A workers’ compensation claim in South Australia is the legal process by which a worker who has been injured at work or has developed a work-related illness seeks financial and medical support through the state’s Return to Work scheme. It’s part of the system designed to help workers recover, return to work, and cover costs arising from workplace injuries or diseases.
What workers’ compensation means?
Workers’ compensation is a form of insurance that employers must have to cover their workers if they are injured or become ill because of their job. It provides benefits such as:
• Weekly income payments if you can’t work while recovering,
• Medical and rehabilitation costs for treatments and therapies,
• Lump sum payments if you have a permanent impairment,
• Other supports like return-to-work programs.
In South Australia, the scheme operates under a “no-fault” system. That means you do not have to prove your employer was negligent to be eligible — you only need to show your injury or illness is related to your work.
Who can claim?
Workers who usually work in or are based in South Australia can make a workers’ compensation claim. This includes:
• Employees in the usual sense,
• Certain independent contractors in specified industries,
• Labour hire workers (through their labour hire employer),
• Volunteers in some emergency services under specific conditions.
When you can claim?
You may be eligible to lodge a claim if you:
• Are injured at work,
• Aggravate an existing injury while working, or
• Develop an illness significantly caused or worsened by your job.
How a claim works?
1. Report your injury: Let your employer/supervisor know as soon as possible.
2. Get medical evidence: See a doctor who can provide a work-related medical certificate.
3. Submit a claim: Complete a workers’ compensation claim form and give it to your employer or insurance agent.
4. Assessment: The insurer (ReturnToWorkSA or a self-insured employer) assesses the claim and decides whether to accept it.
5. Benefits: If accepted, you may receive income support, medical coverage, and other entitlements.
Who Manages Claims?
In SA, most workers’ compensation claims are managed through ReturnToWorkSA (the state regulator), usually via approved claims agents. Some large employers may be self-insured and handle claims directly. Call us to assist you with your claim. In most instances, we render services on a no win – no fee basis.