OUTSOURCED INJURY & CLAIMS MANAGEMENT

PERIOD:
  • December 2004
CHALLENGE:
  • Premium was rising at 20% per annum
  • CEO required assistance in explaining to Board
  • Claim rate was high.  (Nine active claims among 50 employees)
  • Return to work planning was practically non-existent
  • Claimants took extended time off and used “WorkCover leave” freely  (“Sick culture” pervaded)
  • Company did not comply with WorkCover Regulations including prescribed time periods for claim registration, documenting of return to work plans, and for medical clearances.
ACTION:
  • Established processes and systems
  • Strategic review of all claims
  • Facilitated up-skilling  of line supervisors
  • Formulated, and directed implementation of, case management
  • Management of key stakeholders (Employees, Agent, Doctors, Providers)
RESULTS:
  • Time lost due to WorkCover reduced from 200 hours per month to zero, 9 months post appointment
  • Effected cultural change towards WorkCover
  • Drastically reduced non-productive hours due to WorkCover
  • Good practice processes and systems established
  • Up-skilled supervisors performed roles with confidence and competence
  • Achieved compliance with WorkCover Regulations
  • Successful claims and injury management model established
  • Ability to refocus on ‘prevention’ (OHS)