Risk & Injury Management

• Collation and review of claims documentation with clients;
• Claim registration and submission to workers’ compensation insurers;
• Liability review, raising of applicable concerns with all relevant stakeholders;
• Ongoing liaison with key stakeholders throughout the entire claims process;
• Coordinate claims reviews involving the client, broker, insurer and any other relevant parties;
• Provide support and as required, attend case conferences, informal settlement meetings and WorkCover dispute resolution conferences; and
• Monitoring of each claim, until complete closure.

The services below are additional services that RTC can provide to Westminster Coverforce clients for a fee.

Strategic Expertise

• Ongoing claim status review and provision of outcome driven strategy to facilitate best practice and cost effective closure;
• Provision and application of clinical and technical expertise including strategies in regards to wage recoupment and injury cost reduction options;
• Identification and advice regarding mitigation of potential negligence exposures;
• Identification and explanation provided for injuries requiring report to regulatory bodies, such as WorkSafe;
• Ongoing review of legislative compliance including contract management and provision of advice regarding penalties for non-compliance;
• Upon request, review of IM, return to work and workers’ compensation policies and procedures;
• Assistance in establishing relationships with preferred providers, such as:
• Medical providers, including independent specialists;
• Legal providers; and
• Rehabilitation (treatment and/or vocational) providers.
• Liaison with key stakeholders in relation to matters impacting a client’s workers’ compensation premium;
• Liaison with Coverforce claims team in relation to matters over-lapping with any general insurance and/or liabilities; and
• Identification of potential and over-lapping industrial exposures.

Training: Upon request, development and delivery of training to clients regarding best practice injury management, the workers’ compensation system and risk management strategies.

Non-Work Related Injury / Illness Advice: As required, provision of advice regarding any fitness for work concerns raised by clients, their options, exposures and any risks or potential consequences identified.

Pre-Employment Medical Review and Risk Management Advice: Upon request, conduct a review of and provide advice regarding the recruitment and on boarding process. Pre-employment screening, medical results and/or risks identified by clients during the recruitment process.

In addition to the above and for a fee, your business may wish to engage Ross Tozer Consulting to provide the following Risk Management services:

• Develop and implement an early intervention program and management of acute and chronic workplace injuries;
• Contact with the injured worker;
• Facilitation of, and on occasion attendance to, medical reviews;
• Review of treatment plans and graduated return to work programs;
• Ongoing monitoring of each case until resumption of full duties and recovery is achieved; and
• Maintenance of comprehensive file notes and case records;
• High level IM, Workers’ Compensation and Safety Systems Audits;
• Conduct review of site specific IM & HSE procedures & processes;
• Assistance with risk identification and strategies to minimise these risks to ALARP.