Category Archives: Claim management

Notification Only Changes

Guidelines for Claiming Workers Compensation  released by SIRA  in 2016, effective 30 June 2017 there will be important changes to Notifications. With NSW insurers now required to contact the injured worker and employer, clarity will be critical.

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Health Risks Of Sitting Disease

With the increasing shift towards white collar & office based jobs, there has also been an increase in musculoskeletal related work injuries & claims. Dubbed “Sitting Disease” there is distinct correlation between hours seated &  risk for disease as well as mortality.

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icare Announce 2018 Claims Partners

At the end of April 2017, icare announced 2018 claims service partners for the NSW Workers Compensation scheme. As a shock to most in the industry, icare communicated that EML had been successful in being selected as the sole agent for new NSW cworkers compensation claims effective from 1 January 2018. This is a major change for NSW with the remaining 4 existing agents (i.e. Allianz, CGU, GIo & QBE) existing at various times.

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icare Medical Panel Trial

icare recently announced the launch a pilot program trialling the use of an independent panel of medical providers. This initiative is hoped to provide various benefits including decreasing time currently taken to  approve injured worker treatments.

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Claim Review Saves Client $400,000

After a new client engaged ABILITY GROUP to assist with a complex claim, our efforts secured a fantastic outcome that will save our client approx. $400,000 in premium increases. By the time we were involved,  solicitors and an arbitration date we already booked. The insurer had communicated very little to the client and what the injured worker was seeking through a settlement was a large amount that would have significantly impacted their premium.

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Introducing Michael

Michael joins our team with extensive injury & claims management, Work Health & Safety (WHS) as well as workplace safety compliance experience. In completing his Bachelor of Commerce, Michael’s understanding of  business complements his desire to help people & prevent risks.

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Claim Declinature

The Christmas – New Year period has historically proven to be a busy period for workers compensation. Due to a variety of reasons, we see a higher frequency of claims during this period. Last December and just before Christmas break / public holidays, one of our clients had a psychological claim lodged against them. The worker had been terminated two weeks prior to the claim being lodged.

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Mental Health

Mental health issues are the 3rd most frequent health condition after cancer & health disease.  This means supervisors are likely to be managing workers suffering from a mental illness. We have identified common mental health hazards & workplace risk mitigation strategies.

An increasing concern for many businesses are the risks of mental health related incidents, injuries and resulting workers compensation claims. We have covered this topic previously and with psychological claims being 7-8 times more expensive than physical injuries the impacts of being reactive is a risk too large for many businesses.

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Fall Related Incidents

Recently we have been involved with an increased number of fall related incidents. The injuries sustained, & the resulting workers compensation claims, can often be complex & costly. In addition to claim related costs, employers also face material fines for unsafe work sites.

After providing advice and support recently to various clients with workers having sustained injuries (5 metre + 10 metre falls to concrete and an employee falling down fire escape), we wanted to provide greater insights into fall related incidents.

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Introducing Jacqui

Jacqui recently joined our team as our senior injury and claim consultant. Jacqui’s experience with injury management and Work Health and Safety (WHS) compliments her private and public sector experience.

Jacqui has a keen interest in injury management and a Cert IV in personal injury management. Prior to injury management Jacqui has worked in events, marketing and sales in both private and public sectors.  Jacqui has a passion for people and helping them get back to health and enjoying life.

Jacqui enjoys trying new things, especially sports and plays touch football and basketball socially.

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