Claims Management

ACT Legislation

Workers’ compensation is compensation payable under the ACT Workers Compensation Act 1951 to a worker who sustains an injury arising out of or in the course of their employment.‎

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

All employers are required to maintain a Register of Injuries that is readily accessible to all workers. The Register of Injuries is a current record of any injuries suffered by workers, whether or not they result in a claim.

Lodging an injury notification

Employers are required to notify their workers’ compensation insurer of all injuries sustained by their employees. They must provide the initial notification within 48 hours of becoming aware of the injury. If an employer fails to give notice within this timeframe, the employer is directly liable for weekly compensation from the end of the notification timeframe (48 hours) until the notice is given to Allianz and cannot be compensated for this period.

The initial notification can be made by:

By notifying Allianz within 48 hours you will meet your legislative obligations and we are able to commence active injury management to facilitate a prompt recovery and return to work of your injured employee.

To make a claim for compensation

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

  • Provide the worker with a claim form
  • On receipt of the completed form, complete the employer’s claim form and forward immediately (within 7 days), together with an approved WorkCover medical certificate, to Allianz at the following address:

  • Allianz Australia
    Level 1, 55 Wentworth Avenue
    Kingston ACT 2604

Claim Lifecycle – What happens and when

The diagram below shows a typical lifecycle of a workers’ compensation claim. This diagram is a simplified description of the claims process, so you know what to expect should you need to make a claim.

Claim Lifecycle
Step 1. (Injured worker step)A workplace injury is reported to the employer. In the case that a serious incident occurs involving a fatality or permanent injury or illness, please phone WorkCover immediately on 02 6207 3000.
Step 2. (Employer step)The employer notifies Allianz within 48 hours of the injury/incident and is issued an incident number which is to be used in all correspondence.

Phone: 1300 360 595
Fax: 02 9266 7267
On line: lodging an injury notification on-line
Step 3. (Allianz step)If the injury is significant, the Case Manager will contact the employer, injured worker and if necessary, the treating Doctor to initiate injury management activities, including a return to work or injury management plan.
Step 4. (Employer step)The injured worker and employer complete and return Workers’ Compensation claim forms together with a WorkCover medical certificate within 7 days.
Step 5. (Allianz step)Upon receipt of the claim form and medical certificate, Allianz will assess the claim and in most cases advise all parties of liability determination within 3 working days.
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
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, including the process to be followed should the decision be disputed.
Step 7. (Injured worker & employer step)If liability is accepted, all relevant accounts and requests for 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)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