BSBWHS407 (2).docx - Activity 1 1 How would you handle a...

This preview shows page 1 - 3 out of 12 pages.

Activity 1. 1. How would you handle a Worker’s Compensation claim according to organisational policies and procedures including all relevant legal and workers’ compensation insurance requirements, if you were the WorkCover reporting officer in an organisation where an employee had fallen from a ladder and was conscious but lying on the floor, unable to get up? Discuss in 100 to 120 words. In accordance to the policy and procedures, when incident like this happened during undertaking, the reporting officer should first file an incident report. But in this case, as the worker is unable to get up as he fell from the ladder, he must be assisted with first aid. After having the first aid, the concerned worker must see a doctor and get a jurisdiction-approve d certificate. To complete the claim, the injured worker must fill-up the worker's claim form completely. Also, the employer must fill-up its part to the form. Finally the claim form must be submitted to the approved insurer and wait for the decision to the claim. 2. What information would you include in your initial report to the WorkCover authorities ? Discuss in 80 to 100 words. The information that the report should contain is the worker's claim form, which must be completely filled up by the injured worker, and the employer, this must not be filled up on their behalf. The first medical certificate must also be included to the report, to determine whether the worker is capable to return to work or needs to take a break. If there are any medical accounts that concerns the worker, it also must be included. And if there are any requirements or files that is asked by the Approved Insurer, all of those must be submitted for further analysis to the report. Activity 2. What are the differences in the role of the case manager when they advise an injured worker that their claim has been rejected , compared to when the claim has been accepted ? Discuss in 120 to 150 words. The difference between whether the claim is accepted or rejected by the Approved Insurer can rely from the submission of the report to the benefits that is within the approval. Upon the submission of the report, the Approved Insurer will review all the necessary documents that would prove whether the worker should be favored in accordance to the Satisfactory/ Not Satisfactory Satisfactory/ Not Satisfactory
Image of page 1

Subscribe to view the full document.

presented evidences. Documents like worker's claim report, medical certificate, and the written statement of a witness, if there is any. The approval of the claim relies heavily on the documents presented, if there is lack of evidence and the claim is rejected, then there would be no compensation that will be given to the worker. But if there are enough documents that will justify the right of the worker and the claim is accepted, then the worker will have all benefits that will serve as compensation for the injuries he/she has acquired.
Image of page 2
Image of page 3
  • Winter '17
  • Approved Insurer, Worker’s Compensation claim

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern