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What to do if my WorkCover claim is rejected?

2 minute read

Workers' compensation

Recovering from a workplace-related injury or illness is difficult, especially when your WorkCover claim is denied.

WorkCover, known as workers' compensation, is intended to support workers suffering an injury or illness sustained at work.

When WorkCover claims are rejected, here’s how Shine Lawyers can help.

Why do WorkCover claims get denied?

Your WorkCover claim may have been rejected for these common reasons:

  • Your injury or illness is unrelated to work

  • Your version of how the injury or illness occurred is disputed by your employer

  • Your injury or illness is due to a pre-existing condition

  • Your injury was reported outside of the allowed timeframe

Can an employer dispute a WorkCover claim?

Your employer is not responsible for approving or rejecting your WorkCover claim. The final decision is made by your state’s WorkCover body.

Your employer will be consulted by WorkCover during their investigation of your claim. If your employer refuses your version of events, this may influence whether your claim is approved.

If your employer is unhappy with WorkCover’s decision, they may apply to have the decision reviewed.

How do I appeal a rejected WorkCover claim?

If your WorkCover claim is rejected, you can dispute the decision.

The process for disputing a WorkCover can be complex and varies from state to state. One of our workers' compensation experts can explain your options and assist you with having your claim reviewed.

While the exact process differs between states, generally dispute resolution process will involve several opportunities for both sides to come together and attempt to reach a resolution. If both sides cannot reach an outcome, the case will head to court.

What is the WorkCover claim time limit?

Time limits in Australia are strict when it comes to WorkCover claims. We recommend reporting your injury to your employer and commencing the claim process as soon as possible.

If you delay making your claim, it could affect your eligibility for compensation. During your first consultation with us, our workers' compensation experts can explain the key time limits relevant to your circumstance.

Can Shine help with my WorkCover claim?

At Shine Lawyers we have a history of securing compensation for workers compensation clients.

We offer a No Win No Fee guarantee*, meaning you won’t be left out of pocket due to any legal costs.

If you have any questions or are interested in making a claim, contact us to arrange your obligation-free consultation.

*Conditions Apply

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