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Claims managers

For: Claimants Employers and managers Service providers Advocates Information seekers

A claims manager manages an employee’s claim for compensation for a work-related injury or illness, under the Safety, Rehabilitation and Compensation Act 1988.

This includes determining if the claim is accepted and if there is liability for support and benefits.


The role explained

Claims managers assess and manage claims for compensation.

They support employees throughout the compensation claim process.

Claims managers recognise that each individual claim is unique, which requires a personal approach to support the differing needs of each employee.

They work closely with the employee, their employer, treating practitioners and rehabilitation case manager to support the employee to achieve return to health and  work outcomes in a safe and sustainable manner.

Responsibilities of claims managers

Claims managers have a responsibility to:

Who manages the claim

Table 1: Claims management arrangements for employees in the Comcare scheme
For employees of: The claim is managed by:
Australian Government agencies and statutory authorities Comcare
Australian Government agencies with a delegated claims management arrangement The employer, a claims management provider contracted by Comcare, or Comcare.
Self-insured licensees The employer or their approved claims management provider.

Information for claims managers

Core capabilities

Scheme guidance

We provide scheme guidance to help you understand and apply the Safety, Rehabilitation and Compensation Act 1988 (SRC Act).

Go to Guidance on applying the SRC Act to find guidance.

Page last reviewed: 25 June 2024

Comcare
GPO Box 9905, Canberra, ACT 2601
1300 366 979 | www.comcare.gov.au

Date printed 10 Dec 2024

https://www.comcare.gov.au/roles/claims-managers