When a workplace injury occurs, managing the claim properly is crucial.
We’re here to support employee recovery and protect your business. We’re the largest workers compensation claims manager outside of Comcare – which means we have extensive understanding of the SRC Act and the complexities of claims for federal self insured businesses and Comcare licensees.
As a trusted Third-Party Administrator (TPA) for the Comcare scheme, we deliver best-in-class claims management to state-based and SRC Act self insurers across Australia. Our strong relationships with federal regulators ensure your business stays compliant while maximising the financial and commercial benefits of self insurance.
Through the Mutual Benefits Program, we also provide free resources and initiatives to help you enhance your workplace safety, lower risks, and strengthen claims management processes.
We’ve managed over 5,000 SRC Act injury claims to date, from lodging a Comcare notifiable incident to resolution. Our comprehensive approach to injury management goes beyond regulatory and licensing requirements, ensuring the best possible outcomes for your workers and your business.
Our claims model has been refined using insights from our Australia-wide exposure to workforce trends and industry best practice. In addition to specialist roles like RTW specialists, mental health specialists and legal specialists, our service model is propelled by innovations that enhance the recovery process and empower our front-line staff to deliver claims management activity which really makes a difference.
Our Actuarial Services Team works with a range of our self-insured customers across state-based and national workers’ compensation schemes, as well as personal injury regulators. They monitor performance and perform deep-dive analyses to identify emerging trends to identify key drivers of claims costs and the efficacy of improvement initiatives. Together, we work with our clients to design strategic interventions to positively impact claim liabilities and provide support into establishing and monitoring performance targets at all operational levels.
The Valliant program places expert psychological resources at the very start of the claims process, ensuring injured workers receive specialised support from day one – before claims escalate, before treatment delays cause further harm, and before psychological injuries spiral into long-term work absences.
Mental health recovery is influenced by more than just medical treatment – yet traditional claims model often ignore the psychological and social factors that shape a worker’s ability to return to work. Our claims model leverages predictive analytics and targeted intervention strategies. By integrating biological, psychological, and social factors into claims decision making, we help Case Managers flag psychological and social barriers before they delay recovery and deliver tailored support plans to optimise claim outcomes.
Our team have significant experience monitoring a range of KPIs within the SRC Act and pride ourselves on our strong LKPI performance. Claims management audits within the last four years have maintained 100% compliance against Comcare reconsideration criteria across our client base.
Browse our training across workers compensation, health and safety, return to work and mental health.
Browse our training across workers compensation, health and safety, return to work and mental health.
Browse our training across workers compensation, health and safety, return to work and mental health.
Browse our training across workers compensation, health and safety, return to work and mental health.
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The EML Group is made up of a group of companies owned and operated by a partnership between Employers Mutual Limited & The Trustee For ASWIG Management Trust ABN 23 923 166 503, to find out more information about the EML Group click here.
