Published: 15 February 2016
Author: Ryan Carlisle Thomas
Are you on WorkCover? 10 things you MUST know: #3
You can challenge a WorkCover insurer’s decision
WorkCover insurers make bad decisions all the time. They can be unfair, unreasonable or just plain wrong.
But remember, you DO NOT have to accept your WorkCover insurer’s decision.
The first port of call in challenging a decision is to refer the matter to the Accident Compensation Conciliation Service (ACCS). You must do this within 60 days of being informed of the decision. However, referrals may be accepted out of time - if you have a good reason.
Any decision made by the WorkCover insurer may be challenged. Examples of matters you may wish to challenge include the rejection of your claim, termination of weekly payments, reduction of physiotherapy, psychological or other treatment or a termination of your medical expenses.
It is important to note that if you resolve your matter at conciliation, that decision is final and binding.
Therefore, it is best to seek legal advice before going to conciliation.
Here is a link to the ACCS Request for Conciliation form: http://www.conciliation.vic.gov.au/__data/assets/pdf_file/0010/58672/Request-For-Conciliation-Form.pdf