Claims Management Services

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Claims Management Services

icare Self Insurance has four Claims Managers as part of our service offering to TMF agencies. 

icare TMF

The successful operation of icare tmf (Treasury Managed Fund) relies on best practice claims management knowledge, skills, and services to:
  • Understand the unique needs and requirements of the tmf-member agencies
  • Investigate, manage, and resolve claims
  • Determine indemnity and liability
  • Develop claims and return-to-work strategies
  • Conduct regular claims management reviews
  • Establish and maintain up-to-date case estimates
  • Record and update claims information
  • Manage third-party service providers
  • Manage disputed and litigated claims
  • Issue policies and premium notices
  • Ensure premiums are paid
  • Help agencies understand their deposit premiums and reports
  • Help agencies develop their claims management systems, processes, and skills
  • Provide proactive risk management advice and support
The claims management service providers manage three workers compensation portfolios, one health liability portfolio, and one general portfolio (including non-health liability, property, motor vehicle, and miscellaneous risk).
 
The claims management service providers for the current contract period are:
 
Allianz Australia Insurance Limited — Workers Compensation No.1 (includes Education and Training; Services, Technology, and Administration; Communities; Treasury; and Industry and Investment)
 
Employers Mutual Limited — Workers Compensation No. 2 (includes 50% Health (Southern); Police and Emergency Services; Planning; and Premier and Cabinet)
 
QBE Australia — Workers Compensation No. 3 (includes 50% Health (Northern); Human Services; Justice and Attorney General; Environment, Climate Change, and Water; and Transport and Infrastructure)
 
GIO General Limited — Health Liability and General Liability

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2011 Agency Satisfaction Survey findings

Updated: 01/08/17