CLAIMS & INJURY

MANAGMENT

OHS5110 BY CAITLIN HOWARD

CONTENTS

OBJECTIVES OF THE

SESSION

Claims and injury

management Workers’ compensation is a legislative privilege

Provides compensation- both financial and

rehabilitation services

Provided to workers suffering injury/disability arising

out of or during the course of employment

Including accidents or illness/diseases

Compulsory for an employer to have Workers’

Compensation Insurance Policy

Responsibilities of injury

management personnel General Manager

Supervisor

Occupational Health Nurse (OHN)

Line Management

Injury Management coordinator (IMC)

Process of injury claims

Employee to inform Supervisor

Injury is to be treated ASAP

Process of injury claims Employee referred for medical review – medical

professional (OHN - gatehouse onsite)

Inform GM within the 12hrs of being reported to OHN

Complete an injury incident report

Process of injury claims

Reported in company data management system (DMS)

Injury to be reviewed by Doctor – provide a ‘First’

medical certificate

Process of injury claim

Establish a Case Management Team to coordinate the

employee’s return to work

Create a Return to Work Plan

Process of injury claim Notify company workers compensation department

Any Restricted Work Cases (RTW) or Lost Time

Cases(LTC) need to document:

Occurrence report

Mining injury report form

Mines record book

Process of injury claim Lodge a claim- use Form 2B (workers comp form on

Workcover website)

Employee information kit offered by company

File a claim for insurance payout

Example of workers comp form

Process of injury claims Injury Management – review

Injury Management case closure

injury management process is complete when employee

can sustain normal duties without restrictions

If employee is unable to return to normal duties, case

referred to HR for further management

W.A. legislation & relevant resources

Workers’ Compensation and Injury Management Act

1981

Workers’ Compensation and Injury Management

Regulations 1982

Workcover WA

Department of Mines & Petroleum (DMP) Resources

Safety

Injury claim optimal practice Effective risk management & early intervention

Develop working relationship with rehabilitation agency

and specialised medical practice

Competent injury/rehabilitation management

Commitment by injured worker to return to work

Notification of injury/illness received by OHN

Injury/illness reported to IMC, supervisor & department

manager

Medical certification is provided to company, incident is

recorded in HSEC DMS as appropriate

JCS reviewed by employees medical provided

Is injury/illness work

related?

Are restricted duties

required?

Return to work plan developed and implemented as per the company

Rehabilitation and Return to Work processes

Is employee entitled to

worker's compensation?

Workers Compensation procedures followed

Employee returns to work

as normal

Employee follows Return to

work plan until

resolution/finalisation

YE

S

YE

S

YE

S

N

O

N

O

N

O

Summary: Injury & illness management flowchart

Conclusion

Legislation for the management of injury is important in

successful company management

Appropriate resources and injury care legislation are

essential for minimising both financial and physical cost

for employee and employer

ReferencesJournals

Cornally, S. (1986). Management's participation in rehabilitation. Success versus failure. Journal of Occupational Health & Safety – Australia & New Zealand, 3(4), 382 – 387.

Weaver, M. (2006). Specialist medical practices in industrial health. In Barrett, T. & Browne, D. (Eds.) Rehabilitation. Work and Beyond. (pp. 51 - 66). Perth: Vineyard.

Yates, R. (2006). Employers' perceptions of claims/injury management and rehabilitation in South Australia. Asia Pacific Journal of Human Resources, (44) 1, 102–122,

Websites

Department of Mines & Petroleum (DMP) Resources Safety. (2006). (Retrieved March 13, 2013) from http://www.dmp.wa.gov.au/

WorkCover Western Australia. (2005). Guidelines for Injury Management in the Workplace. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au

WorkCover Western Australia. (2005). Workers‟ Compensation Code of Practice (Injury Management) 2005. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au

WorkCover Western Australia. (2005). Workers‟ Compensation and Injury Management in WA. Guidance Notes for the Code of Practice (Injury Management) 2005. (Retrieved March 11, 2013) from http://www.workcover.wa.gov.au