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Can I Work While My TPD Claim Is Being Assessed?

  • Jun 4
  • 10 min read

If you've lodged a Total and Permanent Disability (TPD) claim through your super fund and you're wondering whether you can do any work while it's being assessed, you're asking exactly the right question. And the fact that you're asking it carefully says a lot about how seriously you're taking this process.


The honest answer is: it depends. Doing some work during a TPD assessment does not automatically disqualify you from receiving a benefit. But it can complicate your claim if it's not handled correctly. The definition of TPD in your specific policy, the type and volume of work you're doing, and whether you've disclosed it to your fund all matter enormously.


Most people in your situation don't know that the word "work" has a legal meaning in the context of a TPD claim, and that meaning varies from fund to fund. Over $1 billion in super insurance benefits goes unclaimed in Australia every year, in part because claimants don't get specialist guidance at the moments it matters most. This is one of those moments.


In this guide, we'll explain how work during a TPD assessment interacts with your claim, what questions to ask, and why specialist advice before you act is not optional, it's essential.


What Does "Total and Permanent Disability" Actually Mean?


Before we can talk about whether you can work, we need to understand what your fund means by TPD, because the definition is doing all the heavy lifting here.


TPD means you are totally and permanently disabled. But what that means in practice differs between policies, and the specific wording in your Product Disclosure Statement (PDS) determines how your claim is assessed.


There are two main definitions used across Australian super funds:


Own Occupation TPD


Under an own occupation definition, you are assessed against your ability to perform your specific occupation, the job you held before your disability. If you were a nurse, the insurer asks: can this person ever work as a nurse again? This is generally the more generous definition.


Any Occupation TPD


Under an any occupation definition, by far the more common definition in default super fund insurance, you are assessed against any occupation you are reasonably suited to by education, training, or experience. The insurer is asking a broader question: can this person perform any kind of work in any field where their background would qualify them?


This distinction is critical. If your fund uses an "any occupation" definition and you return to some form of paid work during the assessment, the insurer may use that as evidence that you retain work capacity, even if the work is minor, part-time, or in a completely different field to your pre-disability occupation.


💡 Over $1 billion in super insurance benefits goes unclaimed in Australia every year. Many valid TPD claims are abandoned mid-assessment because claimants don't get specialist advice when they need it.


Do You Qualify for TPD? What the Assessment Is Actually Testing


It's worth understanding what the insurer is measuring while your claim is being assessed, so you can understand why any work you do during that period is scrutinised.


Most Australian super fund TPD assessments are asking two core questions:


  • Are you unable to work in your own occupation (or any occupation) as a result of your illness or injury?

  • Is that inability permanent: meaning, is it unlikely you will ever recover sufficient capacity to return to work?


The insurer is gathering evidence to answer both questions. They'll review your medical records, specialist reports, and functional assessments. They may arrange an Independent Medical Examination. And if you are doing any paid work during the assessment, that will be a data point they consider.


Eligibility criteria typically require that you:


  • Were employed (or recently employed) at the time your condition emerged

  • Have been absent from work for a defined waiting period (often 3–6 consecutive months)

  • Hold valid TPD insurance cover at the date of your disability

  • Meet the fund's specific definition of total and permanent disability


If you're unsure whether you qualify, Better Claim offers a free eligibility check — no commitment required. Check your eligibility here →


What Your Super Fund Won't Tell You About Working During an Assessment


Your super fund's insurer is not your ally during the claims process. Their job is to assess your claim against the policy terms, and if there's evidence that can be used to reduce or deny your benefit, they are entitled to use it.


Here is what they are unlikely to volunteer:


  • Any work at all, even volunteer, trial, or therapeutic work, may be noted in your file. Even if your doctor has recommended a gradual return to activity, that activity can appear in your file without context and be misinterpreted.


  • The insurer's definition of "work" may be broader than you expect. Attending a workplace in any paid capacity, including part-time or trial arrangements, may be assessed as evidence of residual work capacity.


  • They are not required to tell you what will and won't harm your claim. Your super fund is not required to contact you with guidance about the impact of your actions on your assessment. The obligation to manage your claim correctly rests with you, which is why specialist support matters.


  • Transparency is far safer than concealment. If you do work during an assessment and the fund discovers it, failing to disclose it is far more damaging than the work itself. Insurers can and do investigate claimant activity.


  • "Light duties" from your doctor does not mean "return to work" for TPD purposes. These are separate assessments with different criteria. A treating doctor's view on your functional capacity and the insurer's assessment of your TPD eligibility are not the same thing.


