Working with claims

If a patient comes to you for treatment as a result of sustaining an injury or occupational disease at their place of work, they are required to notify you.

Claims adjudication

An adjudicator within WorkSafeNB's Adjudication and Benefit Services (ABS) unit will determine whether to accept or reject a claim. This is a legal determination as set out in the OHS Act. An adjudicator may consult a WorkSafeNB physician for an opinion on medical compatibility.

Additional assistance

Additional medical assistance may occasionally be sought by WorkSafeNB before making an adjudication decision on a claim, where one or more of the following circumstances apply:

  • Medical relationship between the accident and injury is not obvious
  • Seizures, food or blood poisoning
  • Hearing loss
  • Heart claims, serious injuries, fatalities
  • Pre-existing conditions
  • Psychological disorders
  • Occupational or infectious diseases
  • Repetitive strains, cumulative trauma
  • Complications of injury, treatment

WorkSafeNB will contact you if additional information regarding your patient is required for adjudication purposes.

Find out more about the case management process.

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