Worldwide 70% of claims managed by Gallagher Bassett (GB) are workers’ compensation claims. Our track record in this sensitive and highly complex area is extensive and includes major contracts within WorkSafe Victoria, ReturnToWorkSA, Northern Territory Government, icare Nominal Insurer and Comcare.

We provide a national workers’ compensation claims solution through our decade long partnership with GIO.

GB provides tailored solutions focused on early identification, intervention and return to work.

We engage with your business to understand economic, cultural and business drivers, and implement effective outcome-focused strategies. Our workers’ compensation experts help clients assess risk, manage claims, get employees back to work, and ensure the outcome is fair and equitable for all concerned.

We also work with clients to reduce premiums and minimise risk through detailed reporting and training.

GB has been an Agent within the Victorian Scheme for over 20 years. We currently hold approximately 28% market share in Victoria and have become a trusted Agent, managing the Scheme’s most complex cohort of claims through our partnership with The Victorian Department of Education and Training, Victoria Police and Fire Rescue Victoria.

If You Are Injured Posters

 Employers must make readily available to workers employed in the workplace at all reasonable times, a summary of: 
✅How to give notice of an injury 
✅How to make a claim 
✅The name of the Agent, if applicable 
✅The benefits available to workers under the legislation.

GB has created a poster to assist in meeting this obligation and is available for download at the below link: 
If you are injured at work poster: Gallagher Bassett

 Register of Injuries

Employers must ensure they retain a register of injuries at the workplace. The register must be in a form approved by WorkSafe. The form relates only to the information or particulars that must be provided, not to the manner or format in which the information can be requested. The below link can assist in 
meeting this obligation:
WorkSafe - Register of Injuries

RTW Compliance Codes

 GB also has an active role in ensuring that employers are meeting, and are familiar with, the RTW compliance codes. Below are links to the four compliance codes. GB strongly suggests reviewing these codes in detail and ensuring that your organisation is meeting these requirements: 
✅Compliance code 1 of 4: Providing employment and planning and consultation about RTW
✅Compliance code 2 of 4: Return to Work Coordinators 
✅Compliance code 3 of 4: Return to work information 
✅Compliance Code 4 of 4: Cooperating with labour hire employees about RTW

Weekly Compensation and Medical Entitlement Claims

1.  For new claims, workers must complete and submit an injury claim form.  If you do not already have a new claim form, one can be downloaded from WorkSafe Victoria’s website: 
https://www.worksafe.vic.gov.au/resources/workers-injury-claim-form

2.  For new claims, employers must complete and submit an employer injury claim form. If you do not already have form, one can be downloaded from WorkSafe Victoria’s website: 
https://www.worksafe.vic.gov.au/resources/employer-injury-claim-report   

3. For a new claim, these two documents must be emailed together to: wss@austrainers.com.au 

Where the claim is for weekly benefits and an initial Certificate of Capacity is provided by the injured worker, employers are required to lodge the documentation within 10 calendar days for physical claims, and 3 calendar days for mental injuries. Statuary penalties may apply if these timeframes are not met. 
If you wish to dispute liability of the claim, please note this in the initial claim lodgement email.

Impairment Benefit Claims 

If you receive a worker’s claim for an impairment benefit, you must complete  
section 8 of the Impairment Benefit Claim form titled “FOR COMPLETION BY THE EMPLOYER”.

Within 10 calendar days of receiving the form from the worker and once the form  
has been completed, you are to email the claim form to GB’s Impairment Benefits Team:
VIC_IB_Team@gbtpa.com.au  
Note: This inbox has a 14MB limit

Disclosing Current Weekly Earnings to GB 

Saturday to Friday earnings can be recorded through GB’s online claim portal –  
https://gbvicworkerportal.gallagherbassett.net.au/. This will ensure that timely reimbursement of weekly compensation is achieved, as well as providing paid/payable manual counts for case conferencing, and applying statutory step-downs.

GB encourage the use of the WorkSafe Reconciliation Request form to advise of the injured worker’s current weekly earnings that they have been in receipt of when achieving a partial return to work.

Note: The WIRC Act 2013 requires you to claim weekly compensation within three months of paying the worker. If you do not claim payments within this time frame, GB may choose to void your claim for reimbursement. 

Valid Certificates of Capacity 

Valid Certificates of Capacity can also be submitted using GB’s online claim portal for prompt digital scanning and recording on our claims management system. GB requests that you ensure the certificate: 
✅is valid 
✅has sequential dates
✅is signed (if a continuing Certificate of Capacity). 

This allows GB to process compensation efficiently and avoid any gaps. Timely provision of Certificates of Capacity also enables accurate paid/payable weekly manual counts and close attention to key reduction dates. 

Please refer to the Valid Certificate of Capacity Sample to ensure your workers are providing a valid certificate when lodged with your organisation. GB cannot register invalid certificates and this will cause delays in the claim management and reimbursement process. GB cannot reimburse your organisation where the certificate is invalid or days are missing between certificates.

EFT of Weekly Compensation Reimbursements 

If not already registered, GB can ensure you can have your weekly benefits and payments made over 
excess transferred electronically, as opposed to sending a cheque. You will be required to complete an 
Employer Letter of Authority along with the WorkSafe Employer Electronic Funds Transfer (EFT) application 
form in full. This form will require you to nominate a bank account for the funds to be directly transferred to.

Once both of these forms are completed they are to be emailed to your Client Manager.

Meeting Your Reasonable Medical and Like Expense Excess

 Currently, the 2023/24 employer medical excess is $824* (where the employer has not opted for the buy-out option). 

Your responsibility as an employer is to pay reasonable medical and like expenses once you have received confirmation from GB Liability that the claim has been accepted. 

You will need to provide: 
✅Copies of the paid invoices 
✅The date/s paid
✅An Employer Liability - Advice on Payments form detailing you under excess payments. 

Please email this information to employer_liability@gbtpa.com.au.

If you pay over the $824 of medical excess, GB can reimburse you these reasonable and 
appropriate costs in accordance with Scheme scheduled rates. 
*Please note that employer liability is indexed annually.

Buying Out Excess on An Individual Claim

 If you are confident that the claim will exceed $824 of medical and like expenses, you can email employer_liability@gbtpa.com.au to request an invoice to buy-out the medical excess.

You will need to provide: 
✅The injured worker’s name 
✅The claim number
✅Written confirmation that GB have accepted liability.

GB will then send you an invoice for your payment and will absorb all excess reasonable medical expense cost once funds have been received.

Notifying of Your First 10 Days of Employer Excess

 Where the claim is an accepted time lost claim, your requirement is to notify GB of the first 10 days of a worker’s incapacity based on the days the worker would have worked were it not for the injury. GB will require the dates in writing and you can use the Employer Liability - Advice on Payments form to 
disclose these dates to GB.

Once GB receives this notification we will record the first 10 days and identify the period where your organisation is entitled to weekly compensation reimbursement. 

Payment of Invoices After the Excess Has Been Met 

Where you have invoices that are: 
✅In the appropriate format 
✅Have met the scheduled rates, and
✅The injured worker has an entitlement

 You can forward invoices to be reimbursed by emailing them to gb_paymentsteam@gbtpa.com.au for payment.

Alternatively, these can be uploaded to our online portal: 
https://gbvicworkerportal.gallagherbassett.net.au/  

Claims Management Structure