Pre 1988 Act CASES3

Retain copies of all communication on the claim file and/or PRACSYS.

•       In all cases, issue a letter to the claimant and/or his or her legal representative as per Appendix 17.  This should be modified to suit pre 1988 Act cases.

•       Use the 'View Claim Determination Summary' function in Claims Management to compile initial details about claim costs.  These should be included in the letter.

•       Create a diary to review settlement progress every two to three months.
•       Provide the letter at Appendix 18 every time updated costs are provided to the legal representative.
•       Set up a recovery account record in anticipation of settlement.  Set it to 'I'nactive.  There will be no line items to attach to the record.
•       Add the recovery reason as 'TPR' to indicate that this account will always remain legitimately inactive.
•       Once notified of settlement amounts do one of the following:

•      cease the claim where the amount of settlement is much greater than compensation paid;
•      suspend the claim where the amount of settlement is greater than compensation paid and it is anticipated that compensation will later be payable again;
•      continue the claim where the amount of settlement is the same or less than compensation paid.

•       Set up a diary reminder to be generated a month after settlement has occurred, to check on payment progress.
•       Update the comments field on the recovery account regarding payment received from settlement monies.
•       Keep a copy of the cheque received on the claim file.
•       Where the claim is suspended, commence offsetting procedures.  Keep a copy of these records on the claim file.
•       If further compensation is accidentally paid before the claim is ceased:

•      amounts less than $500 should be added to the total damages to be offset and a letter issued to the employee (at Appendix 19) for information.
•      amounts greater than $500 should be recovered using normal non-incapacity or incapacity processes.  'Money in' recovery methods will apply.