Insurer responsibilities
The insurer's role involves working in partnership with their insured employers to:
- provide income support for workers and their families
- expedite access to necessary services
- develop injury management plan for significant injuries and promote early and durable return to work outcomes
- manage claims costs.
The responsibilities therefore include:
- payment of benefits and entitlements
- liability determination within 7 days unless a reasonable excuse exists
- factual investigation
- claim estimation
- investigation of recovery potential
- development and review of injury management plans
- making decisions about 'reasonably necessary treatment
- providing advice and information.
