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Vic Ombudsman to re-investigate insurers’ handling of workers compensation claims

In 2016 the Victorian ombudsman conducted an investigation into the workcover insurers’handing of workcover claims. The findings were scathing. In particularly the Ombudsman found that Victoria’s workers compensation scheme had failed some particularly vulnerable people. It has now come to our attention that the Vic Ombudsman is to re-investigate insurers’ handling of workers compensation claims and WorkSafe oversight.

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Doctors ‘lied’ to save money, injured worker claims

Following an earlier post about “inconsitencies” and the sad truth that workcover will also “Google”you“,  I  “Googled” some workcover-related articles in the media and bumped on the following interesting story, which was featured on ABC News last year. In this story an injured prison officer said  doctors, selected by WorkSafe insurance agents, lied and falsely claimed she had been a rodeo rider in an attempt to save the compensation regulator money. “It’s not even the words I used. I said I had been involved in the rodeo association. I haven’t even ridden a bronco or a bull,” she said.

Sounds familiar? Bet it does!!!

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MitigatingTheDamages

Duty to mitigate your loss – very important in workcover cases

We have written about it many times  (see for example “Mitigation of Damages“), but perhaps it’s time to re-highlight that an injured person who makes a claim for compensation is actually required to take all reasonable steps to mitigate his or her loss. So what does this actually mean?

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Workcover NSW broken, pointless, complex and unfair

Last year (March 2017) an upper house inquiry into NSW Workers Compensation released its report recommending a range of reforms. But at the end of our readings we see that nothing has really changed, or has there?

The Law and Justice Committee report found that the dispute resolution processes – called “dysfunctional” by stakeholders – were “inefficient, caused delays, and resulted in inconsistent decision-making and a system that is difficult for scheme participants to navigate”.

The review made 26 recommendations to make claims simpler for injured workers and for the NSW government to establish a ‘one stop shop’ forum for the resolution of all workers compensation disputes.

Other recommendations clamp down on aggressive covert surveillance by insurers, stop insurers “doctor-shopping” to deny claims and require case managers to have mandatory minimum qualifications and training.

The review also recommends the removal of the distinction between ‘work capacity’ and ‘liability’.

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