Workers’ compensation · Claims

ClaimsIQ: Every claim, from report to return to work.

ClaimsIQ keeps one digital file per injured worker: liability, medical certificates, return-to-work plans, weekly benefits and payments, with the rules for all nine Australian jurisdictions built in.

  • Web
Cases / VIC Case 2418 · shoulder strain
Return to work
Capacity
Certified6 h/dayModified duties
Deployed5 h/dayKitchen, light duties
1 h/day below certified capacity
RTW plan v3
Week 5 of 8 · next review in 6 days
Certificate chase
  1. 1SMS
  2. 2SMS
  3. 3Call
  4. 4Email
  5. 5Call
  • New certificate dueCapacity change will be flagged on arrival
  • Weekly benefitCalculated · awaiting approval
ClaimsIQ case file · illustrative data

What ClaimsIQ does

Less chasing, more recovery.

ClaimsIQ gives injury and claims teams one digital file per injured worker, from first report to return to work, with the rules for every Australian jurisdiction built in.

  1. Report
  2. Decide
  3. Recover
  4. Close

One file per worker

Liability, policy, contacts, notes, certificates, return to work, benefits, reimbursements, payments and history in a single case file.

Every jurisdiction

Rules, plan formats, statutory wording and privacy disclosure checks for NSW, VIC, QLD, SA, WA, TAS, NT, ACT and Comcare.

Certificates, chased for you

Automatic reminders step from SMS to phone to email, and each new certificate is compared with the last to flag changes in capacity.

Return-to-work plans

One plan per worker with version history, tracking certified capacity against the duties actually deployed.

Benefits and payments

A jurisdiction-aware weekly benefits engine, a benefit calculator, reimbursements and bulk payment approvals.

Work queues

A “my day” view of exceptions and due work, team queues, QA review and approval queues that keep cases on track.

Built for Australia

Nine schemes. One system.

Each scheme has its own rules for benefits, return-to-work plans, statutory wording and privacy disclosure. ClaimsIQ applies the right ones to every case.

  • NSWNew South Wales
  • VICVictoria
  • QLDQueensland
  • SASouth Australia
  • WAWestern Australia
  • TASTasmania
  • NTNorthern Territory
  • ACTAustralian Capital Territory
  • ComcareCommonwealth

Modules

Everything in ClaimsIQ.

Who it is for: Claims, injury-management, HR and WHS teams at large employers.

Cases

  • Case register with filters
  • Triage checklist
  • Liability workspace
  • Litigation and recovery tracking
  • Full case history

Medical & RTW

  • Certificate capture and comparison
  • Automated certificate chasing
  • Return-to-work plan editor
  • Certified vs deployed capacity
  • Statutory forms by state

Money

  • Weekly benefits engine
  • Benefit calculator
  • Reimbursements and invoices
  • Bulk payment approvals
  • Insurer bordereau export

People & documents

  • Worker and employer portals
  • Letter templates and e-signature
  • Inbound mail filed to the case
  • Scheduled reports in CSV, Excel and PDF
  • AI assistant for case work

Questions

Asked before every rollout.

Which jurisdictions does ClaimsIQ support?

All nine Australian schemes: NSW, VIC, QLD, SA, WA, TAS, NT, ACT and Comcare.

Can injured workers and employers see their case?

Yes. ClaimsIQ includes a worker portal and an employer portal alongside the case manager’s view.

Is ClaimsIQ only for food-service businesses?

No. It is built for claims and injury-management teams at any large, multi-site employer.

Works with, on one login AssureIQCallisto The platform

Book a demo

See ClaimsIQ in action.

See ClaimsIQ with your own sites, checks and paperwork. We will show you how it fits.