Cover is provided for compensation payable to any worker of the agency under the provisions of the Workers' Compensation and Injury Management Act 1981
and for any legal liability to pay damages:
- at common law.
- under the Fatal Accidents Act 1959.
- under the Law Reform (Miscellaneous Provisions) Act 1941.
- under the Law Reform (Contributory Negligence and Tortfeasors' Contribution) Act 1947.
- under the Trade Practices Act 1974.
Cover is not provided for compensation payable to any worker of the agency under the Workers' Compensation and Injury Management Act 1981 in respect of Industrial Disease referred to in Section 151(a)(iii) of the Act.
Agency responsibilities include:
- completion of the relevant section of the annual Self Insurance
Risk Declaration.
- development, implementation and review of an injury management
system and return to work programs in accordance with the Workers'
Compensation & Injury Management Act 1981.
- assisting workers to return to work quickly and safely following
a work related injury or illness.
- provision of information and assistance to injured workers.
- lodgement of claims and associated documentation according to
agreed processes, including submission of claims to RiskCover within
3 working days from the receipt of the relevent claim documents.
- provision of information to RiskCover and its agents to assist
in the claims/injury management process.
- provision of regular updates to RiskCover on the progress of injured
workers on return to work programs.
- participation in the development, implementation and review of
claims/injury management strategies.
Claims Management
Claims management services are delivered in accordance with legislative requirements. They are aimed at supporting workplace injury management and minimising the cost of work related injury and illness.
RiskCover services:
- early consultation with agencies.
- facilitation of early and safe return to work through fair, timely and informed determination of liability and payment of reasonable medical and rehabilitation costs. In some cases this will be on a without prejudices basis.
- advice on claims related matters.
- injury management and claims management training.
- provision of information to key parties.
- regular updates to agencies on claims issues.
- liaison with the agency and other parties to ensure appropriate injury/claims management strategies are implemented for all claims.
- regular claims reviews.
- facilitation of critical case reviews for complex claims.
- payment of service providers and reimbursement of compensation payments.
- appropriate referral of injured workers to approved vocational rehabilitation providers, medical specialists and other practitioners as required.
- competent and equitable claim settlements.
- dispute resolution services.
- provision of information and assistance regarding legislative requirements and best practice for injury management, in particular injury management systems and return to work programs.
- analysis of data, identification claims trends and reporting.
Where to go for assistance
For assistance with any aspect of Workers' Compensation claims management please contact your RiskCover Injury Services Officer or RiskCover.
Key RiskCover claims personnel are available after hours.
This Product Disclosure Statement is intended to provide your agency with an overview of the cover provided as a participating member of the RiskCover Fund. For full details of the cover, conditions, limitations and exclusions reference should be made to:
- The RiskCover Cover Document and Fund Guidelines;
- Your agency's specific Certificate of Cover;
- Variation of Cover (where applicable); and
- Special Cover (where applicable).
These documents are available behind the secure section of the RiskCover website. To arrange access, please contact your Fund Services Coordinator or RiskCover.
