Internal company policies and procedures are required to facilitate effective management of your workers’ compensation claims. Below is a brief overview of the claims process.
For assistance in positively influencing your claims, consider CCI's OSH & Workers Compensation Handbook. The Handbook provides you with detailed information in relation to the legislation and provides recommendations to assist you to develop processes to achieve effective claims management outcomes.
Claims Life Cycle
| Worker sustains an injury
 |
| Worker notifies the Employer
|
| Worker sees a GP.
Worker completes a 2B form.
Worker provides the medical certificate to the Employer
|
| Employer date stamps documents.
Employer has 3 days to provide the Claim to the Insurance Company.
Employer speaks to GP - confirms injury, treatment,
estimate timeframes and prognosis.
Employer advises the GP of the alternative duties that they have available.
Employer documents a RTW plan and forwards a copy to all parties.
|
| Insurance company has 14 days to make a decision on liability (accept/pend/decline). |
|
| | |
| Insurance company needs
more information.
Insurance company pends claim
 | | Insurance company
accepts liability.
|
| Insurance company
investigates claim
Insurance company has
10 days to make a decision
| 
| Employer monitors
the Workers recovery
|
| Insurance company
Accepts claim | | Employer monitors the
RTW plan |
| Employer reviews the RTW plan.
Is the goal achievable?
When will it be achieved?
Can the Employer support the long term goal?
|  |
| Workers' injury stabilises
GP issues final medical certificate/settlement. | |
How can CCI help you?
If you're not a CCI member why not consider joining? call 1300 4 22492 or email membership@cciwa.com
Claims Management - Members Area If workers compensation is not a topic you deal with on a daily basis CCI are happy to assist you with any queries. The following is some introductory information to help you get a better understanding of workers compensation in WA. If you would like ...
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