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Disputes only happen in a small number of claim cases, but it is worth knowing what happens if a claim is disputed.
Disputes can occur at any stage of a claim in relation to a number of matters. For example, once a claim has been submitted by a worker, an insurer may dispute liability. If this happens, the worker can lodge an application to resolve a dispute with the Dispute Resolution Directorate (DRD), to which the parties involved must respond.
Following processing of the application and responses, a DRD Arbitrator will work with the parties to resolve the dispute through three key stages:
- Teleconferencing
An informal telephone link up with all parties involved to attempt to resolve the issues.
- Conciliation
An informal face-to-face meeting for the parties to attempt to resolve the issues.
- Arbitration
A formal, recorded proceeding at which evidence is heard and the Arbitrator makes a final decision.
Representation
To assist and represent you in the Dispute Resolution process, you may choose to use either a registered agent or lawyer. Registered agents are approved and regulated by WorkCover WA.
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