WA Workers Compensation

Overview

As a national workers compensation insurer, Allianz Australia has the capability to provide cover in all states and territories (except Queensland and South Australia). If you require cover for Western Australia where Allianz Australia underwrites workers compensation insurance we recommend that you contact your insurance adviser in the first instance.

For details of policy coverage, please refer to our Allianz Western Australia Employers' Indemnity Policy document

For more information about workers compensation in Western Australia visit the
WorkCover WA website or contact us on 1300 130 664

Claims Management


WA Legislation

Workers compensation is compensation payable under the Workers Compensation & Injury Management Act 1981 to a worker who sustains a personal injury by accident arising out of or in the course of employment - or while the worker is acting under the employer’s instructions. Please refer to Section 5 of the Act for further description and exclusions.

The worker may be entitled to compensation for weekly benefits while incapacitated for work, medical expenses, rehabilitation expenses, permanent impairment and, in some instances, damages at common law.

Register of injuries


We recommend all employers maintain a Register of Injuries. The Register of Injuries is a current record of any injuries suffered by workers, whether they result in a claim or not. Employers should keep a Register of Injuries that is readily accessible in the workplace.

Lodging an injury notification
The WA legislation does not contain any specific timeframes around notification of an injury to your workers compensation insurer, however, we encourage you to notify Allianz as soon as practicable, of any injuries sustained. This allows Allianz to commence active injury management to facilitate a prompt recovery and return to work of your employee.

An initial notification by the employer can be made by:


• Contacting Allianz First Report on 1300 360 595
Faxing completed paperwork to (08) 9422 8650
Lodging an injury notification on-line.



Make a compensation claim

Should you or your worker wish to make a claim for compensation, please complete the following requirements:

Provide the worker with a claim form (Form 2B) for completion
Complete an Employer’s claim form
Forward the completed worker’s and employer’s claim forms to Allianz, together with a First Medical Certificate, within five (5) working days of receiving the worker’s form. Please send all documents to:

GPO Box K772
City Delivery Centre
Perth WA 6842


Promptly forward all other internal investigations, statements or relevant correspondence.


Claim lifecycle - what happens and when

The table below shows the typical lifecycle of a workers compensation claim. This table is a simple description of the claims process, so you know what to expect if you need to make a claim.

Step 1. (Worker step)A workplace injury is reported to the employer. In the case that a serious incident occurs involving a fatality or permanent injury/ illness, please phone WorkSafe immediately on 1800 678 198. We would also request you notify your Allianz contact as soon as possible.
Step 2. (Employer step)The employer notifies Allianz as soon as practicable of the injury/incident and is issued an incident number which is to be used in all correspondence. If the injured worker wishes to make a claim, the employer is to provide the worker with a claim form.
Step 3. (Allianz step)If the injury is significant, a Case Manager will be assigned and will make contact with the employer, injured worker and, if necessary, the treating doctor to initiate injury management activities as appropriate.
Step 4. (Employer step)The injured worker and employer complete the compensation claim forms and, together with a WorkCover Medical Certificate, forward them to Allianz within 5 working days of the employer receiving the worker’s form.

Please note that in accordance with the Workers Compensation and Injury Management Act 1981, WorkCover may penalise employers $1000.00 for failing to report claims to their insurer within the required timeframe (s57A(2A)).
Step 5. (Allianz step)Upon receipt of the claim forms and medical certificate, Allianz will assess the claim and in most cases, advise all parties of liability determination within 3 working days.

If liability cannot be determined, Allianz has a further 10 days to determine liability, thereafter the claim is considered to be disputed.
Step 6. (Allianz step)If liability is accepted
The Allianz case manager collaborates with the worker, employer and nominated treating doctors to return the worker to work as soon as possible.

If liability cannot be determined without additional information
The Allianz 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 Allianz case manager will notify the employer and worker of the liability decision verbally and advise the worker of their right to appeal the decision either through informal negotiation with the insurer, or by lodging a formal application for conciliation. All parties will subsequently be advised in writing of Allianz’s decision and the process if the decision is disputed.

For more information on the dispute resolution process please refer to the dispute resolution publication provided on the WorkCover WA website.
Step 7. (Worker & employer step)If liability is accepted, all relevant accounts and requests for wage reimbursements should be sent promptly to Allianz for payment.

Please note the Workers Compensation and Injury Management Act 1981 requires an employer to make weekly compensation payments to an worker within 14 days of being advised the claim is accepted.

Failure to comply with this requirement may result in a WorkCover penalty of $2,000.00 for each weekly payment not made when due. Subsequent payments are required to be made on the employer’s usual pay day.
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. Assistance maybe sought from specialist providers, such as occupational rehabilitation experts or medical professionals.
Step 9. (Worker & employer step)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

TrainingAllianz provides education and information services to help you stay up to date and perform your workers compensation, injury management and Work Health and Safety (WHS) responsibilities.

Workplace Health & Safety

The active involvement of each individual in the workplace is essential for the success of any Workplace Health & Safety (WHS) management program. Our WHS courses will help you better manage workplace risks and develop a 'safety culture' in your workplace.

Learn more

Fundamentals

Workers compensation is one of the largest classes of insurance in Australia. Our Fundamentals courses are for employers new to workers compensation or those wishing to improve their workers compensation knowledge.

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Return to work

Getting workers to remain at, or return to work, as soon as possible after an injury is the goal for all businesses. Allianz offers a range of Return to Work related courses from essential skills through to advanced training.

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Specialty courses

Not all workers compensation claims are the same. Depending on the circumstances and the injuries sustained, there are different ways to achieve optimum outcomes. Our specialty courses will help you to effectively manage a number of more complex workers compensation issues.

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