According to a recent article there has been a significant increase in complaints in relation to workers compensation claims fraud. Fraudulent claims include claiming for a non-work related injuries, failure to declare information, altering medical certificates, etc. The recent conviction of a fraudulent worker highlights the emphasis placed on legitimate claims.
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.
You can be excused if you missed the recent important changes regarding RTW in NSW. At ABILITY GROUP we’ve got this and outline the key changes as well as how these changes impact NSW Category 1 and Category 2 businesses. If this makes no sense to you, then you should read more.
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.
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.
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.