Interest on back pay entitlements provided where applicable. Interim decisions are based on evidence from a medical practitioner. Interim decisions are made following consultation with the worker. Standard 2 Claims Management Element 6 Permanent Impairment Economic Loss & Non-Economic Loss – 2.6.1. Determinations of entitlement to economic and non-economic loss are issued in writing and detail the calculation applied to determine the economic and non-economic loss lump sum entitlements and the workers’ rights to a review of the decision. 2.6.2. Within one month from the date the determination notice was issued to the worker, the self-insured employer must provide ReturnToWorkSA with a completed Notice of Lump Sum Determination Return, including all relevant supporting documentation. Reference Topic RTW Act Specific Requirements to be Addressed Document 2.6.1 Determinations issued s22 Documents on file demonstrate the self-insured employer has applied its procedures to Claim files in writing, include ensure: calculation applied WPI Assessments are undertaken where injury is stabilised. and the worker’s Consultation occurs with worker with respect to assessment. review rights. Documents on file demonstrate the self-insured employer has applied its procedures to 2.6.2 Provision of the Notice s22 Claim files ensure: of Lump Sum Code of ReturnToWorkSA is notified (including provision of required documentation) of any Determination conduct assessment of WPI and lump sum payment for non-economic loss or economic loss. Return, including all
Interest on back pay entitlements provided where applicable. Interim decisions are based on evidence from a medical practitioner. Interim decisions are made following consultation with the worker. Standard 2 Claims Management Element 6 Permanent Impairment – Economic Loss & Non-Economic Loss 2.6.1. Determinations of entitlement to economic and non-economic loss are issued in writing and detail the calculation applied to determine the economic and non-economic loss lump sum entitlements and the workers’ rights to a review of the decision. 2.6.2. Within one month from the date the determination notice was issued to the worker, the self-insured employer must provide ReturnToWorkSA with a completed Notice of Lump Sum Determination Return, including all relevant supporting documentation. Topic RTW Act Specific Requirements to be Addressed Reference Document 2.6.1 Determinations issued in writing, include calculation applied and the worker’s review rights. s22 Documents on file demonstrate the self-insured employer has applied its procedures to ensure: WPI Assessments are undertaken where injury is stabilised. Consultation occurs with worker with respect to assessment. Claim files 2.6.2 Provision of the Notice of Lump Sum Determination Return, including all s22 Code of conduct Documents on file demonstrate the self-insured employer has applied its procedures to ensure: ReturnToWorkSA is notified (including provision of required documentation) of any assessment of WPI and lump sum payment for non-economic loss or economic loss. Claim files
20151030113531.Self-Insured-Injury-Management-Standards-Guidance-Notes.docx