Scheme agents deliver the following services to workers and employers:
Policy services
Claim services
The scheme agent is required to:
- issue policies and Certificates of Currency
- determine premiums – assess and calculate premiums, issue premium demands, and adjust premiums
- assess compliance – conduct audits and advise WorkCover of non-compliance
- collect premiums and premium-related debts
- encourage employer risk reduction – provide employers with strategies to reduce their premiums.
The scheme agents provide services to injured workers, including reviewing claim notifications, managing third party service providers (eg physiotherapist) and ensuring payment of appropriate benefits. Injury notifications are classified into severity and complexity, then the scheme agent completes triage and assigns a competent and skilled case manager. The case manager devleopes a case management plan to ensure the injured worker, employer and nominated treating doctor are aware of their legislative obligations. The case management and injury management plans are then developed and implemented.
Call 13 10 50 for more information about scheme agent services.