Claims

Long Service Leave Claims Quiz

Test your knowledge on the intricate details of Long Service Leave claims and entitlements. This quiz covers various scenarios, policies, and procedures that are essential for understanding employee rights and responsibilities in relation to their long service leave claims.

24 questions across multiple formats
Focus on claims processing policies
Ensure compliance with CoINVEST Rules

24 Questions6 MinutesCreated by NavigatingClaims42

What rule in the CoINVEST Rules can we find information relating to calculating 'Ordinary Pay'?

Rule 30.8

Rule 37.6

Rule 15.2

Rule 40.1

How would we calculate the ROP for a casual claim?

Based on the payslips provided

Based on a 38 hr week

Based on a 260 day average of last service reported

Based on the last quarterly period

Please select the correct answer below relating to our shift policy?

If the worker has been performing shift work for 3-6 months we will take an average of his wages over 260 days to determine the ROP

If the worker performed shift work in the week prior to his long service leave claim he will be paid on this rate

We never pay a worker shift rates because this is overtime

If the worker has been performing shift work for 0-3 months we will take an average of his wages over 260 days to determine the ROP

A worker has advised on their claim form that they have service recorded with an interstate scheme? What do we do?

Call the worker and advise that he needs to contact interstate to be paid this amount

Call the interstate scheme to get them to authorise that we pay service

Send an NRA to the interstate scheme to obtain entitlement and service information

Process the claim anyway

Select from the answers below what can be accepted as confirmation of a WORKERS ROP

Payslips within 4 weeks of received date or final service date

Verbal confirmation from the worker

Verbal confirmation from the employer

PAYG summaries

EWV

When processing a standard claim we allow for a variance of:

10% from the last contribution period

5% from an average of the last 4 x quarterly periods, or service reported from current employer

10% from an average of the last 4 x quarterly periods, or service reported from current employer

5% from the last contribution period

A worker has advised on their claim form that during the last 12 months they have changed roles from a worker to a leading hand. Are we required to contact the employer to verify coverage?

Yes

A worker has advised on thier claim form that during the last 12 months they have changed roles from a foreman to a site manager. Are we required to contact the employer to verify coverage?

Yes

A worker has advised on a claim form that they have been paid long service leave directly from an employer in the last 7 years, what is the process from here?

Nothing, we just need to know for our records

Employers never pay long service leave directly, just change to No

Call the worker to verify this as an employer reimbursement might be required

A worker has submitted an unemployed claim. Select what we should be checking in the Employers tab?

The trade type is the same as what has been listed on the claim form

There are termination dates for all employment periods

That the employer listed on the claim form matches up with the workers most recent employer

That the payslips match up with the most recent employer listed

All of the above

What should we be checking when viewing the service history for a claim? Select all

Excess apprenticeship days in the last 12 months

All contributions

Excess WorkCover days in the last 12 months

Contributions over the last 12 months of service

Variances greater than 10%

Contributions for ALL employers

For a left industry claim, when are we required to contact the employer to obtain final service information?

When the termination date is after the end of the last WDW quarterly period

Every time

When the termination date is within the last 6 months

If the worker finished within the last quarterly WDW cycle and the employer hasn't submitted their most recent return

Select the correct format for a standard claim note:

RE: LSL claim for 2 weeks starting 11/11/2017. ROP $2063.44 = $54.54 + weekly allowance $100 x 36 as per payslip dated 21/07/2017

Claim paid: 1 weeks starting 1/7/2017. ROP $1000

RE: LSL claim for 1 week. ROP $1000 as per payslips

RE: LSL claim for 1 week starting 21/07/2017. ROP $1595 = $40 p/h + $4p/h site allowance x 36 + $11 first aid allowance paid weekly as per payslip dated 15/07/2017.

What is required to pay a WD claim?

3 x most recent PAYG summaries and confirmation of current ROP

3 x most recent payslips only

Verbal confirmation of ROP only

What is an interstate reimbursement?

A claim we paid to the worker that we are invoicing

An invoice for entitlements paid to a member from an interstate scheme on our behalf

A request for information from the interstate scheme relating to the workers entitlement

A claim received from a member who has interstate service

When is a deceased claim benefit payable to the Estate? Select all applicable

When the worker has more than 55 days of service reported

Only if the worker has reached entitlement

A benefit is always payable

If the last service reported is within 4 years of the date of death

Only if the member is currently registered

We have received a claim for a member where the allowances on the payslip are unclear and hard to calculate. The worker receives a lot of allowances and we cannot determine what the most recent week of allowances should be paid based on. The best course of action from here is to:

Take an average of what has been listed

Contact the worker to verify

Contact the employer to request another payslip

Contact the employer via phone to verify

A worker receives multiple site allowances on their payslips. Site allowance is received on each working hour. The way that we would go about calculating this is:

Choosing the site allowance where the most hours have been paid and pay all working hours based on this amount

Calculate the site allowance total working from most hours worked to least hours worked, up to the total hrs paid

Call the employer to ask what site they worked on most recently

A WSC calls who has not reached entitlement wanting a refund on their payments. Do they receive the interest earnt on this amount?

Yes

A worker has 3 years of service recorded with CoINVEST and has moved into a managerial office based position from this date. He has worked with the same company for 10 plus years but does not have an entitlement with CoINVEST. The claims process for this would be:

Nothing - we don't have an entitlement and therefore cannot pay a claim

We pay the worker our component and the employer pays theirs

The worker needs to go back on site performing trade work for 4 more years to be paid entitlements

The employer would pay the worker and we would reimburse them for the service that's recorded with CoINVEST

A full-time worker has been paid 32 hrs site allowance. He worked on site 32 hrs for the week, with the rest of his time being taken paid leave. How would the site allowance be paid?

For 32 hrs only

For each hour worked

For all hours + overtime

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