Insurer cases are assigned to certified IROs by rotation. IROs then review, consider and make their determinations about the cases. Independent review organization instructions - How to access assignments and submit results (PDF, 1.6MB)IRO portal loginRCWsWACs See alsoCertifying as an independent review organization (IRO)Look up an independent review decisionNeed more help?Call us at206-389-2916Contact us about the independent review process