Transferred claims - Insurer acquiring
Data Management - Are you receiving claims from an
If you have commenced a self-insurance licence or have acquired
a new business, you are responsible for the liability of all
outstanding workers' compensation claims of that entity.
Below are some data management steps to assist you with managing
the transfer of claims and the data entry requirements of claims
previously managed by another insurer.
- Obtain a list of all active claims from the previous insurer at
the time of transfer.
- Agree to a date to receive the physical files of all active
Workers' compensation system data
- Ensure your workers' compensation system includes the new
Licence and/or Employer Number for the new licence or acquired
- Ensure your workers' compensation system includes the valid
WorkCover Industry Codes for each Employer Number under
- Ensure your workers' compensation system includes the ability
to select the previous insurer code for the insurer who had
liability for the claim prior to your acquisition.
Adding a previous insurer claim to your
Q-COMP's data requirement for transferred claims at the time of
Licence and/or Employer commencement is for the insurer to only
enter 'active' claims into their workers' compensation
system. When adding previous insurer claims to your system,
there are some additional data steps required for the first data
- Claim Number - Insurers should continue to utilise your own
claim numbering system when entering previous insurer claims.
- There is no requirement to include the previous insurer code as
a prefix to your own claim number for the purposes of the data
submission. Q-COMP recommends insurers report the same claim
number to Q-COMP as used by the insurer within their claims
- Previous Insurer Details - Claims previously managed by another
insurer should be indicated by completion of both the Previous
Insurer Code and Previous Insurer's Claim Number. For further
information, please refer to sections 4.2.25 and 4.2.26 of the
workers' compensation insurer interface data specification.
- The data entry of a previous insurer claim should replicate the
data as reported by the previous insurer. This includes using
the same Lodgement Date, Claim Status changes and change dates,
payment summary and compensation periods.
- Do not record the Lodgement or Claim Status dates as the date
the new licence commencement or when the claim received by the new
If your system provider has arranged an electronic upload of the
previous insurer active claims, please ensure that all records are
activated for the reporting month. This is to ensure that
data is not missing from the next data submission, such as injured
worker, lodgements or claim status records.
Q-COMP includes additional validation as part of reporting
previous insurer claims. This includes,
- If another insurer managed this claim, both previous insurer
code and previous insurer claim number must be reported.
- The date of injury on the previous insurer claim must be the
same as reported by the previous insurer.
- The injured worker date of birth on the previous insurer claim
must be the same as reported by the previous insurer.
- The number of workdays lost on the current claim must be the
same as or greater than those reported by the previous
- The total payments by category and type on the current claim
must be the same as or greater than those reported by the previous
If the previous insurer has not provided sufficient information
to complete the data entry process, please request a complete claim
extract of the previous insurer licence and member/policy from the
Q-COMP Data Management and Analytics team.
Data submissions are to be e-mailed to email@example.com.
Additional information on the above Transferred Claims process can
be obtained by contacting the Data Management Team on (07) 3020