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Four Phases of a Workers’ Compensation Claim

There are Four Phases to a Workers’ Compensation claim. We will be outlining in detail what each of these claims involves.

  • Phase 1: The Worker is Injured – Download
  • Phase 2: A Claim Decision is Made – Download
  • Phase 3: Benefits and Services are Provided –Document to come
  • Phase 4: The Claim Ends – Document to come

Phase 1 Overview: The Worker is Injured

Overview: In Australia about 500,000 people are injured at work every year. Many thousands more have an illness or disease due to their work.

Some injuries or illnesses will be sudden or will develop gradually and may worsen over time and others will have a fluctuating course where people feel fine one day and ill the next.

If you think your injury or illness is due to work, you may be able to make a workers’ compensation claim. Workers’ compensation can provide funding for treatment for your injury and illness, wage replacement while you are unable to work, and pay for services to help you return to work.

Just like personal injury insurance (greenslip in NSW) is required for a motor vehicle, employers are required to have insurance to support workers if they are injured at work.

National data from Safe Work Australia shows that every year, about 130,000 people have an accepted workers’ compensation claim that involves at least 5 days off work.

Download our comprehensive document below for a detailed overview of this phase.

Phase 2 Overview: A Claim Decision is Made

Once you submit your workers’ compensation claim to your employer, the claim is then passed on to an insurer (also called a claims agent). The insurer is responsible for deciding whether to accept or reject your claim.

Download our comprehensive document below for a detailed overview of this phase.