CL Services | Compensation for Occupational Injuries and Diseases Act. (COID

By: Cl Services  11-11-2011
Keywords: Risk Assessment

After analyzing a client’s claims information an application for reduced contributions is lodged based on this information.  This very often lead to huge savings and will continue for years to come. The fee for this service is based on a percentage of the saving.

  • CLS requires a mandate from the client to have access to its claims information at the Compensation Commissioner;
  • A risk assessment of such information is conducted;
  • An application for reduced contributions is lodged with the Compensation Commissioner only if the outcome of the risk assessment will allow this;
  • If the application is successful the client’s contributions will be adjusted accordingly;
  • Should the application not be approved the client will be provided with an analysis of its claims information.
  • The fee for this service is based on the principle of “no saving – no fee”;
  • Should CLS be successful a percentage of the savings amount is charged as a fee;
  • The savings amount is calculated as the difference between the assessment payable and the reduced adjusted assessment;
  • Although the client will have the benefit of the reduced contributions for years to come, the fee is only levied in the first year that the contributions are reduced. 

CLS can assist with the day to day administration of injury on duty claims on behalf of Employers.

CLS will act as an intermediary between the employer and the Compensation Commissioner. The implementation of the service will have far reaching benefits to the Client, which could be summarized as follows:

  • Every claim is reported professionally in the prescribed manner to the Compensation Commissioner, which result in more efficient claims settlement.
  • Assistance is always available regarding reporting of claim
  • The Client is assured that statutory requirements are complied with.
  • Savings on wasted man-hours, telephone costs and very often traveling costs are also effected
  • A central reporting centre and a purpose designed computer program ensure that the Client is aware of the precise circumstances surrounding each individual claim.
  • The system provides accurate management information, which could be used for:
    • Identifying trends and “problem employees” from a risk management perspective
    • Negotiating lower insurance premiums
    • Keeping management informed with regard to the IOD claims.
  • Recovery of payments made under Section 47 of COID will result in a direct saving for the Client.
  • It is our experience that the implementation of the service often leads to improved reception of employees at medical providers.

The recovery of IOD fees is not the core business of a medical practice.  CLS can increase the payment of these fees dramatically.

CLS provides a tailor-made service to assist medical providers with the recovery of their IOD (WCA) fees.

The following are some of the unique features of the service:-

  • CLS is headed up by an advocate with years of experience in this field;
  • Offices are strategically located in Pretoria close to the Commissioner’s office;
  • Accounts are submitted by hand and only in the required format;
  • If any information is outstanding, the practice or the relevant employer is contacted;
  • CLS is in daily contact with the Commissioner regarding non-payment of any accounts;
  • Reasons for the non-payment of old accounts is established and communicated;
  • Monthly progress reports are provided to practices;
  • No minimum on amount of accounts, accepted by CLS;
  • Fee remains the same regardless of the age of account;
  • Accounts from FEMA, Rand Mutual, Polmed or any other exempted employer are accepted;
  • Commissioner pays the practice by way of EFT.  Practice remains in full control of its account.

Service rendered on the basis “no recovery, no fee”.  Fee is percentage of amount recovered, by way of a monthly invoice.

A number of other services related to COID are provided which include the following

  • Registration of new businesses
  • Obtaining of Good Standing certificates
  • Negotiations on penalties with the Commissioner

Keywords: Risk Assessment