Yes, Work Options has Comcare accreditation.
Hours worked by the Worker will be paid by the employer (at 100% of wage) and the rest of the pay will be topped up by the Insurance company at a percentage of your usual wage.
Yes. Employers have a responsibility to provide suitable duties within a worker’s medical restrictions if they can. If suitable duties can’t be provided, the injured worker will remain off work even if they have some work capacity.
1) Work Trials (a voluntary placement program which can be arranged up to 12 weeks for an employer to on-board a worker without incurring costs to their business whilst allowing a worker to demonstrate their ability to work and support their recovery and return to work)
2) JobCover Placement Program (it gives eligible employers subsidies and incentives to employ workers who cannot return to work with their pre-injury employer)
3) Return To Work Assist Program for Micro Employers (it supports eligible employers with five or less workers with a basic premium tariff of $30,000 or less to offer suitable work through a graded return to work place whilst minimising the financial burden to the employer)
Your Work Options Consultant is to be your main communication and support contact during your recovery journey and return to work. They will help to navigate through the system and assist you in reaching your milestones via upgrades in capacity, treatment success and return to work goals.
Most treatment (unless it is part of emergency treatment) will need to be approved by the Agent prior to commencement. If this doesn’t occur, the worker may be liable for paying for the treatment. The exception to this rule is physiotherapy. If physiotherapy is identified by a treating doctor as reasonable and necessary, and documented on a Certificate of Capacity, the initial eight sessions do not need to be pre-approved.
At least every 28 days or more frequently at the beginning of the claim when the injury is improving quickly.
If it is due to the claim related injury/illness, you will need to get a Certificate of Capacity to say why you couldn’t be at work. You will also need to get another one when you can return to work. If your absence is due to a non claim related reason, a standard medical certificate is fine.
As part of your occupational rehabilitation, an effective way of achieving a positive return to work outcome is to attend medical case conferences with your nominated treating doctor, where we discuss your treatment process, treatment recommendations and assess your certified capacity. Our attendance will mean that we can relate this to your workplace/future workplace and educate your doctor about recovery at work.
It is important to schedule appointments outside of working hours. Treating practitioners such as physiotherapists and doctors generally work later hours for this reason as they understand individuals work. If this is not possible, it is best to discuss this with your employer and come to an agreement for when sessions/appointments will be scheduled. In the event that appointments cannot be made outside of work hours e.g. specialist appointments, they should be arranged at the beginning or end of the work day, and with prior consultation and approval with/from the employer contact.
Workers Compensation benefits are not a one for one payment. They depend on the number of weeks that a Worker has been on benefits and their pre-injury average weekly earnings (PIAWE). The PIAWE is worked out on the workers previous 12 month’s wages. For 0-13 weeks of benefits, a Worker is eligible for 95% of their PIAWE, including overtime and allowances. This is no matter what the Workers capacity for work is. From week 13 onwards, a Worker needs to be working 15 hours/week to be eligible for 95% PIAWE minus overtime and allowances. If a Worker doesn’t have capacity for, or isn’t working, a minimum of 15 hours, their benefit eligibility drops to 80% PIAWE minus overtime and allowances.
Once your treatment providers confirm you cannot return to your pre-injury role or if an employer has unfairly dismissed you, Work Options can offer vocational rehabilitation services to assist with finding you new employment that matches your capacity and skills.
Speak to your supervisor or employer first to identify reasons for the flare up and how it can be managed within the workplace. If flare ups are stopping you from engaging in your suitable duties, notify your employer, doctor, insurer and rehabilitation consultant, and return to your doctor to review capacity and obtain a Certificate of Capacity that reflects current capacity.
Speak with your employer and rehabilitation consultant to review duties and a Return to Work Plan. Look to arrange a worksite review and implement strategies such as task rotation, including stretches or small breaks when required or change in duties if needed.
As part of your recovery at work, it is important for us to visit regularly to ensure the RTWP is being followed, to offer motivation and support for the injured worker, to ensure that the employer is providing suitable duties and to determine if improvements are required or if you are ready for an upgrade. Worksite visits are great evidence to use at case conferences to explain to the doctor about your recovery.
Injured workers who are job seeking are required to make a minimum of 5 job applications per week or 10 per fortnight as their general obligation. However circumstances may differ in discussion with your case manager in regards to the submission of your job seeking records and number of applications to be made within a specified timeframe. For example, if a worker is located in a regional area, there may be a limited number of positions available within your geographic proximity and access to a computer which impacts on their ability to perform job seeking activities.
Upon engagement with a job seeker, Work Options will provide job seeking resources including our JobSAM (Job Seeking Assistance Manual), job seeking record log, samples of resumes and cover letters as well as other tools depending on your needs.
No, an employer cannot sack an employee for making an injury claim, however, after a six month period, if the injured worker is struggling to regain sufficient capacity for work and the employer is unable to provide suitable duties within the injured worker’s capacity, the Insurance Case Manager may review the status of the claim and change the rehabilitation goal from “same employer” to “new employer”. As a result of this process, the injured worker is then provided with vocational rehabilitation services to facilitate a transition to different employment that reflects the injured worker’s capacity for work. Section 248 of the Workers Compensation Act 1987 states: “An employer must not dismiss a worker because of a work-related injury within six months from when the worker first became unfit as a result of the injury.”
Yes, you are within your rights to seek legal advice and representation. Your legal representative will explain to you the advice and representation they are able to provide in your circumstances.