Determining whether you plan to pursue a claim for statutory or common law lump sum benefits is the initial step in the claims process. This decision will dictate which forms you need to complete and what other steps you need to take to obtain the maximum compensation in the shortest amount of time.
Claiming Statutory Compensation
For statutory compensation, a simple form is accessible from the WorkCover website, which should be completed straight after the injury occurs or is noticed. It’s important to note that some injuries may occur over time, like repetitive strain injuries, and may not be linked to a specific event.
Once the form is completed and submitted to WorkCover, they typically approve the claim and start paying statutory benefits immediately. If WorkCover rejects the form or stops payment of statutory benefits, it is crucial to get urgent legal advice to review your rights regarding WorkCover’s decision to deny or stop compensation payments.
Claiming A Lump Sum Compensation
If you have been injured and wish to claim Lump Sum compensation, you must complete a Notice of Claim form and send it to WorkCover. You have three years from the date of injury to submit your claim. In some cases, you may have more time to make a claim.
After you send your Notice of Claim, WorkCover will assign a lawyer to review your submission.
Within six months of receiving your Notice of Claim, WorkCover will respond to your lawyer with their decision. They will either accept or deny liability for the claim or accept liability for only part of the claim.
After receiving WorkCover’s response, the injured person will undergo one or more medical examinations conducted by a qualified practitioner to assess the nature of their injuries. Alongside obtaining independent medical evidence, our compensation lawyers assist in gathering all relevant information for our client’s claim, including:
- Medical records
- Financial documentation
- Out of pocket expenses; and
- Statements and advice from colleagues, witnesses and firm members.
Statements and advice typically include details of the accident, alongside the nature and extent of the injuries suffered. They can also include the impacts that the injuries have had on our client’s day to day life.
After obtaining all the relevant information and documentation, along with independent medical evidence, WorkCover typically arranges a mandatory conference. This conference can be arranged either directly or through a Barrister. The main aim of this conference is to present your case to WorkCover’s lawyers and negotiate a fair settlement.
If negotiations are successful, WorkCover will work with you to agree on a fair amount of compensation. Once determined, you will enter into a Deed of Settlement with WorkCover. Typically, compensation is paid out within 30 days. Our success rate for similar claims is over 85%.
If a claim cannot be settled during a compulsory conference, the next step is to start legal proceedings in the appropriate court and participate in mediation to resolve the matter.
Mediation is a formal meeting between WorkCover’s lawyers and your team. It is like a compulsory conference, but with an independent senior Barrister who is engaged by both parties to act independently. The goal is to negotiate an appropriate payment to compensate you for your injuries.
The difference between a compulsory conference and mediation is that the mediation is supervised by an independent senior Barrister, often a Queen’s Counsel. They seek to broker a negotiated settlement of your claim. All our client’s claims have settled at or before a mediation, and we have never taken a worker’s compensation claim to trial.
However, if your claim does not settle at a compulsory conference or mediation, it will proceed to trial before a judge. The judge will determine if WorkCover is liable to compensate you and, if so, how much compensation you are entitled to.