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HR may accept sickness while insurer disputes incapacity under policy.

Sickness

Colloquial absence from work

Incapacity

Defined policy concept with date and test consequences

Why this matters for your claim — Employers track sick leave; insurers test whether you are incapacitated for your occupation, when that started (DOA), and whether it continued through the waiting period.

What to capture in ClaimBuddy

Tap a label to open the language-map explainer for that date or concept.

  1. HR sick days — Note each sick day HR recorded — separate from policy incapacity.
  2. Material duties stopped — When duties became impossible — your likely DOA.
  3. Certificate wording — 'Sick' vs 'unfit for occupation'.
  4. Light duty returns — Any return may reset the waiting period.

Claim tip

Do not assume employer sick-note acceptance equals insurer incapacity acceptance.

HR sickness: off 3–10 June with sick note. Policy incapacity: could not perform client workshops from 12 June (DOA).

Sentrix Digital, Melbourne · ABN 29 203 554 753. Not medical, legal, or financial advice. Organisation and drafting only. Verify with clinicians, schemes, and policy documents. South African complaints: insurer internal review, then the National Financial Ombud (NFO). · info@sentrixdigital.com · +61 (03) 9088 1341 · Admin login