The average weekly amount a worker earned during the 12-month period before their date of injury (or lesser period if appropriate)

An external organisation, contracted by WorkCover, responsible for most of the day–to–day decisions about claims

A case manager is employed by the claims agent (Employers Mutual) or a self–insured employer to work directly with injured workers and their employers to manage workers rehabilitation and compensation matters

A decision as to whether a claim is accepted or rejected

When weekly payments are stopped

The Workers Rehabilitation and Compensation Act 1986 defines a worker as a person working within an employment relationship

The Workers Compensation Tribunal may give the claims agent a time limit to make a decision about a claim. If this doesn’t happen, the Tribunal may determine the claim

Any payment or benefit by deception or dishonest means. (note: minor/infrequent exaggerations of incapacity are not characterised as fraud)

This Act of Parliament gives members of the public the right to access records held by State Government and its agencies (including WorkCover)

An independent review of your condition by a medical specialist

A fee paid by employers to cover the cost of the Scheme, based on an employer’s main business activity and charged as a percentage of remuneration (eg, wages and other payments)

(section 43 of the Act)
A payment for non–economic loss made to a claimant for a physical disability that is both permanent and stable

Medical Panels SA is an independent body specifically set up to deal with workers compensation medical issues

The average weekly earnings following adjustments made under the Act due to changes in level of earnings, the value of money or remuneration, or other relevant factors such as non-cash benefits

An Act that provides for the health, safety and welfare of people in or visiting workplaces

Occupational health and safety (and welfare)

The organisation the worker was employed by when the injury occurred

(Part 4 Division 7A and section 32A of the Act)
A process in which WorkCover begins paying income and medical costs for a claim usually within seven days for up to 13 weeks and up to a limit of $5000 rather than waiting for the claim to be determined

Weekly payments and medical costs that are commenced temporarily, under the process of provisional liability (see above)

(section 42 of the Act)
A once–off payment from WorkCover for weekly payments and/or medical entitlements, to finalise a claim

Employers whose workers compensation claims are managed and costs covered by WorkCover through the Scheme. Their claims are managed by WorkCover’s claims agent, Employers Mutual

Either health professionals (such as physiotherapists) or vocational service providers whose aim is to help injured workers recover and return to work

A written action plan that clarifies who is doing what to help a worker recover and return to work

(section 28D of the Act)
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

The main aim of SA's workers rehabilitation and compensation system is to return injured workers to safe suitable work

This section of the Act gives all claimants access to their claims files and relevant claims information

Employers that fund and manage their own compensation claims

South Australia’s Workers Rehabilitation and Compensation Scheme

This Act of Parliament provides for the rehabilitation and compensation of workers (and in some cases their families) who suffer workplace injuries, illnesses or death.

Examples include glasses or a walking stick.

A service provider whose aim is to help an injured worker return to work.

Sometimes called income maintenance. What the Scheme pays workers to replace the income they lose as a result of their injury

A test that determines an injured worker’s entitlement to weekly payments beyond 130 weeks of entitlements

Formerly known as the 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