NSW Claim Transition Update

NSW Claim Transition Update

The NSW workers’ compensation scheme has undergone significant changes in recent years, impacting employers, insurers, and injured workers. ABILITY GROUP has provided updates to help businesses navigate these transitions effectively.

Key Changes in Claim Management

  • Agent Transition: From 1 January 2018, CGU and QBE ceased being agents of the NSW Workers Compensation Scheme.
  • New Claim Lodgement: Employers who previously lodged claims with CGU or QBE must now follow a new process. Claims transitioned to GIO and Allianz before moving to EML as the sole agent for new claims from 2018 onwards.
  • Processing Delays: Some delays occurred during the transfer of claim files, particularly when moving from CGU/QBE to GIO. Employers were advised to stay proactive to avoid late notifications and excess payments.

Employer Responsibilities

  • Early Notification: Employers must notify claims promptly to avoid penalties and ensure timely support for injured workers.
  • Understanding New Processes – Familiarity with updated lodgment procedures is crucial to prevent administrative setbacks.
  • Communication with Employees – Injured workers and employers are notified of transition dates for each claim, ensuring transparency during the handover.

Policy Adjustments

  • Actual Wages Adjustments: icare announced it would process Actual Wages Adjustments for policies expiring after 29 June 2017, beginning mid-September of that year. This change streamlined policy management and reduced administrative burdens for employers.

Why This Matters

The transition aimed to simplify claim management under a single agent (EML), reduce confusion for employers, and improve efficiency in handling workers’ compensation claims. However, businesses needed to adapt quickly to avoid disruptions and ensure compliance.

Contact the Ability Group to know more

Source: Lockton

Title: Significant NSW workers compensation reforms passed: What employers need to know

Read time: 5+ mins

Increasing Workers Claim Fraud

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