Workers’ compensation and your responsibilities: What happens after a claim

Well Covered

Workers’ compensation and your responsibilities: a three-part series:

Part two – what happens after a claim


Annette O’Brien, Steadfast Technical Broking Manager, outlines what your responsibilities are as an employer when it comes to Workers’ compensation. 

It’s essential for all organisations to understand how the workers’ compensation system works in their state or territory before they have a claim.

This is the second article in a three-part series that explores how the workers’ compensation system operates and what employers and employees need to do in the event of an injury, illness and subsequent claim. In the first article, we explored what is workers’ compensation. Here, we look at how the claim process works.

“Both the employer and employee have responsibilities in the claim process.”

Steps to follow after a claim

Once a report of injury has been notified to the workers’ compensation insurer, the insurer will provide the employer with an injury notification number, also known as a claim number.

Employers then need to provide detailed information to the insurer so they can get the claim up and running. This includes providing details to the appropriate  body about the worker, such as the name and address of the worker, the employer’s contact details, the name of the treating doctors and, if applicable, the hospital at which the worker received treatment.

Each state and territory has a different approach to workers’ compensation. See the list below for further information regarding workers’ compensation in your state or territory:

When a claim is made, the insurer will require details of the injury, how it happened, details of a contact person at the employer and their relationship to the worker, as well as the date when the worker stopped working.

The insurer will also want to know if the worker has had time off work and how long they have had off as well as any medical treatment.The insurer will also require documentation such as a certificate of capacity completed by a treating doctor, which provides evidence of the injury and the illness the worker has sustained as a result of the employment.

In New South Wales, the employer must also provide wage information such as wage slips and details of their pre-accident wages, submitted through a pre-injury average weekly earnings (PIAWE) form.

It’s essential to complete this form so the worker can start receiving reimbursement for their wages when they’re off sick if the claim is accepted and is work-related. The worker must also provide details of practitioners such as physiotherapists.

If the claim is accepted, the insurer will liaise with the worker’s treating doctors and other providers. The insurer will also engage the services of a rehab provider to assist the worker to get back to work. The insurer will then request the employer to prepare and certify a return to work plan. The worker must also submit any invoices related to their post-injury care to the insurer so they can be paid.

As you can see, both the employer and employee have responsibilities in the claim process.In the next article, we’ll look at what to do to support an injured worker coming back to work.

Important note – the information provided here is general advice only and has been prepared without taking in account your objectives, financial situation or needs. Steadfast Group Ltd (ABN 98 073 659 677, AFSL 254928)

Important disclaimer – Steadfast Group Limited ABN 98 073 659 677, its subsidiaries and its associates.

The views expressed are those of the author only and do not necessarily reflect those of Steadfast.

This magazine provides information rather than financial product or other advice. The content of this magazine, including any information contained on it, has been prepared without taking into account your objectives, financial situation or needs. You should consider the appropriateness of the information, taking these matters into account, before you act on any information. In particular, you should review the product disclosure statement for any product that the information relates to it before acquiring the product.

Information is current as at the date articles are written as specified within them but is subject to change. Steadfast, its subsidiaries and its associates make no representation as to the accuracy or completeness of the information. Various third parties, including Know Risk, have contributed to the production of this content. All information is subject to copyright and may not be reproduced without the prior written consent of Steadfast Group Limited.


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