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      After a workplace accident, Alex’s TPD insurer insisted he could return to work. We found a loophole.

      After a workplace accident, Alex’s TPD insurer insisted he could return to work. We found a loophole.

      Alex

      When a workplace accident left Alex unable to work, he lodged at TPD claim himself. At this same time, we were assisting Alex with his Workers’ Compensation claim. Unfortunately, Alex’s TPD claim proved to be more complex than he’d initially thought. The insurer was relying on evidence from the Workers’ Compensation doctors, who believed Alex could return to work. With his claim set to be declined, Alex came to us for help. To disprove the insurer’s evidence, we put an extensive strategy in place. This included an Employability Assessment and a meeting with our Independent Medical Examiners. We also found a loophole in the insurance policy, allowing us to have Alex assessed under a different, more relaxed definition. Alex was unaware of this loophole, and his insurer had not informed him. Our strategy was successful, and the insurer finally accepted Alex’s claim. He was awarded a benefit of $280,000.

      Compensation received

      $280,000

      Claim type

      Total and Permanent Disability

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