Work Capacity Assessments and Work Capacity Decisions

Questions and Answers What is a work capacity assessment? It is an assessment conducted by the insurer to determine if the injured worker has the capacity to return to their pre-injury employment or some other suitable employment. What is fair notice? Fair notice is the notice given by the insurer to an injured worker that…

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Weekly Compensation

Questions & Answers How long does the insurer have to determine a claim for weekly compensation? The insurer has 21 days to determine a claim for weekly compensation. Is weekly compensation taxed? Yes, as it is deemed income.

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Lump Sum Compensation

Questions and Answers How long does the insurer have to determine a claim for lump sum compensation? The insurer has one month to determine a claim for lump sum compensation if the degree of permanent impairment is fully ascertainable. If the insurer requires additional information the insurer has two months to determine the claim after…

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Weekly Compensation

General Questions & Answers What are pre-injury average weekly earnings? Pre-injury average weekly earnings (PIAWE) is a calculation performed by the insurer which determines an injured workers rate of weekly compensation. It is the average of the worker’s earnings with the employer prior to injury for up to a period of 12 months. During the…

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Weekly Compensation – No Capacity to Work

What are my entitlements to weekly compensation during the first entitlement period if I have NO capacity to work? The first entitlement period is the first 13 weeks of weekly compensation. During the first 13 weeks of weekly compensation where a worker has no capacity to work payments will be calculated at 95% of the…

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Injured Workers

Questions and Answers What should an injured worker discuss with their nominated treating doctor during the initial consultation? It is important that injured workers communicate with the nominated treating doctor exactly how the injury occurred. All injuries sustained in the accident should be recorded even if they appear to be minor at the time as…

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Suspension & Work Capacity

Weekly Compensation Can the insurer suspend or reduce payments of weekly compensation? The insurer may suspend or reduce payments of weekly compensation if the worker fails to: provide a current certificate of capacity provide relevant documentation such as wage records, medical reports or statutory declarations that have been requested by the insurer attend medical appointments…

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Medical Expenses & Treatment

Questions and Answers How long does the insurer have to make a decision on medical treatment? The insurer has 21 days to determine a claim for medical expenses. Can I claim for domestic assistance? In order to claim for domestic assistance an injured worker must: Be certified by a medical practitioner that domestic assistance is…

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Provisional Liability

Questions and Answers What is provisional liability? Provisional liability is an interim decision on liability. It allows for financial assistance to be provided whilst the claim is investigated and a decision on actual liability is made. How long is provisional liability? Provisional liability is for a period of 12 weeks or up to $7,500 in…

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Property Damage

Questions and Answers How long does the insurer have to determine a claim for property damage? The insurer has 28 days to determine a claim for property damage.

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