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Medical expertise is an essential tool for a company wishing to effectively manage its work accident or occupational disease claims with the CNESST.

What is medical expertise?

Medical expertise consists of calling upon a certified health professional to give an opinion on the state of health of a person in relation to an occupational injury concerning the diagnosis, the date of consolidation, the treatments, the functional limitations or the permanent impairment.

After evaluating the worker, the medical expert will produce a detailed report on the nature of the worker’s injury that will assist the employer’s decision making and the injured employee.

The importance of medical expertise during the various stages of managing an occupational injury

  • Medical Evaluation Office (MEO)

The EMO is impartial and independent of the CNESST. He has the mandate to apply the medical assessment mechanism provided for in the AIAOD if there is a difference of opinion between the treating physician and the physician designated by the employer. It should be noted that the EMO can also issue an opinion at the request of the CNESST.

In order for an employer’s request to be submitted to the ERO, the ERO must have a medical expertise report that allows the employer to ask the CNESST to have the worker evaluated by a member of the ERO

  • Account assignment transfers and cost sharing

The purpose of a cost-sharing claim is to reduce the impact of an employment injury on an employer’s CNESST contributions, and medical expertise is often essential to support an employer’s arguments if the employer claims, for example, that the worker had a pre-existing personal condition at the time of his or her work injury that resulted in the worker’s disability period being extended.

In order for such a request to be received by the CNESST, it must have the benefit of a detailed medical expertise report explaining the impact of the worker’s personal condition on the treatment of the occupational injury.

  • Challenge of a CNESST decision at the Administrative Labour Tribunal (ALT)

The TAH is responsible for deciding cases under the AIAOD and the OHSA. Employers can go to the WCB to challenge a CNESST decision following an administrative review.

As with a request for cost sharing, if the employer disagrees with a medical decision of the CNESST concerning a work accident claim, it is recommended that the employer’s argument be supported by a medical expertise.

Call on our services to carry out medical expertises

In order to manage quickly and serenely your problems related to work accidents and occupational diseases, you can call upon our services and we will know how to call upon the best expert doctors according to the particularity of each case. Our experience in the field and our know-how allow us to guarantee you a fast and professional service. Do not hesitate to contact us and make an appointment for a complete handling of your files.