Journey Accident Insurance Claims Process

If you are injured travelling to or from work, you should contact the Association immediately for advice.

If your accident involves travel by car, you should also straight away lodge a Compulsory Third Party (CTP) claim. It is a condition of claiming under the Journey Accident Insurance policy, that you lodge a CTP claim if eligible. Any CTP payments for past economic loss will need to be reimbursed to the Journey Accident insurer.

How do I make a claim?
The Association will assist you with the submission of a claim. Remember that you must be a financial member at the time of the accident in order to claim under the policy.

A Journey Accident claim form will be emailed (or mailed) to you for completion. The information you will need to provide along with the completed form includes:

• Details of the accident
• Medical Practitioner’s Statement (which is a doctor’s diagnosis and assessment of the injury and an estimated duration that you will be unfit to work)
• Any other medical certificates or relevant medical documentation
• Your last 10 pay slips (for calculation of average gross weekly earnings)

The completed claim form and documents should be submitted to the Association via email insurance@nswnma.asn.au or fax: (02) 9662 1414.

The Association will then lodge the claim and liaise on your behalf with our insurers. Our insurers will assess and respond to the claim within 10 business days. Should further information be required this will be requested via the Association.  We will provide regular updates to you on the progress of your claim.

What happens after a claim has been approved?
Once the initial payment has been approved, a settlement letter will be forwarded to the Association and you will be advised by email (or mail).

For claims that are assessed to be more long term, you will be requested to provide the following over the life of the claim:

• Medical certificates stating a diagnosis and period of incapacity on a regular basis
• Every three months a progressive claim form must be completed by your treating physician to provide a detailed update on your condition
• Depending on the nature of your injury, six months after the disability has commenced a rehabilitation assessor or other provider may be appointed to interview you. This is to provide our insurer with a clear understanding of your current condition, the progress of your recovery and the outlook of your claim
• Throughout the life of the claim an independent medical review may be requested in order to determine the progress of your injuries and ensure the correct treatment is being received

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