2 Claims ProcessInjured worker reports an incident and/or injury.Visits GP – GP issues workers compensation prescribed medical certificate.
3 Claims ProcessMaking a workers compensation claimWorker must have the prescribed medical certificate before being able to complete a claim.A worker should not be advised to complete a claim form.
4 Completing a claim form Claims ProcessCompleting a claim formOnly the worker can complete a claim – it is not to be completed on their behalf.The worker completes the left hand side – Injured workers details only (Q1-35)The Employer’s details are completed in the IMU (Q36 to 66)A claim is not a valid claim unless a workers compensation claim form is accompanied with a prescribed medical certificate – so do not send one without the other.
5 What happens at age 65 or above? Common questionsWhat happens at age 65 or above?Workers compensation weekly payments cease on 65th birthdayIf claim made at age 64 or greater, then entitlement is for 12 months onlyWho processes wages whilst worker is injured?The Injury Management Unit, no ESS bookings are necessary or completion of leave forms.How long does a worker have to complete claim from injury?6 months from date of injury/incident
6 What happens to wages whilst a claim is being investigated? Common questionsWhat happens to wages whilst a claim is being investigated?A worker is entitled to receive wages for the period of the investigation (up to 84 days) and;Medical expenses paid up to $If the claim is disputed, wages and benefits cease. No repayment is required.