Glossary
A case manager is employed by the claims agent (Employers Mutual) to work directly with workers and employers to manage workers rehabilitation and compensation matters.
An external organisation, contracted by WorkCover to provide workers rehabilitation and compensation services to injured workers and registered employers.
Formal orders of the Workers Compensation Tribunal setting out the terms of settlement once agreement is reached to resolve a dispute.
To decide if a claim will be accepted, partly accepted or rejected.
When the Workers Compensation Tribunal gives the claims agent a time limit to make a decision about a claim. If this doesnt happen, the Tribunal may determine the claim.
Freedom of Information Act (FOI)
This Act of Parliament gives members of the public the right to access records held by State Government agencies (including WorkCover).
Seeking any payment or benefit by deception or dishonest means. Fraud is not characterised as minor/infrequent exaggerations of capacity.
Health professionals (such as medical practitioners or physiotherapists) whose aim is to treat an injured worker and assist them to recover and return to work.
A fee paid by employers to cover the cost of the Scheme, based on an employers main business activity and charged as a percentage of remuneration, and payable in advance based on an estimate of remuneration.
This is the minimum level of information required regarding a claim for WorkCover to start paying weekly payments or medical expenses. Mandatory information is clearly marked in shaded boxes on the WorkCover Claim form.
An independent body specifically set up to provide opinions regarding workers compensation medical issues.
Arises when a person doesnt meet their obligations under the Act, whether the person deliberately avoided, or simply failed to meet their legal obligations.
A form which can be lodged in the Workers Compensation Tribunal to request that the Tribunal review a decision, including the requirement that Employers Mutual reconsider the disputed decision.
Occupational Health, Safety and Welfare Act 1986
An Act that provides for the health, safety and welfare of people at work, administered by SafeWork SA.
Occupational health and safety (and welfare)
Sets out the actual amount of remuneration an employer paid to their workers in a financial year.
Employers whose workers compensation claims are managed and costs covered by WorkCover through the Scheme.
Rehabilitation and return to work coordinator
Coordinators are employed by organisations with 30 or more workers to help manage injury and illness in the workplace and facilitate recovery and return to work.
Rehabilitation and return to work plan (or program)
A written action plan that sets out who is doing what to help a worker recover and return to work.
Sets out the total estimated amount of remuneration an employer expects to pay to their workers in the forthcoming financial year.
Return to work means the worker is back at work in their old job or another job as a settled or established wage earner.
SafeWork SA is the Government agency responsible for administering and enforcing OHSW and certain industrial relations laws in South Australia.
South Australias Workers Rehabilitation and Compensation Scheme.
This section of the Act gives employers the right to request a report on a workers medical progress and incapacity for work.
This section of the Act gives employers the right to request a copy of a workers medical reports relevant to the injury.
This section of the Act gives all claimants access to their claims files and relevant claims information.
Duties a worker is fit to undertake as part of their return to work, which must be identified in the workers rehabilitation and return to work plan.
This involves the worker undertaking pre-injury or alternative employment, full-time or part-time, depending on the medical assessment of their capabilities.
Vocational rehabilitation provider
A service provider whose aim is to help an injured worker return to work.
Sometimes called income maintenance. What the Scheme pays workers to compensate for the income they lose as a result of their injury.
A panel set up to hear and determine disputes from employers on levy-related matters.
The Workers Compensation Tribunal can help employers and workers to review decisions made about a workers claim by Employers Mutual.
Formerly known as Prescribed Medical Certificate, this is a legal form that must be completed by a treating doctor to certify that a worker has a medical condition (disability) that may be work-related.
An independent office set up to investigate complaints relating to the operation of the WorkCover Scheme
The Workers Rehabilitation and Compensation Act 1986 defines a worker as a person working within an employment relationship, or a contractor who is treated as a worker.
The Workers Rehabilitation and Compensation Act 1986 (the Act)
This Act of Parliament provides for the rehabilitation and compensation of workers who suffer workplace injuries, illnesses or death.




















