What is claim acceptance?
- When a worker is injured as a result of a work-related accident.
What WCB policies apply?
- WCB Policy 02-01
- WCB Policy 03-01
What questions might your Worker Advisor ask you about claim acceptance?
- Were you in the course of employment when the injury occurred?
- How did the injury occur?
- What caused your injury?
- Were there any changes to work duties prior to the injury?
- How would you describe your job duties and are they in alignment with what your employer has reported?
- Were there any witnesses? Can we obtain a statement?
- What is the diagnosis?
- Did you have any pre-existing medical conditions?Was this an aggravation of pre-existing condition?
- Do you have medical documentation to support a pre-existing condition?
- Is this a progressive of injury which developed over time?
- Were there witnesses?
- Does your doctor support your position?
What evidence might you need?
- Documents to support the mechanism of injury
- Photos or drawing of the accident scene
- Documents to support the injury occurred for example an incident reports, police report, logbook, etc.
- Job demands/description
- Witness statements
- Medical documentation such as chart notes, medical opinion on causation or reports to support either current or past conditions
- Physiotherapist/chiropractic reports
- Other evidence to support the injury or disease resulted from work
What else should you know about claim acceptance?
- The Workers’ Compensation Board will provide benefits for injuries or illnesses that are caused or aggravated by work. If you intend to appeal the denial of your claim, we recommend you begin to gather the evidence you have to support that your injury resulted from your work.