Working During a TPD Assessment: What the Rules Actually Say


There is no blanket rule that says "if you work, you can't claim TPD." The law does not work that way. What matters is how your activity intersects with the specific TPD definition in your policy and how it is documented and framed.


Here is the practical reality:


Part-time work in your pre-disability occupation is the most likely to affect your claim, because it directly speaks to your capacity to perform that occupation, particularly under an "own occupation" definition.


Work in a completely different occupation may or may not affect your claim under an "any occupation" definition. If you were a tradesperson who can no longer do physical work but can perform sedentary administrative tasks, any sedentary work you do may be cited as evidence of capacity.


Therapeutic or occupational work: small amounts of structured activity recommended by a treating professional as part of a rehabilitation or mental health management plan — is different from employment, but it should still be documented carefully.


Trial employment or WorkCover-linked return-to-work programs are specifically complex. These programs are governed by their own rules, and participation should be discussed with a specialist before you commence.


The most important thing to understand is this: the TPD assessment is not just looking at what you can do on your best day, it is looking at whether you can sustain meaningful employment in a realistic context. A specialist can help you document the gap between what you may be able to attempt and what you can reliably perform over time.


Step-by-Step: How to Handle Work Questions During an Assessment


  1. Do not make any work-related decisions without specialist advice. Before you return to any paid or unpaid work, speak with Better Claim or a qualified super insurance claims adviser. The stakes are too high to guess.

  2. Review your Product Disclosure Statement (PDS). Locate the TPD definition in your policy, specifically whether it's "any occupation" or "own occupation", before doing anything else. This defines what you are being assessed against.

  3. Talk to your treating doctor about the distinction between therapeutic activity and employment. Make sure your treating doctor is aware of the TPD claim and that any advice about "light duties" or "graduated return to activity" is documented clearly, including what is and is not being recommended.

  4. Disclose any work to your super fund. If you are doing or have done any work during the assessment period, disclose it proactively. Non-disclosure is a far greater risk to your claim than the work itself. Better Claim can help you frame this disclosure correctly.

  5. Document everything. Keep a record of any work activity — dates, hours, nature of the role, whether it was paid, who arranged it, and what your treating doctors said about it. This documentation protects you.

  6. Do not downplay your limitations. Whether in communications with your fund or in medical appointments, be honest about your bad days, not just your best days. Insurers often assess functional capacity on the assumption that the claimant is presenting their best case.


REALISTIC TIMEFRAMES

  • Initial TPD assessment period: 3–6 months for straightforward claims

  • Complex or disputed claims: 6–18 months

  • AFCA review (if needed): Add 6–12 months


Better Claim manages the entire process so you don't have to navigate these questions alone.


Common Ways Work Activity Complicates Claims, and What to Do About Them


Return to part-time work mid-assessment


If you return to any paid work, even a few hours per week, the insurer may argue you retain capacity. This argument is often overstated, part-time work is not the same as sustainable employment, but it needs to be addressed with targeted medical and functional evidence.


Trial employment through WorkCover or employer rehabilitation programs


These programs are designed for return-to-work, not for TPD claims, and they don't always interact well. If you are in an active TPD assessment and your employer or WorkCover provider is proposing a return-to-work arrangement, get advice before you participate.


Volunteer work, community roles, or unpaid activity


Even unpaid activity can appear on an insurer's radar if it involves regular, structured effort. The key is context and documentation, particularly whether the activity is recommended therapeutically and whether it reflects genuine work capacity.


Income from investments, rentals, or passive sources


This is not work in the TPD sense. Passive income from investments, rental properties, or a partner's income does not affect your TPD assessment. TPD is about work capacity, not income.


What if your doctor clears you for light duties?


A treating doctor's clearance for "light duties" is about your rehabilitation and occupational health, it is not a statement about your TPD eligibility. These are separate frameworks. Make sure your treating specialists understand the difference and document their views about your long-term and sustained work capacity, not just short-term functional tolerance.


How Better Claim Can Help


Managing a TPD claim while also dealing with a serious illness or injury is already overwhelming. Having to make complex decisions about whether any activity you undertake will affect your claim, without guidance, adds a layer of anxiety that no one in your position should have to carry alone.


