Closed for feedback

How could accreditation work?

We’d like to see 5 components to accreditation and want to know if we’re on the right track.

Our proposed accreditation process

Members must be able to satisfy all requirements and expectations of accreditation at all times in order to meet and then maintain eligibility.

Each component of accreditation may be assessed differently and may have different periods of validity. For example, we will certify AEs and TPAs to manage claims but expect AEs to meet an external standard which measures the quality of their health and safety systems.

When participating in the programme, AEs and TPAs will manage claims for the cover year, plus an agreed claims management period following the cover year.

Annual valuation of claims will take place, so that members are aware of their liability at any point.

When claims are handed back to us, full and final handback will take place with both the AE and us agreeing the amount to be paid. Claims that reactivate after this will be managed and paid for by us.

Components of accreditation

Certification

We will certify an AE or TPA to manage injury, claims and rehabilitation of injured workers. We will look at their systems, performance and quality aspects both at entry and on an ongoing basis. We have consistent expectation across work and non-work injury and claims management (where relevant).

Financial strength 

We will confirm that an AE is financially capable and can meet entitlement claims. We will ensure the AE has adequate finances and can look after a worker if they get injured. We don’t expect any changes to our current state for this component

Health and safety systems

Confidence an AE has appropriate health and safety systems in place. This will be assessed by an external body rather than us.

Worker voice

To gain an understanding of the level of engagement, trust and support the workforce has in their workplace. The AE must demonstrate appropriate systems to understand worker experience (breadth and depth). Utilise existing Research New Zealand satisfaction survey for injured workers and we will interview a cross section of workers.

Improvement framework

Evidence a commitment to continuous improvement through documented actions for:

  • Injury prevention and organisational capability
  • Injury, claim and rehabilitation management,
  • Worker participation

More information

To get a better understanding of how it could work, see our scenario on an AE participating in the programme meeting and maintaining accreditation.

Download scenario 2. AE is participating in the programme

Current state

The annual audit is a single point in time check for eligibility of AEs. For injuries, only open claims are handed back to us at the end of the claims management period, which are assessed for lifetime cost and invoiced. Claims not open which then reactivate, and any ‘incurred but not reported’ claims, are invoiced to AEs quarterly.

Future state

Effort to ensure accreditation is spread through the year and assessment of AEs and TPAs is focused more specifically on claims management. Annual valuation of claims will take place. After a 4 year claims management period full and final handback of all claims will occur.

Scenario 2. AE is participating in the programme
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Closed for feedback

We have further developed and road tested the proposed changes to AEP with your help. The next step is to review your feedback. 

Jun 2019
Phase two closed for feedback

We 'unpacked' key priority areas with you and developed areas of the programme that required more work.

Sep 2019
Phase three: update

We'd hoped to share more information with you in September however we're still finalising the potential programme improvements based on the feedback we've received. We're also working on options for delivery of any initial programme changes. 

Proposed changes to AEP finalised

ACC Board and Minister for ACC to review our proposal 

2020 Levy Consultation

Proposed changes to AEP included in the 2020 Levy Consultation