My workers' compensation claim has been rejected.
Why claims are rejected, how to ask for a review, and the time limits that apply.
Last reviewed
In one sentence
A rejection is not always the final word — most schemes have review and dispute steps, often with short deadlines.
What this means
Claims are commonly rejected because the insurer says the injury did not happen at work, that work was not a significant cause, that the claim was late, or — for psychological injuries — that it was caused by 'reasonable management action'.
You should receive a written decision with reasons. That letter normally explains how to ask for an internal review and where to take an external dispute, such as a conciliation service, commission or tribunal.
Many people succeed on review, especially with good medical evidence and help from a free legal service or lawyer.
Things to know
- Get the decision and reasons in writing.
- Note the deadline for review — some are as short as 30 days.
- Ask for copies of the documents and reports the insurer relied on.
- Free legal help may be available in your state.
Common questions
How long do I have to dispute?
It varies by scheme and decision type. Check your decision letter and your state page, and act quickly.
Can I get the insurer's reports?
In most schemes you can request the information the insurer relied on. Put the request in writing.
Can I claim Centrelink while I dispute?
Often yes, but you may need to repay it from any compensation you later receive. Tell Centrelink about your claim.
What you can do next
- 1Write the review deadline on your calendar today.
- 2Request the insurer's file and reports in writing.
- 3Ask your doctor for a report linking your injury to work.
- 4Contact a free legal service or workers' compensation lawyer.
General information only. Rules change and depend on your circumstances. Check with your regulator or get independent legal, financial or medical advice about your situation.