Social Media and Claims, What the PIC Expects in Disputes (Auburn)
Where a person's only injuries resulting from the accident are threshold injuries, weekly benefits and treatment and care generally cease after 52 weeks (ss 3.11 and 3.28).
A threshold injury under the Motor Accident Injuries Act 2017 (NSW) includes a soft tissue injury and a psychological or psychiatric injury that is not a recognised psychiatric illness (adjustment disorder and acute stress disorder are the usual examples; s 1.6 and Motor Accident Guidelines Part 5).
If you're involved in a NSW CTP claim and your social media activity is under scrutiny, understanding what the Personal Injury Commission (PIC) considers relevant is crucial. Social media posts, photos, or videos can be used to challenge or support your claim, but the PIC evaluates them based on specific criteria. This article explains how the PIC assesses social media evidence, what SIRA guidelines apply, and practical steps to avoid disputes in Auburn.
NSW CTP Rules Behind Social Media Evidence
Under the Motor Accident Injuries Act 2017, the PIC administers CTP claims in NSW. While the legislation doesn't explicitly address social media, SIRA (State Insurance Regulatory Authority) provides guidance on what evidence is admissible. Social media content may be considered if it:
- Directly relates to the injury, recovery, or treatment
- Shows a pattern of behavior contradicting the claim (e.g., posting activity inconsistent with reported injuries)
- Demonstrates the claimant’s awareness of the accident or recovery timeline
SIRA emphasizes that evidence must be relevant, credible, and properly sourced. For example, a claimant’s Instagram post showing them exercising shortly after a reported injury could be used to challenge the validity of their claim.
Practical Steps and Evidence That Usually Matter
When social media evidence is involved, the PIC will assess:
- Relevance: Does the content directly relate to the claim? For instance, a photo of a claimant at a beach shortly after a spinal injury might be relevant to challenge recovery timelines.
- Credibility: Is the evidence from a reliable source? Posts from verified accounts or public records carry more weight than unverified comments.
- Timing: When was the content posted? The PIC will compare it to medical records, accident reports, and other evidence to check for consistency.
- Context: What was the claimant’s stated condition at the time? A post claiming to be 'recovering' must align with medical documentation.
To avoid disputes, claimants should:
- Avoid posting content that could be misinterpreted as contradicting their claim
- Keep records of all social media activity related to the injury
- Inform their solicitor if they plan to share posts about their recovery
Time Limits, Disputes and When to Seek Advice
CTP claims have strict time limits. Most claims must be submitted within 52 weeks of the accident, though extensions may apply in exceptional cases. Social media evidence can affect disputes over:
- Whether the injury meets the 'threshold injury' definition under the Motor Accident Guidelines
- Whether the claimant has returned to work or resumed normal activities
- Whether the claimant has sought alternative treatments
If the PIC disputes your claim based on social media evidence, you may need to:
- Request a review of the evidence’s admissibility
- Provide additional documentation (e.g., medical reports, witness statements)
- Seek legal advice to challenge the PIC’s interpretation
The PIC’s internal review process allows for challenges, but it does not guarantee a changed decision. Medical evidence and expert opinions are often critical in resolving disputes.
Example: How Social Media Evidence Was Used in a Dispute
In a 2023 case from Auburn, a claimant’s Facebook post showing them hiking two weeks after a reported knee injury was used to challenge their claim. The PIC argued the activity contradicted medical records. The claimant’s solicitor successfully argued the post was taken out of context and the injury was not yet fully recovered. This highlights the importance of context and professional representation.
When to Seek Legal Advice
If your social media activity is being used to dispute your claim, or if you’re unsure how to respond to a PIC challenge, it’s essential to consult a solicitor. They can:
- Help you understand how the PIC is interpreting your evidence
- Advise on how to respond to disputes
- Assist with formal reviews or appeals
Final Steps for Claimants
Social media can play a significant role in CTP disputes, but it’s not the only factor. By understanding the PIC’s expectations, gathering relevant evidence, and seeking legal advice when needed, you can better navigate the claims process. If you’re unsure how your circumstances fit, complete the quick, no obligation enquiry form to request contact about your situation.
