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icare > a;icare self insurance > icare TMF > Fund Structure

Fund Structure

Claims Management

Since 2005, we have operated a multi-provider model for claims management. This model:

  • eliminates dependency on one claims management service provider
  • spreads the operational and performance risks across multiple providers
  • fosters innovation and continuous improvement
  • improves fund performance
  • enables performance comparisons between providers
  • ensures a contestable market in the future.

The multi-provider model features five claims management service providers, each assigned to a claims management portfolio, or portfolios. The portfolios and their service providers are:

  • Workers Compensation No. 1, Allianz Australia Insurance Ltd
  • Workers Compensation No. 2, Employers Mutual Limited
  • Workers Compensation No. 3, QBE Insurance (Australia) Limited (QBE)
  • Health Liability (medical malpractice), GIO General Pty Ltd
  • Visiting Medical Officer (VMOs), GIO General Pty Ltd
  • General, (property, motor vehicle, common law liability, public liability, product liability, professional indemnity, directors/officers liability, contract liability, travel, events), GIO General Pty Ltd

Reinsurance, Actuarial and Risk Management

Reinsurance, actuarial and risk management services are provided by the following:

  • Reinsurance, Jardine Lloyd Thompson (Aust) Pty Ltd
  • Actuarial Services, Workers Compensation, PriceWaterhouseCoopers (PWC)
  • Actuarial Services, General lines, Ernst&Young
  • Actuarial Peer Review, KPMG
  • Risk Management Services, Suncorp Risk Management Services

Edited: 15/07/16

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