Workers Compensation Payout Guide NSW

Issa Rabaya

Written by

Issa Rabaya

Principal Lawyer and Director · Last updated 31 July 2026

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Key Takeaway: In NSW, a worker becomes eligible to claim lump sum compensation when a work injury causes permanent impairment assessed at 11% or greater for physical injuries, or 15% or more for primary psychological injuries. Lump sum claims cannot be made for secondary psychological injuries.

Workers Compensation Lump Sum Eligibility: Quick Answers

Who can claim lump sum compensation, including exempt workers?
Any NSW worker injured during the course of employment can claim lump sum compensation once permanent impairment is reached. Exempt workers, meaning police, firefighters and paramedics, can claim lump sum compensation for physical injuries provided the injury has given rise to some permanent impairment, while also pursuing weekly payments and medical expenses.
How long does the insurer take to decide a lump sum claim?
Once you submit a Permanent Impairment Claim Form, found on SIRA’s website, the insurer should either accept or dispute liability within one month of receiving it. That one-month time frame can be extended if the insurer demands additional information from the worker to support the claim before making a decision.
Can I still claim a lump sum for pain and suffering?
No. For claims made on or after 19 June 2012, lump sum compensation for pain and suffering is no longer payable in NSW. Lump sum compensation is instead based on the degree of permanent impairment, assessed at 11% or greater for physical injuries and 15% or more for primary psychological injuries.

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Workers compensation lump sum payments in NSW

In New South Wales, when a worker sustains an injury during the course of employment, physically or psychologically, he/she can claim compensation for losses arising from the injury. Workers compensation benefits that an injured worker can claim include income support for lost earnings, medical and rehabilitation expenses, and in certain circumstances lump sum payment.
Workers compensation lump sum payment is achievable when the worker’s injury results in a permanent impairment that is assessed being at 11% or greater. For primary psychological injuries and illnesses caused or aggravated by work, permanent impairment should be assessed at 15% or more. A lump sum claim cannot be made for secondary psychological injuries. 

orange helmet and jacket worker

Exempt workers

For exempt workers (police, firefighters, and paramedics) lump sum compensation for physical injuries can be made as long as the injury has given way to some level of permanent impairment greater than 0% whole person impairment. Exempt workers may be entitled to make more than one lump sum claim for their work-related injuries. Other classes of workers can make more than one lump sum claim only if they made a claim for permanent impairment before 19 June 2012 and their condition has deteriorated.
Assessments for permanent impairment should be carried out by a qualified medical specialist who is trained in the use of the guides and listed on the State Insurance Regulatory Authority (SIRA) website. Workers must go through the maximum medical improvement in order to be eligible for receiving assessment, that is, their condition has stabilised and is unlikely to change within a year or without treatment. SIRA advises those workers who are not unsure whether they reached maximum improvement to consult their doctors or specialists.
Workers can claim lump sum compensation while making a claim for other benefits like weekly payments and medical expenses. Otherwise, they should complete and submit a Permanent Impairment Claim Form that can be found on SIRA’s website. Upon receiving the worker’s claim form, the insurer should either accept or dispute liability within one month. This time frame can be extended if the insurer demands additional information from the worker.

injured man walking in the office

Other facts about lump sum payment for workers compensation

  • For claims made on or after 19 June 2012, lump sum compensation for pain and suffering is not payable.
  • If a worker sustains both physical and primary psychological injuries in the same accident, the compensation for permanent impairment will be determined based on the greater amount payable.
  • If multiple physical injuries are sustained as a result of the same accident, they will be assessed together for determining the degree of permanent impairment while physical and psychological injuries will be considered separately.
  • When a work accident results in the worker’s death, his/her dependent may be entitled to lump sum compensation in addition to weekly payments and reasonable funeral expenses.

