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Functional Capacity Evaluations in TPD Claims

19 May 2026 · 6 min read

A Functional Capacity Evaluation measures your physical and cognitive ability to work. In TPD claims they can be requested by insurers or used proactively by claimants.

A Functional Capacity Evaluation (FCE) is a structured assessment conducted by an occupational therapist or physiotherapist that measures your physical and sometimes cognitive ability to perform work-related tasks. In TPD claims, they play an important role in establishing — or challenging — a claimant's capacity to work.

What an FCE assesses

An FCE typically measures:

  • Lifting, carrying and pushing/pulling capacity
  • Sitting, standing and walking tolerance
  • Reaching, bending and postural demands
  • Cognitive workload tolerance in some specialist FCEs

The results are reported against workplace functional demands — helping establish whether you can perform specific types of work.

When insurers request an FCE

Insurers commonly request an FCE for physical injury and chronic pain claims to objectively assess your functional limitations. You are generally required to attend if requested — refusing can jeopardise your claim.

Using an FCE proactively

You don't have to wait for the insurer to request one. An FCE conducted by your own occupational therapist, submitted with your claim, can be powerful supporting evidence — particularly for musculoskeletal, chronic pain or neurological conditions.

Challenging an adverse FCE

FCE results are not infallible. If an insurer-requested FCE produces a result inconsistent with your medical records and specialist opinions, your treating team can provide a response — particularly if the FCE was conducted on one of your better days and doesn't reflect your typical capacity. Start with our free eligibility check to plan your evidence strategy.

Frequently asked questions

Can I refuse an FCE requested by my TPD insurer?

Technically you can, but refusing is likely to prejudice your claim. It's better to attend and address any adverse findings with your own treating specialist's response.

Does a poor FCE result mean my claim will fail?

Not necessarily. An FCE is one piece of evidence. Your treating specialists' opinions on your typical capacity and long-term prognosis carry significant weight alongside FCE results.

Disclaimer: This article is general information only and is not legal or financial advice. TPD Claim Support is a claims information and support service, not a law firm. Please seek advice tailored to your circumstances.

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