Draft Claims Management Audit Manual

What is this about?

SIRA undertook to review the self-audit process and documentation with the goal of increased consistency, greater transparency and improved confidence in the outcomes of the self-audits. Improving the quality and value of the self-audits allows insurers to optimise the lessons learnt from the audit to improve processes and practices that will ultimately deliver better outcomes for injured workers.

We invite you to read the draft Claims Management Audit Manual and appendices (below) and give us your feedback. A summary document listing the changes has also been provided for ease of reference.

What’s happened so far?

SIRA sought feedback from all insurers and numerous audit firms on the current requirements, process and documentation relating to self-audits. Incorporating the feedback received into the undertaken review.

What’s changed?

Please see the below Summary of changes to the Claims Management Audit Manual and appendices.

Next steps

We will use any further feedback received to inform the final version of the manual released at the conclusion of the consultation. The manual will replace the current documents from the date of publication.

You can provide your feedback by completing the online form (below) or emailing us. The consultation period ends at 11:59pm on 12 May 2023.