Client address unknown

If client correspondence has been returned to the Department as return to sender, attempt to contact the client or their representative by phone, email or SMS to confirm their current address. Make a note in Process Direct for each attempt.

If the client or their representative cannot be reached after 3 attempts:

Types of representatives

There are a number of different representatives DVA engages with. 

Generally, the way we engage with these representatives is the same. However, if a client is represented by a family member or trusted friend, it may be necessary to provide more detailed explanation around claims processes.

Representatives

Client Benefits staff regularly engage with client representatives when processing claims. Consistent engagement with representatives is critical in maintaining high levels of service delivery. 

This chapter provides information about the different types of client representative arrangements and procedures on how staff should interact with them.

Pre determination phone call

A pre-determination call plays a crucial role in the claims process as it ensures procedural fairness obligations are being met. It humanises the process, provides the client an opportunity to ask questions, clarify information and offer additional supporting documentation to support the claim. 

Progress Updates

Progress updates are touchpoints that keep clients informed and engaged through the duration of their claim assessment. The timeframe for claim progress updates should be established with the veteran as part of the initial phone call. 

Claims progress updates are an opportunity to provide:

Reasonable attempts

To meet DVA’s customer service expectations, all delegates are required to have an ongoing relationship with their clients.  It is imperative that delegates provide timely advice to clients on the progress on their claims and make reasonable attempts to contact clients and obtain information to support a claim.

Telephone

Each phone call is an opportunity for staff to represent the values and professionalism of the Department in their interactions with clients, their representative or their family. It is important that each encounter not only reflects professionalism but is also mutually respectful and is a genuine commitment to building rapport and providing quality interactions.

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