Comcare

EML – Comcare Delegated Claims – Initial Liability EML – Liability Determination Procedure

Comcare SOLEX12613 Released 104 pages PDF

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This release is a Comcare claims-management procedure titled "Comcare Delegated Claims – Initial Liability", produced by the Federal Self Insurance (FSI) claims team and including the 005 Liability Determination Procedure. It sets out how Case Managers determine liability under the Safety, Rehabilitation and Compensation Act, covering the employee, injury/disease and employment-link tests (s14), compliance requirements, a PRACSYS navigation guide, stop-clock, quality assurance review, and decline processes. It states KPI targets of 20 calendar days for injury claims and 60 days for disease claims, with 95% compliance, and describes Monday delegate meetings to discuss outstanding claims. No individual employer, worker or claim data is shown. The excerpt includes large blocks of repeated image placeholders and some garbled text. The document is an internal procedure rather than a regulatory investigation, and the excerpt does not show the access decision or any exemptions applied.

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