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Accident Claims - ACC Claim (NZ)

Human Resources | OSH | Incident register | Accident Claims | ACC Claims tab

Summary

Note: This tab page is visible when ACC Accredited Employer = Yes and Country setting = 'New Zealand' in Company Settings.

This tab page identifies a particular ACC Claim and its status in the ACC process. This information is generated in the ACCPP Claim Header file.

Fields
Lodgement date:

Date the ACC Accredited Employer opened the claim.

Notifies the ACC that this is a new claim. After you send the ACCPP Claims Data file to the ACC, any alterations that you make to this claim record will be an update to the original file. ACCPP Claim Data file requirement - NZ only.

Closed date:

Date that the claim was finalised. Outstanding Costs on the Accident Claims - Costs tab must equal 0 (or be blank) before you can close a claim. ACCPP Claim Data file requirement - NZ only.

Reason for closure:

Enabled when the Closed date field is populated.

The reason that the claim is being closed.

Values specified by the ACC are:

  • B – Spouse or Child Benefit ceased
  • D – Death
  • L – Left country
  • R – Recovered
  • T – Claim Transferred
  • W – Returned to Work
  • X – Claim Denied

ACCPP Claim Data file requirement - NZ only.

Outcome:

Disabled when Record format = ‘I - Initial Claim Data’.

Indicates the status of the claim.

Values specified by the ACC are:

  • A – Accepted

    The employer has accepted the claim.

  • C – Transferred – sold to ACC

    The claim was transferred to ACC.

  • D – Declined

    The claim was declined.

  • E – Transferred – end of contract period

    The claim was transferred to ACC at the end of the contracted period.

  • O – Transferred – sold to other

    The claim was transferred to another party.

  • P – Pending

    (default value) The claim has been entered on the employers system, but the claim has not been accepted or declined.

ACCPP Claim Data file requirement - NZ only.

Re-open date:

Date that the claim was re- opened. Notifies the ACC that the claim was re- opened and is not a new claim.

When you select a date, PayGlobal changes the Record format field to ‘R – Reopened’. ACCPP Claim Data file requirement - NZ only.

Case manager:

Records the name of the case manager responsible for this employee’s accident claim record. The case manager can be an employee of the company, TPA, or ACC personal case manager.

If an Accredited Employer is handling a claim on behalf of the ACC, then the Claim Administrator specified in Modify Company Settings is considered to be the primary ACC contact. The Claim Administrator specified in Modify Company Settings is copied to the Case manager field if Record format does not equal ‘I – Initial Claim Data’. If you manually update the Case manager field, then PayGlobal uses the updated information instead of the information in Company Settings.

If an employer is not ACC Accredited, then the employer will not manage the employee's ACC claim and a case manager does not need to be specified. The Notes tab can be used to record this information on an employee's claim record.

Record format:

Indicates the current status of the claim according to ACC specifications.

Values specified by the ACC are:

  • I – Initial Claim Data

    (default value) Applies to all new claims that have not been submitted to ACC in the ACCPP report.

  • U – Claim Update Data

    Applies to open claims that have already been submitted to ACC.

  • R – Re-opened Claim

    Applies to closed claims that have already been submitted to ACC and have now been reopened.

  • D – Deleted Claim

    You cannot delete a valid claim; you must close it. If you complete a claim incorrectly and it is invalid, then the ACCPP Claims Data file must show this.

ACCPP Claim Data file requirement - NZ only.

Transferred:

Disabled when Reason for closure = ‘T – Claim Transferred’.

Indicates that the claim was transferred to or from another Accredited Employer.

Values specified by the ACC are:

  • Blank
  • F – Transferred from

    Claim was transferred from this Accredited Employer to another Accredited Employer or to the ACC. Valid when Closed date has a valid date and Reason for closure = 'T – Claim' Transferred.

  • T – Transferred to

    Claim was transferred to this Accredited Employer from another Accredited Employer.
    Valid when Closed date is empty or Re-open date has a valid date.

ACCPP Claim Data file requirement - NZ only.

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