Elements and Performance Criteria
- Assist with managing claims
- Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
- Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
- Advise claimants as to whether their claim has been accepted
- Assist with the analysis of claims to identify the nature of the illness or injury and prepare reports according to organisational policies and relevant legal and insurance requirements
- Estimate projected period of absence from work and, where rehabilitation assistance is required, help to ensure arrangements are made in the work team to deal with absence
- Assist with planning for and implementing a successful rehabilitation or return-to-work program
- Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required
- Facilitate consultation between rehabilitation provider, relevant managers and affected worker
- Document existing skills, experience and capabilities of affected worker to assist with return-to-work planning
- Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals
- Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work
- Consult with relevant managers about the return-to-work program
- Determine retraining that may be required when it is not possible for the worker to return to previous duties
- Assist with establishing a rehabilitation or return-to-work program in consultation with worker
- Start program as soon as possible
- Assist with monitoring and evaluating a rehabilitation or return-to-work program
- Facilitate regular feedback and communication between provider, supervising manager and worker
- Facilitate regular contact and support between provider and worker
- Assist with identifying breaches of the return-to-work program, notifying breaches and taking prompt remedial action according to organisational policies, procedures, and relevant legal and insurance requirements
- Assist with modifying return-to-work programs where appropriate
- Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate