Jail for Workers Compensation Fraudster

Jail for Workers Compensation Fraudster

With workers compensation schemes/underwriters experiencing increasing challenges, costs and resulting need to increase workers compensation insurance premiums, a recent court decision represents ongoing focus on fraudulent workers compensation activities. A Victorian business owner has been sentenced to 22 months in prison for workers compensation fraud and is also required to repay $350,000 of illegal workers compensation payments.

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People Risks

People Risks

Successfully managing business risks is more important than ever before. Businesses are faced with numerous different risks, yet anticipating and effectively managing your people risks are critical to building trust inside and outside of your business. Given people risks can have significant financial, reputational and legal implications, risk management efforts are crucial for businesses. What are the common people risks Australian businesses should be aware of and address?

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Why Workers Compensation Premiums Increase

Why Workers Compensation Premiums Increase

Australian States & Territories have different workers’ compensation legislation & consequently, the method (or formula) used to calculate a workers’ compensation premium. Workers’ compensation insurance premiums are typically based on the business industry, annual wages & a range of other factors that could include claims frequency/costs, underwriting decisions, and various adjustments. The reason why a workers’ compensation premium increases, therefore depends on a variety of factors.

Workers’ compensation premiums in Australia can increase for various reasons. Workers’ compensation premium increases are often influenced by factors related to both the individual business & the broader workers’ compensation system.

Common reasons for premium increases include:

  • Wage Increases: Premiums are often calculated based on the total wages paid to employees. If an employer’s payroll increases significantly, their workers’ compensation premiums will also rise accordingly
  • Industry Risk: The nature of the industry in which the business operates plays a role in determining premiums. High-risk industries, such as formworking, scaffolding, construction or manufacturing, tend to have higher premiums due to the increased likelihood of workplace injuries
  • Claim Frequency: If a business has a higher frequency of workers’ compensation claims, in some states/territories this can lead to increased premiums. A higher number of claims may indicate Work Health & Safety (WHS) issues in the workplace or insufficient safety measures, leading to more frequent injuries or illnesses among employees
  • Claim Severity: The severity of the workers’ compensation claims can also impact premium costs. If a business experiences costly claims, such as serious injuries, long-term injuries/disabilities or fatalities, it can lead to higher workers’ compensation premiums
  • Changes in Legislation: Changes in workers’ compensation laws, or regulations, can impact premiums, rates & formulae. Changes that increase/decrease benefits or expand/restrict coverage may lead to higher/lower workers’ compensation premiums
  • Experience: In some Australian states/territories, workers’ compensation premiums are adjusted based on an experience modification factor. This experience modification factors can be influenced by an employer’s claims history & safety record. If a business’ claims experience is worse than the industry average, their premiums may increase.
  • Insurer’s Pricing Decisions: Insurance companies periodically reassess their risk exposure and adjust premium rates accordingly. If an insurer faces higher overall claim costs, they might increase premiums across the board.
  • Inflation and Medical Costs: General inflation and rising medical expenses can impact the cost of workers’ compensation claims, which may lead to premium increases for employers.

To successfully manage & control workers’ compensation premiums, businesses can focus on:

  1. improving workplace safety
  2. implementing risk management strategies
  3. promoting a culture of WHS among employees

Proactive measures to prevent workplace injuries & illnesses can help reduce the frequency (number) and severity of claims, ultimately leading to more stable or reduced premium costs over time.

ABILITY GROUP specialises in actively working with clients to identify workers’ compensation premium reduction strategies as well as their implementation to achieve sustainable workers’ compensation premiums.

Contact our workers’ compensation specialists for help in reducing your workers’ compensation premiums or for further information, please refer to below


Source: icare

Title: Calculating the cost of your workers insurance premium

Read Time: 5 minutes


Source: WorkCover Queensland

Title: Premium calculation

Read Time: 5 minutes


Source: ReturntoWorkSA

Title: Premium calculations

Read Time: 5 minutes


Source: WorkSafe Victoria

Title: Calculation your premium

Read Time: 5 minutes

What are Suitable Duties?

What are Suitable Duties?

Suitable Duties is a common workers’ compensation insurance term often used in the context of workplace injury or illness management. Suitable duties are an important part of supporting a worker’s recovery & Return to Work (RTW). Depending on the worker’s situation, getting them back to their normal job role or duties after a work-related injury or illness might take some time. This doesn’t however mean they are unable to work though & the identification of appropriate Suitable Duties represents an important RTW process.

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