What To Know About Making Psychological Injury Claims
Psychological or psychiatric injuries (PPI) may include work related stress, anxiety or depression.To receive compensation for these types of injuries, the injury must have occurred at work and resulted from a single event or over a period of time. Examples of causes may include workplace bullying, harassment, unfair action taken by management or an excessive workload.
Workers Compensation & Rehabilitation Act 2003
For a worker to have their psychological or psychiatric injury accepted as an "injury" compensable under the Workers Compensation & Rehabilitation Act 2003, the work event, or exposure over a period of time in the workplace, must be the major contributing factor to the psychological or psychiatric injury occurring.
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How Workcover or the self insurer decide your claim
When making a decision on a psychological or psychiatric injury, the workers' compensation insurer will apply criteria and exclusions as outlined in the Workers' Compensation and Rehabilitation Act 2003. The Act states that ‘an injury does not include a psychiatric or psychological disorder arising out of, or in the course of, any of the following circumstances’:
- reasonable management action taken in a reasonable way by the employer in connection with a worker's employment
- a worker's expectation or perception of reasonable management action being taken against a worker
- action by the authority or an insurer in connection with a worker's application for compensation.
Examples of actions that may be reasonable management actions taken in a reasonable way include:
- action taken to transfer, demote, discipline, redeploy, retrench or dismiss a worker
- a decision not to award or provide promotion, reclassification (or transfer of), leave of absence or benefit in connection with the worker's employment.
- Information to support your claim
When making a PPI claim, you'll need to supply WorkCover or the self-insurer with details of the main factors or events you believe caused your injury including dates and information to support the claim.
WorkCover or self-insurer will supply these factors to your employer to give them an opportunity to respond. Once the employer’s response has been received, you will have the opportunity to provide any additional information before a final decision is made.
Other people the insurer may seek information from include:
- your doctor or allied health professional including a psychologist or psychiatrist
- direct witnesses to any events
- further independent medical opinions.
- The onus is on you to prove your claim.
Once the workers' compensation insurer gathers all the information it requires, it will determine your claim and inform both you and your employer of the decision.
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If you have been injured as a result of any vehicle such as car, bike or boat accident, or whilst at work, on holiday, or in many other situations you believe was caused by someone else's wrongful act or negligence, you may be entitled to compensation. Even if you think your actions may have contributed to your injury, you may still have a claim well-worth pursuing. Chat, call, email, or let us assess your claim, just press the button below. There is no cost, and no obligation.