Workers' Compensation Claims - Insurance Commission of Western Australia (2024)

Frequently Asked Questions
  • What is covered?
  • How to make a claim?
  • RiskCover Fund
  • Forms
  • Training
  • COVID-19
  • Frequently Asked Questions
  • Product Overviews
  • Agency Bulletins
  • Overseas Emergency Travel Assistance
  • Cyber Incident Reporting

Who and what is covered?

We provide workers’ compensation cover for WA Government agencies and their employees for injuries sustained in the workplace. All employees are covered at work in their normal activities, including during mandated break times.

Employees carrying out authorised duties for their employer at a location other than their usual workplace will be covered for workers’ compensation. This cover extends to employee attendance at locations outside their normal workplace such as seminars, training programs, team building activities, school camps and for work while engaged in regional, domestic and international travel.

In some circ*mstances, employees will also be covered for injuries sustained while travelling to and from these alternative locations as long as there are no substantial deviations or interruptions in the journey.

Employees are entitled to workers’ compensation if they are injured travelling between two workplace locations.

Am I covered when travelling to and from work?

Generally, employees are not covered while travelling between home and work. Under certain circ*mstances, workers’ compensation cover may apply.

If you are a member of a union, you may also be covered for your journey through them.

What is required to make a claim?

If you are injured at work:

  • Ask your employer if you can submit your claim online. If you are able to use this facility they will provide you with the necessary information.
  • Otherwise, complete a workers' compensation claim form; and
  • Submit the form and a First Certificate of Capacity, signed by a medical practitioner to your employer.

When will a decision be made?

You will be notified within 17 days of your claim being lodged with your employer if your claim is accepted, declined or pended.

What am I covered for?

You may be entitled to:

  • Time lost from work due to your injury, in the form of weekly compensation.
  • Prescribed medical treatment to support your recovery.
  • Cost of travel for injury related medical appointments.
  • Support from an Approved Workplace Rehabilitation Provider to assist with your return to work.
  • Compensation for permanent impairment.

What will happen with my pay once my claim is accepted?

Your employer will pay you as normal and seek reimbursem*nt from the Insurance Commission.

If you have used sick leave while waiting for a decision on your claim this will be credited back to you.

Contact your employer if you have any questions about how your weekly payments are calculated.

If you need more help contact your claims officer.

What happens if I am not fit for work or have restrictions?

You will be supported to return to work by your employer, your GP and your claims officer.This may include a graduated return to work with restrictions on your duties and/or hours.

How can I get an update on my claim?

Contact your claims officer - see any letter from us for those details - we aim to respond to queries within two business days.

To help us respond more quickly, please provide your claim number and full name on all correspondence along with an email or phone number where we can contact you.

Can I seek treatment if my claim is pended?

Ask your treatment provider if you need to pay while a claim is being determined.Accounts are held until a decision is made.

Once a claim decision has been made, if it is accepted reasonable treatment will be paid via your claim. If it is declined it is your responsibility to pay for treatments/accounts.

If you are unsure, please contact your claims officer.

How does the Insurance Commission work with me?

We aim to work with you in a positive, honest and professional manner.We understand the time following an accident or injury can be difficult.

We are committed to managing your claim promptly and efficiently.

We will keep you updated on your claim as it progresses.

How do I submit accounts for reimbursem*nt?

To enable us to reimburse you as quickly as possible the best way is to email:

  • Attach a PDF format version of your account to invoices@icwa.wa.gov.au.
  • In the subject line type your full name and claim number.
  • Leave the body of the email blank.

Alternatively, post your accounts to GPO Box K837, Perth WA 6842.

What if I have more information to provide?

Please email your claims officer directly.

How quickly will my account reimbursem*nt be refunded?

We aim to reimburse you within 10 days of an account being received when your claim has beenapproved and you have completed and EFT form.

What if I do not agree with a claims decision or have a complaint?

Contact your claims officer in the first instance to see if the issue can be resolved.

You can also request for the decision to be internally reviewed by a senior member of staff.

If that is not satisfactory to you, WorkCover WA's Conciliation and Arbitration Service provides an independent process to review claims decisions. Call 1300 794 744.

Page Last Updated 01 Sep 2023

Workers' Compensation Claims - Insurance Commission of Western Australia (2024)

References

Top Articles
Latest Posts
Article information

Author: Allyn Kozey

Last Updated:

Views: 5790

Rating: 4.2 / 5 (43 voted)

Reviews: 82% of readers found this page helpful

Author information

Name: Allyn Kozey

Birthday: 1993-12-21

Address: Suite 454 40343 Larson Union, Port Melia, TX 16164

Phone: +2456904400762

Job: Investor Administrator

Hobby: Sketching, Puzzles, Pet, Mountaineering, Skydiving, Dowsing, Sports

Introduction: My name is Allyn Kozey, I am a outstanding, colorful, adventurous, encouraging, zealous, tender, helpful person who loves writing and wants to share my knowledge and understanding with you.