AcciWork
Employees are a company’s most valuable asset. Prioritising the Compensation for Occupational Injuries and Diseases (COID) Act compliance demonstrates a commitment to safeguarding the well-being of your workforce, reducing the risk of accidents, and ensuring they are appropriately cared for in case of work-related injuries or diseases.
With AcciWork we ensure your business is legally compliant with the Compensation for Occupational Injuries and Diseases (COID) Act and your employees are assisted should an accident occur, your employees get the best possible private healthcare and business interruption is minimised.
This solution is ideal for employers who value their people, brokers, insurers, and underwriters who offer workplace protection solutions.
How AcciWork Works
1
The employee is injured in a workplace accident.
2
AcciSure is notified and activates support.
3
The incident is reported to the Compensation Fund, RMA, or FEM and a claim number is issued.
4
The employee’s medical needs are assessed.
7
The Compensation Fund, RMA, or FEM settles payments with healthcare providers.
6
Patient care, hospital stay, and rehabilitation are managed by the medical service provider.
5
The employee is transferred to a hospital in the private medical care network.
How AcciWork Works
1
The employee is injured in a workplace accident.
2
AcciSure is notified and activates support.
3
The incident is reported to the Compensation Fund, RMA, or FEM and a claim number is issued.
4
The employee’s medical needs are assessed.
5
The employee is transferred to a hospital in the private medical care network.
6
Patient care, hospital stay, and rehabilitation are managed by the medical service provider.
7
The Compensation Fund, RMA, or FEM settles payments with healthcare providers.
AcciWork Benefits
Employer Compliance:
AcciWork will assist you in meeting your COIDA obligations and ensure full compliance.
- AcciSure will assist you to register your business with the Compensation Fund, RMA or FEM.
- Our team will help you in obtaining a letter of good standing.
Workplace Injury Management:
In the event of a workplace accident, we provide full support for your employee’s medical care, where needed, and ensure that their individual case is managed by a service provider, up to full recovery.
- AcciSure will provide assistance with registering the incident.
- Our team will provide support 24/7 for individual case management.
- Ensure employees have access to a private medical care network.
- Manage your employees' claims to ensure that you are reimbursed for all income you paid during their medical treatment and also ensure that employee and their dependents receive all benefits payable to them in terms of the Act.
Claims Management:
We assist with the end-to-end management of Injury on Duty and Occupational Diseases Claims, on behalf of Employers.
- Reporting injured employees and Occupational Diseases claims to the Compensation Fund, RMA, or FEM.
- Arranging for Injured employees to receive medical treatment.
- Ensure that injured employees receive appropriate medical treatment at suitable facilities.
- Ensuring that all required documents from the employer and Medical Service Providers are completed and submitted in the required format.
- Ensuring that Employers are reimbursed for Temporary Total Disablement payments (Income replacement) paid to injured employees from the Compensation Fund, RMA or FEM.
- Ensuring that injured employees receive all the benefits to which they are entitled in terms of the COID Act.
- Ensuring that injured employees or their dependents receive their correct compensation for permanent disablement i.e. Lump Sum or Monthly Pension.
- Tracing, completion, and submission of documents for the spouse/s and children, to ensure that they receive the death benefits as dictated by COIDA.
- Ensuring that employees are properly rehabilitated, reskilled and socially integrated following the Occupational Injury or Disease.
Case Management:
At AcciSure we assist with assessing and adjudicating treatment requested for all injuries and diseases in medical facilities which include:
- Liaising with hospital case managers for updates on treatment, procedures, and cost management.
- Monitoring high risk high-cost acute claims, reviewing treatment plans, assessments, and medical reports.
- Adjudicating requests for medical treatment and facilitating pre-authorisation through the relevant Administrator.
- MMI (Maximum medical improvement), support to claims staff; facilitating interdisciplinary approaches; arranging for rehabilitation and re-skilling.
- Reviewing and confirming ICD10 codes from medical reports and updates.
- Liaise with MSPs, employers and employees when required.
Rehabilitation and Re-skilling:
We assist with the rehabilitation and re-skilling for Injuries on duty and occupational diseases from life-changing to return to work based on the nature of injury or disease.
The rehabilitation programme includes:
- The arranging of rehabilitation, assessment, and authorisation for the continuation of management and care when returning to work.
- Monitoring the injured employees' return-to-work journey, obtaining multidisciplinary reports, liaising with the rehabilitation team and communicating with employers.
- Obtaining resumption and final medical reports following discharge for further claims adjudication and permanent disablement assessment.
- Liaising with MSPs, employers and employees when required.
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Our Contact Details
Address
1st Floor, @Alzu Building, Dolerite Crescent, Middleburg, 1050, South Africa
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