Navigating Rejected or Ceased Compensation Claims: Your Next Steps

Rejected or ceased compensation claims from WorkCover Queensland can be challenging. Learn what factors lead to these decisions and discover the crucial steps to take next in navigating this complex process. We consider:

  • Timeliness of your claim submission
  • Your status as a Queensland worker
  • The work-related nature of your injury, including details of how, where, and when it occurred
  • The duration of your work incapacity
  • Your treatment requirements for the work-related injury.

If your claim is rejected, a WorkCover representative will communicate the reasons, supported by medical evidence. We strive to clarify the decision both verbally and in writing. If you disagree, you have the option to request a review by the Workers Compensation Regulator. Feedback on the claim management process can also be provided to WorkCover.

If your approved claim is closed and payments cease, various reasons, often related to receiving necessary treatment and work capability, may lead to this decision, always guided by medical evidence.

If you require further treatment not covered by the claim:

  • Explore coverage options with your health insurance provider.
  • Check with your superannuation fund for potential sickness and accident cover.
  • Discuss public health system options with your GP.
  • For injuries in a car accident, consult your third-party insurer.
  • For psychological or psychiatric conditions, talk to your GP about a mental health plan or utilize other mental health support resources.

If your claim concludes, but you believe you cannot work:

  • Consult your doctor to explore potential work capabilities.
  • Discuss leave options with your employer.
  • Explore alternative duties with your employer for a possible return to work.
  • Check with your income protection insurer or superannuation fund for sickness or accident cover.
  • Inquire about the Employment Connect program with WorkCover.
  • Seek assistance from Centrelink

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