager know. We are always willing to consider new information. You can also call ask to speak to a supervisor at any time.
In cases where this informal review process does not resolve your concerns, there is a formal review process you can follow.
How to request a review of a WCB decision
1. Submit a request for review form
If you've been unable to resolve your concerns with the adjudicator or case manager and would like to have the decision formally reviewed, you can request a review within one year of the decision date. Once the form is received, a supervisor will work with you towards a possible resolution.
Time limit for review
You have one year from the date of the decision letter to submit a request for review. In some situations we can extend the time limit if it has been more than a year since the decision was made.
You can request an extension of the deadline by writing to the Dispute Resolution and Decision Review Body (DRDRB) to outline your circumstances (for example, you were late submitting a request due a a medical or physical condition). You can find out more information about the one-year limit by reading the review and appeal process policy.
Be sure to submit any documentation you have to support your reason for the delay. The DRDRB will consider your reason and the overall fairness of granting an extension.
2. Get help from the Employer Appeal Consulting service
If you'd like some assistance with submitting your review request, you can contact the Employer Appeal Consulting service. This service was established by WCB to help employers understand the facts, policies and legislation used to make a decision, with a focus on resolution. There is no charge for this service.
To request this service and learn more, complete the Request for employer appeal consultation form.
3. Review the decision with the Dispute Resolution and Decision Review Body (DRDRB)
If resolution has not been reached through discussion with the adjudicator or case manager or supervisor, the supervisor will forward the request for review form to the DRDRB.
This department is made up of resolution specialists who will determine if the decision was correct. Before your file is reviewed, a resolution specialist will contact you to make sure he/she understands your specific issue and concern. You will have an opportunity to explain your issue to the specialist and you will determine the best approach to take to resolve your issue, such as an in-person meeting or a telephone conference. Once the review is complete, the resolution specialist will send you a written decision.
If you do not agree with the DRDRB’s decision, you can appeal in writing to the Appeals Commission, which is independent from WCB. You have one year from the date of the DRDRB’s decision to appeal to the Appeals Commission for Workers’ Compensation.