Texas § LA.410.026 - POWERS AND DUTIES OF BENEFIT REVIEW OFFICER

§ LA.410.026. POWERS AND DUTIES OF BENEFIT REVIEW OFFICER

POWERS AND DUTIES OF BENEFIT REVIEW OFFICER. (a) A benefit review officer shall: (1) mediate disputes between the parties and assist in the adjustment of the claim consistent with this subtitle and the policies of the division; (2) thoroughly inform all parties of their rights and responsibilities under this subtitle, especially in a case in which the employee is not represented by an attorney or other representative; (3) ensure that all documents and information relating to the employee's wages, medical condition, and any other information pertinent to the resolution of disputed issues are contained in the claim file at the conference, especially in a case in which the employee is not represented by an attorney or other representative; and (4) prepare a written report that details each issue that is not resolved at the benefit review conference, as required under Section 410.031 , including any issue raised for the first time at the conclusion of an additional benefit review conference conducted under Subsection (b). (b) A benefit review officer may schedule an additional benefit review conference if: (1) the benefit review officer determines that any available information pertinent to the resolution of disputed issues was not produced at the initial benefit review conference; and (2) a second benefit review conference has not already been conducted. (c) A benefit review officer may not take testimony but may direct questions to an employee, an employer, or a representative of an insurance carrier to supplement or clarify information in a claim file. (d) A benefit review officer may not make a formal record. Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by: Acts 2005, 79th Leg., Ch. 265 (H.B. 7 ), Sec. 3.158, eff. September 1, 2005.