Examples of Decisions Commonly Overturned at Review
Injury Cover Decisions
Cover for physical or mental injury injury is a requirement for any ACC entitlement. I can help when ACC decline or revoke cover.
GP’s often lodge ACC claims for minor ‘sprains’ that turn out to be something more significant. I can make sure the correct injury(s) are covered going forward.
Cover for complex claims include; Treatment Injury (medical mishap), criminal acts and work-related gradual process conditions. We can help when cover is declined.
Surgery & Treatment
ACC often declines surgery funding or treatment on the grounds of old-age, pre-existing or gradual process wear & tear conditions.
Decline of surgery funding often comes as a surprise to claimants, who usually have a covered injury and the support of their surgeons.
I can manage your surgery review and present the best medical evidence for reconsideration, review hearing, or appeal to the District Court if your review is unsuccessful.
Weekly Compensation
All ACC payments and decisions about amounts of weekly compensation can be challenged.
Earnings amounts, earner status and suspension of payments are common issues for claimants.
Issues around work capacity, occupational assessments and Vocational Independence can present complex issues.
I can help secure your full weekly compensation entitlements and any back-dated payments.
Work Injury & ACC Levies
Problems can arise where an employee or employer disagree with ACC about a work injury.
How ACC classifies work injuries can impact claimant payments. Employer ACC levies or experience rating can also be affected.
We can help claimants & employers challenge a wrongfully classified workplace injury.
Gradual Process Conditions
Gradual process (wear and tear) type conditions are often declined by ACC due to the exclusions & complex requirements in the ACC Act.
Occupational hearing loss, workplace overuse injuries and occupational disease conditions are common areas where ACC decline full cover.
Having a lawyer with experience in this complex area can significantly improve your chances of success.
Lump Sum & Other Areas
Permanent Injury Compensation (lump sum payments) is an area where claimants may want to challenge a decline or an amount offered (Percentage Whole Person Impairment). We can help.
Death benefits, Individual Rehab Plans, Overseas Injuries and Social Rehab entitlements are further areas where ACC SOS can help challenge ACC’s decisions.
