Document name

Reversing Decisions

Document number

PRO 23/2014

Customer means an injured worker, surviving dependent spouse, or employer.

POL 23/2014, Reserving Decisions establishes the process for reversing decisions.

General

1. WCB staff will reverse decisions only after careful consideration.

Reviewing and Reversing Decisions

2. If Case Management or Claims Entitlement staff decide to reverse or significantly alter a decision, they must get approval from one of the following:
   1. Team Leader.
   2. Assistant Director of Operations, or
   3. Executive Director of Operations.
3. If Employer Services staff decide to reverse or significantly alter a decision, they must get approval from one of the following:
   1. Manager, or
   2. Director of Employer Services.

Communicating Decisions

4. If the WCB reverses a decision, the WCB staff member that made the reversal will:
   1. Discuss the reversal with the customer in person or by phone, and
   2. Send a letter to the customer that outlines the reasoning for the reversal.

Appeals – Reversed Decisions

5. Customers can appeal reversed claim decisions. The following policies will apply:
   1. POL 21/2013, Appeals – Claims.
   2. POL 20/2013, Appeals – Employer Accounts
   3. POL 22/2013, Board Appeal Tribunal.