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Allianz Australia Insurance Limited ABN 15 000 122 850 AFS Licence No. 234708
Copyright © 2015 Allianz Australia Limited ABN 21 000 006 226
The worker may be entitled to compensation for weekly benefits while incapacitated for work, medical expenses, rehabilitation expenses and permanent impairment.
GPO Box 4771
Darwin NT 0801
|Step 1. (Injured worker step)||The worker completes pages 3 and 4 of the NT WorkSafe prescribed claim form - "NT Workers Compensation Claim Form".|
|Step 2. (Injured worker step)||The worker submits the completed claim form, along with the Statement of Fitness for Work certificate, to their employer.|
|Step 3. (Employer step)||The employer completes page 5 of the claim form provided by the worker.|
|Step 4. (Employer step)||The employer forwards the completed claim form, details of the injured worker’s earnings or employment contract prior to the first date of compensation, and all other relevant documentation to Allianz within 3 working days of receiving the claim form from the injured worker.|
|Step 5. (Allianz step)||Upon receipt of the claim form and Statement of Fitness for Work, Allianz will assess the claim and in most cases advise all parties of liability determination within 3 working days.|
NOTE: Allianz has 10 working days to assess liability from the date the worker submits their completed claim form to the employer (step 2), otherwise the claim is deemed accepted.
|Step 6. (Allianz step)||If liability is accepted |
The Case Manager collaborates with the worker, employer and nominated treating Doctor to return the injured worker to work as soon as possible.
If liability cannot be determined without additional information (decision deferred)
The Case Manager will notify the employer and the worker of the delay in determining liability and the reason(s) why. The required additional information will be sought and a decision promptly made on receipt.
If liability is not accepted
The Case Manager will notify the employer and injured worker of the liability decision verbally and in writing, and advise of the process to be followed should the decision be disputed.
|Step 7. (Injured worker & employer step)||If liability decision is deferred, employers should commence paying weekly compensation within 3 working days. Reasonable medical and treatment costs will also be covered during this period. |
If liability is accepted, all relevant accounts and wage reimbursements should be sent promptly to Allianz for payment.
|Step 8. (Allianz step)||Allianz will keep in regular contact with the employer and injured worker to facilitate a prompt recovery and return to work of the injured worker. Assistance may be sought from specialist providers, such as occupational rehabilitation experts or medical professionals.|
|Step 9. (Injured worker & employer step)||The injured worker is certified fit for work with no ongoing treatment. All final accounts / wage reimbursements sent to Allianz for payment.|
|Step 10. (Allianz step)|
Allianz closes the claim