The Three Paths of a Workers' Comp Claim Explained
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The Three Paths of a Workers' Comp Claim Explained
When an injured worker files a workers' comp claim, the insurance company has three choices: accept it, deny it, or delay it for investigation. Often, without clear medical evidence from a doctor, claims are denied for “lack of medical substantiation.” In these cases, workers can pursue the QME (Qualified Medical Evaluator) process to ...
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🚩 3 Red Flags in Workers Comp Claims (NSW) If you’re in a workers compensation claim and something feels “off”, these are three common warning signs we see: 1) Weekly payments stop after a “decision letter” (s 78 notice) In NSW, insurers usually don’t just “stop” payments, they issue a formal decision (s 78 notice) saying you’re no longer entitled to weekly benefits. This can happen if they dispute liability, say you have capacity for work, or rely on an IME report. Don’t ignore it, seek legal
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🚩 3 Red Flags in Workers Comp Claims (NSW) If you’re in a workers compensation claim and something feels “off”, these are three common warning signs we see: 1) Weekly payments stop after a “decision letter” (s 78 notice) In NSW, insurers usually don’t just “stop” payments, they issue a formal decision (s 78 notice) saying you’re no longer entitled to weekly benefits. This can happen if they dispute liability, say you have capacity for work, or rely on an IME report. Don’t ignore it, seek legal
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