At Wagecover, we are committed to delivering the highest standards when it comes to claims management.
We understand that making a claim can feel overwhelming at times so our team of dedicated and caring claims professionals are available to offer personalised assistance and support at every step of the claims process.
To assist you in understanding the claims process, we have outlined the steps involved in making a claim below. Follow these easy steps to lodge a claim or contact our friendly claims team for assistance on (02) 9970-8411.
Claim Form Complete Form Check and Send Wagecover Review Insurer
Receive Claim FormCall us direct on (02) 9970 8411 and we will email or post a form to you
Section 1 – Claimant Certification
It is important that you provide as much information as possible in order to avoid delays during the assessment process conducted by the insurer.
- Pages 2, 5 and 6 are to be completed by you (the person making a claim). Be sure to sign and date the Declaration and Information Authorities page on Page 6
- In addition, you should complete either Page 3 (for injuries) or Page 4 (for Sicknesses) depending on whether the claim is for an Injury or a Sickness
- Please complete the Electronic Funds Transfer (EFT) Authority on the front page of the form. In the event of a successful claim this provides Authority to the insurer to directly deposit benefits into your nominated account.
Section 2 – Medical Certification
- Kindly have your treating GP or specialist fully complete Section 2 of the claim form.
- Please be aware that any fee incurred for completing of this form is the responsibility of the person making the claim
Section 3 – Financial Certification
Acceptable proof of income includes:
- Section 3 is to be completed by you if you are self-employed or by your employer
- If you are self-employed, complete page 10 and follow the instructions at the top of the page about the importance of supplying appropriate financial documentation. Please note that you may experience delays with the assessment of your claim if you do not provide this information.
- If you are an employed individual, please have your employer complete page 11
- If you are an employee, please provide your PAYG tax summary from the previous financial year and a payslip immediately prior to the date you ceased work showing Year to Date (YTD) income
- If you are an employee and your pay slips do not show YTD Income, please provide your 12 month pay history prior to the date you ceased work
- If you are self-employed, please provide your Individual Tax Return (or Company / Partnership returns, if applicable) along with your Notice of Assessment for the financial year immediately prior to your cease work date
Lastly, it is important that you attach as much information to your claim as possible as this will reduce the likelihood of the insurer having to request further documentation. In addition to your financial information, the following information may be of assistance, if relevant to your claim:
- Hospital Discharge Summary
- Medical Certificates
- Diagnostic Scan reports (i.e. x-ray, CT, MRI scans). Please note that it is not necessary for you to send your actual scans, the reports that accompany the scans is all that is required.
- Police Report
- Correspondence from any Workers Compensation or Compulsory Third Party (CTP) Insurer
- Details of any applicable Sports or Travel InsurancePlease find below a step by step checklist to ensure your claim form has been fully completed:
Once you have gathered all necessary information, please send your claim form to Wagecover: Via Post WageCover Australia Pty Ltd 3/61 Sydney Road Manly NSW 2095 Via Fax: 02 9970 7290
- Confirm you have signed and dated the Electronic Funds Transfer (EFT) Authority on Page 1
- Confirm Section 1 has been fully completed and the Authority section has been signed and dated on Page 6
- Be sure to add your email address so we can keep you up to date with the status of your claim
- Attach Section 2 which should have been fully completed by your treating doctor
- Attach Section 3 which has either been completed by you (if self-employed) or by your employer
- Attach your financial documentation
- Attach any other relevant documentation (i.e. medical reports / scans)
- WageCover will confirm receipt of your claim form via email or phone
- On the same day of receipt, your claim form will be sent to the insurer
- Once your claim has been received by the insurer they will issue an acknowledgement letter / email within 24 hours of receipt. It is at this stage, that the insurer will notify you of your unique claim number.
- WageCover has requested that the insurer send all correspondence via the WageCover office so that we are best positioned to assist you quickly if there are any delays.
- Under the General Insurance Code of Practice, the insurer is required to make a determination on your claim within 10 business days of receipt (provided they have all necessary information to properly assess your claim).
- Please note that during the initial assessment phase of your claim, the insurer may contact you for further information.
- It is important to note that the insurer may choose to investigate your claim in more detail and / or request further information from you to substantiate your claim