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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
|Step 1. (Employee step)||The injured employee notifies their employer of their workplace injury. This notification may be given orally or in writing, and must be given as soon as practicable.|
|Step 2. (Employer step)||The employer advises the injured employee of their right to make a claim for compensation within 14 days of Step 1 and provides them with a Workers’ Compensation claim form if required. The employer notifies Allianz of the injury by lodging an injury notification on-line* or contacting Allianz First Report using the contact methods above within three working days of Step 1.|
|Step 3. (Employee step)||The injured employee completes the Injured Worker’s Report section of the claim form and lodges it with the employer, accompanied by a workers’ compensation medical certificate issued by an accredited medical practitioner. The injured employee needs to nominate a primary treating medical practitioner in the space provided on the claim form.|
|Step 4. (Employer step)||Immediately upon receiving an employee’s claim for compensation, the employer must complete the employer’s section of the claim form and notify Allianz of the claim within three working days of receipt.|
The employer must submit the completed claim form and medical certificate to Allianz within five working days of receipt.
The employer must commence payment of weekly compensation (this is on a without prejudice basis and regardless of whether liability is accepted).
|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 three working days.|
|Step 6. (Allianz step)||If liability is accepted |
The Case Manager coordinates with the employee, employer and primary treating medical practitioner to return the injured employee to work as soon as possible.
If liability cannot be determined without additional information
The Case Manager will notify the employer and the employee of the delay in determining liability and the reason 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 employee verbally and in writing that liability is in dispute and refer the claim to the Workers Rehabilitation and Compensation Tribunal for an initial hearing.
|Step 7. (Allianz step)||A Return to Work (RTW) Plan needs to be developed if the injured employee is, or is likely to be totally or partially incapacitated for work for more than five days.|
|Step 8. (Employee & employer step)||If liability accepted, all accounts / wage reimbursements should be sent to Allianz for payment. Note: Employers are required to meet the costs of the first weekly payment for each injury suffered and the first $200 of other benefits (such as treatment or rehabilitation costs).|
|Step 9. (Allianz step)||Allianz will keep in regular contact with the employer and injured employee to facilitate a prompt recovery and return to work of the injured employee. Assistance may be sought from specialist providers, such as workplace rehabilitation experts or medical professionals.|
|Step 10. (Allianz step)||An Injury Management Plan needs to be developed if the injured employee is, or is likely to be totally or partially incapacitated for work for more than 28 days.|
|Step 11. (Injured employee & employer step)||The injured employee is certified fit for work with no ongoing treatment. All final accounts / wage reimbursements sent to Allianz for payment.|
|Step 12. (Allianz step)|
Allianz closes the claim