Monaco Compensation LawyersMonaco Compensation Lawyers
Call Menu Close
    Search Cross
    Close
    Viewing content for gps Australia
    Contact us
    Monaco Compensation Lawyers
    1300 769 665Contact us
    Search
    Search
      close
      Search
      Close
      Viewing content for gps Australia
      Julia’s insurer argued her injury was pre-existing — here’s how we proved them wrong

      Julia’s insurer argued her injury was pre-existing — here’s how we proved them wrong

      Julia

      Julia* suffered a serious work-related injury to her right shoulder that required arthroscopic acromioplasty surgery. When she filed a workers compensation claim, the insurer’s independent medical examiner diagnosed Julia with glenohumeral joint osteoarthritis and claimed it was unlikely that her shoulder injury was caused by her workplace accident. As a result, the insurer argued that the injury was pre-existing and rejected her claim.

      To fight this, we gathered strong medical evidence from Julia’s GP and her specialist who recommended the surgery. We also had an independent orthopaedic surgeon testify in support of Julia’s case. Together, these experts provided a diagnosis, confirmed the surgery was necessary due to her work injury, and countered the insurer’s medical report. We also got updated scans that clearly showed an issue with Julia’s shoulder and a statement from her confirming she’d never had any problems with that shoulder before the injury.

      Armed with this evidence, we presented the case to the Personal Injury Commission. Our team made oral submissions, arguing the surgery was reasonably necessary under section 60 of the Workers Compensation Act 1987. After reviewing both sides, the Commission ruled that the surgery was essential due to her work injury.

      Thanks to this outcome, Julia was able to undergo her much-needed surgery, fully covered by the insurer. Her weekly payments were also reinstated, ensuring she received the financial support she needed during her recovery.

      * Name has been changed to protect our client’s privacy.

      Compensation received

      Maximum weekly benefits

      Claim type

      Workers Compensation

      Free Claim Advice

      Speak to an expert lawyer about your situation today.

      Make an enquiryCall 1300 769 665

      Explore more past case results

      $112,010

      Peter secures large lump sum for three conditions — despite only one being work-related
      Workers Compensation

      Peter secures large lump sum for three conditions — despite only one being work-related

      Peter’s job took a serious toll on his body. He injured his left shoulder so severely that he needed arthroscopic...

      Read more

      $1.5 million

      Esther wins $1.5mil settlement after hospital fails to find cancer
      Medical Negligence

      Esther wins $1.5mil settlement after hospital fails to find cancer

      When Esther* went to a public hospital with groin pain, she underwent ultrasounds and x-rays, but the hospital failed to...

      Read more

      $300,000

      Adelle’s super fund delayed her TPD benefit — we stepped in and secured it quickly
      Total and Permanent Disability

      Adelle’s super fund delayed her TPD benefit — we stepped in and secured it quickly

      Adelle suffers from several debilitating and painful conditions, including Undifferentiated Connective Tissue Disease, Pre-Scleroderma, Fibromyalgia, and Functional Neurological Disorder. Unable...

      Read more

      $700,000

      Juliette secures $700k in just 4 weeks — despite claims her skills were transferrable
      Total and Permanent Disability

      Juliette secures $700k in just 4 weeks — despite claims her skills were transferrable

      Juliette, 44, had to stop working as a regional supervisor due to severe psychiatric and physical illnesses. She suffered from...

      Read more

      $460,000

      Sally wins TPD payout despite insurer’s claims of incomplete treatment
      Total and Permanent Disability

      Sally wins TPD payout despite insurer’s claims of incomplete treatment

      At just 42, Sally, a registered nurse, was forced to stop work due to a severe mental health condition. When...

      Read more

      $500,000

      Expert evidence secures Travis’ TPD payout despite insurer claiming he could return to work
      Total and Permanent Disability

      Expert evidence secures Travis’ TPD payout despite insurer claiming he could return to work

      Travis suffered from severe Post-Traumatic Stress Disorder (PTSD) that left him unable to work. He was just 35 years old...

      Read more

      $1 million

      Mario wins large TPD payout for psychological condition despite strict policy definition
      Total and Permanent Disability

      Mario wins large TPD payout for psychological condition despite strict policy definition

      After Mario stopped working due to psychological illness, his insurer attempted to deny his Total and Permanent Disability (TPD) claim,...

      Read more

      $815,000

      Tina gets substantial compensation after car crash, despite pre-existing injuries
      Motor Vehicle Accidents

      Tina gets substantial compensation after car crash, despite pre-existing injuries

      When Tina’s car was rear-ended, she collided with the vehicle in front, leaving her with significant neck, shoulder, and lower...

      Read more

      $1 million

      Injured influencer Emily awarded compensation for her potential future earnings
      Motor Vehicle Accidents

      Injured influencer Emily awarded compensation for her potential future earnings

      Emily, a rising social media star, faced a major setback when a car accident left her with neck and back...

      Read more

      $1.72 million

      Injured bicyclist Robert wins maximum compensation after car collision
      Motor Vehicle Accidents

      Injured bicyclist Robert wins maximum compensation after car collision

      After Robert’s bike was struck by a motor vehicle, we leveraged our expertise to secure a substantial payout that covered...

      Read more
      See all our case results

      Get free claim advice

      We offer a free consultation to assess your case, explain your options, and answer your questions. It's fast, confidential, and obligation-free.

      Call 1300 769 665Email us