What is a medical expert review?

Depending on your accident and injuries, we may recommend that you undergo a medical expert review to assist in preparing your claim valuation.

This is where we arrange a medical specialist to independently assess your injuries and provide an opinion regarding your injuries, including:

• Diagnosis
• Confirming that your injuries are linked to the accident
• Prognosis
• Impact of any prior injuries
• Impact on your daily life
• Impact on your employment prospects
• Care needs
• Treatment needs.

The medical specialist will be experienced in giving medical opinions on motor accident claims. We will let the specialist know about your accident and injuries, but you will have to answer many questions. You should expect to be asked about:

• Your complete work history
• Your medical history
• How the accident happened
• Details of your injury, including the nature of your injury and all treatment
• Details of any medication you are taking
• How the injury affects you now, both at work and at home (eg. housework, gardening, etc) and any impact on your hobbies, social, recreational or sexual activities. This means things you used to enjoy or do, and now either can no longer do them or can do them but it hurts you. Be very careful about saying you absolutely cannot do something – you may be under surveillance to check if what you say is true
• The emotional impact that the injury has had on you, your ability to function and your relationships with friends and family.

It is important that you tell the specialist all your problems, even if it’s small or embarrassing so that they can make the most accurate assessment of your situation.

It’s extremely important that you answer all questions honestly and openly and be as thorough as possible so that the specialist gets a full picture of how the injuries are affecting your life.

We understand this sounds like a lot, but Claimify will summarise details of your claim in your claim storyboard, which you can take with you to the medical expert review.

Further to answering questions, the specialist may also:

• Conduct a clinical examination
• Take measurements or ask you to bend/flex, etc.
• Require you to take a urine and/or blood test
• Request up-to-date scans to assist in the completion of their report.

To prepare for the medical expert review, please:

• Arrive on time and cooperate during the examination. Remember, the medical specialist is there to support you and your claim
• Wear neat comfortable clothing – you may be asked to move around (eg. t-shirt and shorts are fine)
• If you have them, bring any original x-rays, MRI scans, CT scans, bone scans or any other relevant test results.

After the appointment, the specialist will send us a report which you can read through Claim HQ.