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s 338

Claims manager’s functions

In force
Chapter 6Motor accident injuries insurance
Part 6.9Nominal defendant fund

338 Claims manager’s functions

(1)

This section applies if the nominal defendant engages a claims manager to manage—

(a)

an application for defined benefits; or

(b)

a motor accident claim.

(2)

A claims manager may do the following in relation to an application for defined benefits:

(a)

investigate the application;

(b)

approve the application;

(c)

refuse to approve the application;

(d)

ask for additional information in relation to the application;

(e)

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;

(f)

anything prescribed by regulation.

(3)

A claims manager may do the following in relation to a motor accident claim:

(a)

investigate the claim;

(b)

negotiate the terms of settlement of the claim, either by payment of a lump sum or by weekly payments in accordance with this Act;

(c)

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;

(d)

anything prescribed by regulation.

(4)

Subsection (3) does not authorise a claims manager to—

(a)

pay an amount to satisfy a claim; or

(b)

recover an amount owed to a licensed insurer against whom a claim is made under this Act.

(5)

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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