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REDCLIFFE, Australia - AussieJournal -- Let's learn more about Total and Permanent Disability claims, including how the application process works.
There are two types of Total and Permanent Disability policies:
1. An Own Occupation Policy – for this policy, the definition you would need to meet to receive a payout is that you become totally and permanently disabled from your own or usual occupation.
2. Any Occupation Policy – for this policy, the definition you would need to meet to receive a payout through illness or injury is that you are totally and permanently disabled from any occupation or form of employment you might be reasonably suited to undertake through education or experience, making this one a little more difficult to meet.
How does the application process work?
When you first lodge your application, you need to obtain your own medical report from a treating general practitioner and a treating specialist which sets out if you meet the threshold of being totally and permanently disabled from work.
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Once the insurer receives the application, they are entitled to review it and perhaps send it off to an independent expert or specialist to collaborate. The specialist may choose to have another examination conducted to get an independent view.
Obviously, the insurer's specialist is employed by them, so if they come to a different conclusion than the original treating practitioner and specialist, you can seek a further independent specialist to review the reports and conduct a further examination if necessary. These doctors will all help the insurance company to make a determination on your claim.
To learn more about making a Total and Permanent Disability claim, speak with our experienced team of personal injury lawyers at Crew Legal. We're based in Redcliffe and support clients across Queensland. Find out more at https://crewlegal.com.au/.
There are two types of Total and Permanent Disability policies:
1. An Own Occupation Policy – for this policy, the definition you would need to meet to receive a payout is that you become totally and permanently disabled from your own or usual occupation.
2. Any Occupation Policy – for this policy, the definition you would need to meet to receive a payout through illness or injury is that you are totally and permanently disabled from any occupation or form of employment you might be reasonably suited to undertake through education or experience, making this one a little more difficult to meet.
How does the application process work?
When you first lodge your application, you need to obtain your own medical report from a treating general practitioner and a treating specialist which sets out if you meet the threshold of being totally and permanently disabled from work.
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Once the insurer receives the application, they are entitled to review it and perhaps send it off to an independent expert or specialist to collaborate. The specialist may choose to have another examination conducted to get an independent view.
Obviously, the insurer's specialist is employed by them, so if they come to a different conclusion than the original treating practitioner and specialist, you can seek a further independent specialist to review the reports and conduct a further examination if necessary. These doctors will all help the insurance company to make a determination on your claim.
To learn more about making a Total and Permanent Disability claim, speak with our experienced team of personal injury lawyers at Crew Legal. We're based in Redcliffe and support clients across Queensland. Find out more at https://crewlegal.com.au/.
Source: Crew Legal
Filed Under: Legal
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