Better Claim works with Australian claimants from the moment their claim is lodged through to resolution. For clients navigating questions about work and activity during an assessment, we:


  • Review your specific TPD definition and advise on how any work or activity is likely to be viewed

  • Help you frame any disclosure to your fund in a way that provides full transparency while protecting your claim

  • Coordinate with your treating doctors to ensure medical records accurately document your functional capacity and its limitations

  • Respond to insurer requests for additional information, including questions about your activities during the assessment period

  • Challenge insurer decisions that rely on work activity as a basis for denial, through internal review or AFCA


Better Claim works on a no-win, no-fee basis: you pay nothing unless your claim succeeds. Our fee comes from your settlement, not your pocket.


Check Your Eligibility. It's Free →


Learn more about how we handle TPD Claims page from assessment through to settlement.


Frequently Asked Questions


What if I try to go back to work part-time while my TPD claim is being assessed?


This depends on your fund's TPD definition and how the work is documented. Going back to work part-time doesn't automatically end your claim, but it can be used as evidence of residual work capacity. Before returning to any paid work, speak with Better Claim or a specialist adviser. If you've already returned to work, disclose this to your fund and get advice on how to frame it correctly.


What if my doctor says I can do light duties?


A treating doctor's advice about light duties is about your immediate functional tolerance, it's part of rehabilitation planning, not a statement about your long-term work capacity or TPD eligibility. These are separate assessments. Make sure your treating doctors understand the TPD process and can speak to the question of permanent and sustained work incapacity, not just what you can attempt on good days.


Do I need to tell my super fund if I return to work during the assessment?


Yes. Transparency is strongly advisable, and concealment carries a much greater risk than disclosure. If your fund or its insurer discovers undisclosed work activity, that can be used to undermine your credibility and your claim. Better Claim can help you disclose this in a way that provides context and protects your assessment.


Can I do volunteer work while my TPD claim is being assessed?


Possibly, but with caution. Volunteer work that is structured, regular, and physically or cognitively demanding may be viewed similarly to paid work by some insurers. If a treating professional has recommended structured activity as part of your management plan, document that recommendation clearly. Speak with a specialist before committing to any regular activity.


Does income from other sources affect my TPD claim?


Passive income, from investments, rental properties, or a partner's income, does not affect a TPD assessment. TPD is assessed on your capacity to work, not on your financial position. However, if you are receiving income protection payments while your TPD claim is assessed, the fund will typically apply offset provisions once the TPD claim is resolved.


What if the insurer uses my work activity to deny my claim?


A denial based on work activity during the assessment is not final. Better Claim reviews the basis of any denial, including the evidence the insurer relied upon, and advises on internal review or escalation to the Australian Financial Complaints Authority (AFCA). Many decisions based on a mischaracterisation of the claimant's work capacity are overturned on review.


How long will my TPD assessment take?


Most TPD claims in Australia take between 3 and 12 months. Complex claims, or those involving disputes about work capacity, can take longer. Better Claim manages the process and keeps you informed at every stage so you're not left chasing the fund yourself.


Resources


  • AFCA: Dispute resolution for denied super insurance claims in Australia

  • ASIC MoneySmart: Super and insurance explained for Australian workers

  • ATO Super Lookup: Locate all your super accounts via MyGov


You've Already Been Through Enough. Let Us Handle This


Navigating a TPD claim while managing a serious illness or injury is one of the hardest things a person can be asked to do. The question of whether you can work during that assessment, and what happens if you do, is exactly the kind of complexity that claimants shouldn't have to work through alone.


The primary keyword here isn't a legal strategy, it's specialist support. Working during a TPD claim assessment is a nuanced area where the wrong decision, made without advice, can significantly harm an otherwise valid claim. And the right decision, made with the right guidance, often makes no difference to the outcome at all.


Better Claim offers a free eligibility check and a no-win, no-fee service. You pay nothing unless your claim succeeds. If you've already lodged a TPD claim and you're dealing with questions about work or activity during the assessment, contact Better Claim today.


Start Your Free Claim Assessment →



This article is intended as general information only and does not constitute legal, financial, or insurance advice. Super insurance entitlements vary between funds and individual circumstances. Better Claim recommends seeking professional advice specific to your situation. For complaints or disputes, contact AFCA at afca.org.au.


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WRITTEN BY

Victoria

Co-Founder, Better Claim

Victoria is a co-founder of Better Claim and a former financial adviser turned NDIS support worker. After witnessing firsthand how super funds fail their most vulnerable members, she partnered with Sophie — an ethical lawyer — to build a service that bridges the gap between people in crisis and the benefits they're legally owed.

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