Compensation advice of lump sum payments

The team at Withstand Lawyers is approved by Workcover Independent Review Office (WIRO) and our experienced workers compensation lawyers have assisted thousands of injured workers. We can assist you to get the highest workers compensation lump-sum payment possible on No Win No Fee basis. Our workers compensation Withstand Lawyers is conventionality located in Sydney & Parramatta and we are happy to meet you in PenrithLiverpoolNewcastleWollongong and Northern Beaches by appointment. Please call us on 1800 952 898 or book a consultation online for free compensation advice for lump sum payments and workers compensation claim assistance.

Workers Compensation Lump Sum Eligibility FAQ

When does a worker become eligible to claim lump sum compensation in NSW?

A worker becomes eligible for lump sum compensation when a work injury results in permanent impairment assessed at 11% or greater for physical injuries. For primary psychological injuries and illnesses caused or aggravated by work, permanent impairment must be assessed at 15% or more. Secondary psychological injuries cannot support a lump sum claim.

What WPI threshold is needed for a lump sum payment?

The permanent impairment threshold is 11% or greater for physical injuries. For primary psychological injuries and illnesses caused or aggravated by work, the impairment must be assessed at 15% or more. A lump sum claim cannot be made for secondary psychological injuries under NSW workers compensation rules.

Can exempt workers like police and paramedics claim a lump sum?

Yes. For exempt workers, meaning police, firefighters and paramedics, lump sum compensation for physical injuries can be claimed as long as the injury has given rise to some permanent impairment. They can pursue this alongside other benefits such as weekly payments and medical expenses while their claim is being assessed.

How do I lodge a lump sum compensation claim?

You complete and submit a Permanent Impairment Claim Form, which can be found on SIRA’s website. Upon receiving the claim form, the insurer should either accept or dispute liability within one month. That time frame can be extended if the insurer demands additional information from the worker to assess the claim.

How long does the insurer have to accept or dispute my claim?

After receiving your Permanent Impairment Claim Form, the insurer should accept or dispute liability within one month. This one-month period can be extended if the insurer requires additional information from you. Getting advice early helps ensure your claim is complete so the insurer has everything needed to decide promptly.

Is lump sum compensation for pain and suffering still available?

No. For claims made on or after 19 June 2012, lump sum compensation for pain and suffering is not payable in NSW. Lump sum compensation is instead assessed on the degree of permanent impairment, meeting the 11% threshold for physical injuries or 15% for primary psychological injuries.

What happens if I have both physical and psychological injuries?

If a worker sustains both physical and primary psychological injuries in the same accident, the compensation for permanent impairment is determined based on the greater amount payable. Multiple physical injuries from the same accident are assessed together, while physical and psychological injuries are considered separately when determining the degree of permanent impairment.

Can a family claim a lump sum if a worker dies at work?

Yes. When a work accident results in the worker’s death, their dependants may be entitled to lump sum compensation, in addition to weekly payments and reasonable funeral expenses. Withstand Lawyers is approved by the WorkCover Independent Review Office (WIRO) and has assisted thousands of injured workers and their families with these claims.

Issa Rabaya, Principal Lawyer and Director at Withstand Lawyers

About the author

Issa Rabaya · Principal Lawyer and Director

Admitted to the Supreme Court of NSW and High Court of Australia   LLB   IRO-approved   Law Society of NSW

Acts for injured people in CTP, workers compensation, TPD and public liability claims.

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Why Choose Withstand Lawyers for Your Lump Sum Compensation Claim?

When a serious work injury leaves you with a permanent impairment, the last thing you should worry about is fighting an insurer alone. Withstand Lawyers understands how much a lump sum payment matters to your recovery and your family’s future, and we treat every claim with genuine care. Our experienced workers compensation lawyers are approved by the WorkCover Independent Review Office and have assisted thousands of injured workers across NSW. With decades of combined experience and a proven track record, Withstand Lawyers knows how to build the strongest possible impairment claim and secure the maximum lump sum you are entitled to. Over $47 million recovered, 99% success rate, no win, no fee.

Call Withstand Lawyers on 1800 952 898 for your free claim check today.

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