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Rehabilitation Case Managers Conference May 2012

Rehabilitation Case Managers Conference May 2012 . Recovery and Support Services General Manager Update . Comcare Update – What is new?. Legislative changes December 2011 Comcare organisational re-shaping in December 2011 Mid-year premium valuation e-CPM releases

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Rehabilitation Case Managers Conference May 2012

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  1. Rehabilitation Case Managers Conference May 2012 Recovery and Support Services General Manager Update

  2. Comcare Update – What is new? • Legislative changes December 2011 • Comcare organisational re-shaping in December 2011 • Mid-year premium valuation • e-CPM releases • Significant federal court matters • Claim trends

  3. Our Work Together • Improving return to work outcomes • Getting the Basics Right • Improved front end processes

  4. High level financial outlook • Early in 2012 Taylor Fry revised their estimate of outstanding claims liabilities to $2.032B • Change in estimated claim costs from Feb 2011 for injury years 2008, 2009 and 2010 by 15% to $513.8M • Forecast premium pool 25% higher in 2012/13 • Average premium rate 1.8

  5. Claims incidence rate by injury / disease (premium payers)

  6. Cost of incapacity for work Number of claims versus cost of incapacity (premium payers)

  7. Claims Lodgement Data Two key timeliness KPI’s: Days from received by employer to Comcare Days from received by Comcare to initial decision

  8. Count of Claim No 140 120 100 80 60 40 20 0 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 2009 2010 2011 1975 2006 2007 2008 1974 1997 1998 1999 2000 2005 1950 1955 1956 1957 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 2001 2002 2003 2004 Inj/Dis/Psych Disease excl. Psych Injury Psychological Year separated Ex-employees: separations by year and injury type

  9. Key Issues for Ex-Employees • Following a redundancy employers still have RA responsibilities and powers – s36 and s37 • S40 – take all reasonable steps to provide suitable employment • Comcare’s role to provide advice about suitable employment • Seek advice prior to offering a VR, Invalidity Retirement or cessation of an employee with an active claim - rights and responsibilities of the employee and employer and suitable employment, expectation setting

  10. Contemporary findings potentially impacting on adverse claim trends Long delays between date of injury and claim lodgment with employer (disease, particularly psychological claims) Increasing acceptance rates and claim durations for psychological claims at the EL1+ level An increase in continuance rates for medical payments

  11. Next Steps • Next steps - our focussed activity to reduce the number and cost of claims • Questions ?

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