COIDA Services
Did you know over 220,000 employees in South Africa experience work-related injuries or diseases each year?
These incidents often lead to medical treatment, loss of income, permanent disabilities, or even death. Unfortunately, many South Africans are unaware that they qualify for benefits under the Compensation for Occupational Injuries and Diseases Act (COIDA), administered by the Compensation Fund.
SENA Financial Services specializes in navigating this process for you. By choosing one of our products or services, you gain access to our professional support. We’ll assist you or your loved ones if a workplace accident or occupational disease occurs.
Claims Management
We handle every aspect of claims reporting and ensure a smooth process:
- Reporting your claim to the Compensation Fund, RMA, or FEM.
- Coordinating immediate medical treatment through our 24-hour emergency helpline.
- Ensuring injured employees receive appropriate care at suitable facilities.
- Collecting and submitting all necessary documents from employers and medical service providers.
- Facilitating Temporary Total Disablement payments (income replacement) from the fund.
- Helping employees and employers access all benefits available under COIDA.
- Securing correct compensation for permanent disabilities, including lump sums or monthly payments.
- Assisting families with documentation to claim fatal benefits for spouses and children.
- Supporting injured employees with rehabilitation, reskilling, and social reintegration
Case Management
We provide comprehensive support for assessing and managing medical treatments related to injuries and diseases:
- Communicating with hospital case managers to monitor treatments, procedures, and costs.
- Reviewing treatment plans, assessments, and medical reports for high-risk claims.
- Approving medical treatment requests in consultation with funders, claimants, and employers.
- Facilitating rehabilitation and re-skilling for employees to achieve Maximum Medical Improvement (MMI).
- Reviewing and updating ICD-10 codes from medical reports.
- Managing the costs of medical treatments, procedures, and prostheses.
- Benchmarking and reviewing hospital cases for accurate cost management.
- Offering recommendations and confirming permanent disability (PD) claims.
- Coordinating with medical service providers, employers, and employees for complex cases
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