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
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).
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.
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.
Evidence a commitment to continuous improvement through documented actions for:
- Injury prevention and organisational capability
- Injury, claim and rehabilitation management,
- Worker participation
To get a better understanding of how it could work, see our scenario on an AE participating in the programme meeting and maintaining accreditation.