Claims manager’s functions
338 Claims manager’s functions
This section applies if the nominal defendant engages a claims manager to manage—
an application for defined benefits; or
a motor accident claim.
A claims manager may do the following in relation to an application for defined benefits:
investigate the application;
approve the application;
refuse to approve the application;
ask for additional information in relation to the application;
if the applicant was covered at the time of injury by an MAI policy issued by a licensed insurer—exercise any right of the insurer arising from, or in relation to, the policy;
anything prescribed by regulation.
A claims manager may do the following in relation to a motor accident claim:
investigate the claim;
negotiate the terms of settlement of the claim, either by payment of a lump sum or by weekly payments in accordance with this Act;
if the claimant was covered at the time of injury by an MAI policy issued by a licensed insurer—exercise any right of the insurer arising from, or in relation to, the policy;
anything prescribed by regulation.
Subsection (3) does not authorise a claims manager to—
pay an amount to satisfy a claim; or
recover an amount owed to a licensed insurer against whom a claim is made under this Act.
A claims manager may also exercise any other function given to the claims manager under this Act or any other territory law.
Note 1 A reference to an Act includes a reference to the statutory instruments made or in force under the Act, including any regulation (see Legislation Act, s 104).
Note 2 A provision of a law that gives an entity (including a person) a function also gives the entity powers necessary and convenient to exercise the function (see Legislation Act, s 196 and dict, pt 1, def entity).
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