Claim Rejected: Don’t Give Up! Your Next Steps After an Injury at Work in Queensland
If your WorkCover claim has been rejected or stopped, don’t lose hope. This guide explains the steps you can take to appeal the decision and explore alternative options. Learn how to consult a lawyer, talk to your doctor, communicate with your employer, and access income protection.
Injuries at work can be devastating, both physically and emotionally. When you make a WorkCover claim, you expect to receive compensation to help you get back on your feet. However, not all claims are accepted, and even if they are, compensation may not cover all your losses. This is why it’s essential to understand your rights and options if your claim is rejected or stopped. In this guide, we’ll explain what to do next and how to navigate the complex process of appealing a decision, seeking legal advice, and exploring other sources of support.
2. Claim Rejected: What to Do Next
If WorkCover rejects a claim, they will provide written reasons. This can be a frustrating and confusing experience, especially if you believe that your injuries are work-related and you are entitled to compensation. However, you do have the right to appeal the decision and ask for a review by the Workers Compensation Regulator.
To do this, you’ll need to fill out an Application for Review and submit it within the time limit of receiving the rejection notice. The review process is usually conducted by an independent officer who will consider all the evidence and make a new decision.
3. Reasons for Claim Rejection
There can be several reasons why your WorkCover claim may be rejected, including:
3.1 Lack of Evidence
If there is insufficient medical evidence to prove that your injury is work-related or that you require ongoing treatment and support, WorkCover may reject your claim. In this case, you may need to obtain additional medical evidence or seek a opinion from a specialist.
3.2 Pre-existing Conditions
If you have a pre-existing medical condition that contributes to your injury, WorkCover may decide that your claim is not entirely work-related. However, if your pre-existing condition has been aggravated by your work, you may still be entitled to compensation.
3.3 Delayed Reporting
If you delay reporting your injury to your employer or WorkCover, this may be seen as a lack of credibility or an attempt to inflate your claim. It’s important to report your injury as soon as possible and follow the correct procedures for notifying your employer and seeking medical attention.
If you fail to comply with WorkCover’s requests for information or attend medical examinations, this may be seen as a lack of cooperation and may result in your claim being rejected.
4. Seeking Legal Advice
If you’re unsure about your rights and options or need assistance with appealing a claim rejection, you may wish to consult a lawyer who specialises in workers’ compensation law. Ascent Lawyers provides a free initial consultation to injured workers to assess their claim and advise them on the best course of action. Our lawyers can help you prepare your Application for Review, gather evidence, and represent you in the review process if necessary. We understand that the legal process can be daunting and complex, but we’re here to support you every step of the way.
In conclusion, if you are facing a legal issue, it’s important to seek advice and guidance from a qualified and experienced lawyer. Ascent Lawyers is a reputable law firm that can help you navigate the complexities of the legal system and achieve the best possible outcome for your case.