Compensation recovery information for representatives
If you are acting on behalf of someone who is applying for compensation there are details we will need to know.
Your responsibilities
The compensator will give us your details when notifying us of the compensation claim.
When you submit the claim to the compensator you must provide your client’s full name, address, date of birth and National Insurance Number. You should also provide as much detail as possible about your client’s injury/disease, any hospital treatment your client received and any previous names your client was known by.
You must provide relevant information about your client’s claim to us if we ask for it.
If you do not agree with the contents of a Certificate and want us to carry out a review, you must explain fully why you disagree and provide evidence to demonstrate your position.
If you want us to review a Certificate of Health Services Charges to take account of contributory negligence you must provide the required evidence. You can use the Contributory Negligence Template to do this. The template must be fully completed and signed by a representative for both the compensator and the injured person.
Once a claim has settled, you must notify us and pay the amount specified on the Certificate within 14 days of making payment to the Injured Person.
Your client may appeal against a Certificate of recoverable benefits but only if their compensation payment has been reduced to take account of benefit recovery. The Compenstion Recover Unit Appeal Guide "What to do if you think a Certificate is wrong Leaflet Z2 gives more information on appealing. To make an appeal use Compensation Recovery Benefit Appeal Form Z3.
Download:
A Certificate of health services charges has no impact on your client’s claim and you may not ask for a review of, or appeal of, a health services Certificate.
Our responsibilities
A Certificate specifies the total amount of recoverable benefits and or lump sum payments.
We will send you a copy of a Certificate when we send one to the compensator. You cannot ask for a Certificate but, if you want to know the amount of recoverable benefits your client has received you can ask us for a statement of benefits.
We will action any review requests as soon as possible after all relevant information has been provided.
We will answer any enquiries you make as soon as possible. If you have a query about your client’s case, please contact us:
Injured person’s surname begins with:
A - Gibbo: 028 9054 5849
Gibson - McKei: 029 9054 5831
McKel - Z: 028 9054 5824
A full overview of our schemes can be found in our Leaflet Z1 Recovery of benefits and health service charges - A guide for companies and solicitors.
Download:
The Law
We operate primarily under the following legislation:
- The Social Security (Recovery of Benefits) (Northern Ireland) Order 1997
- The Health and Personal Social Services Act (NI) 2001 (Part 2)
- The Recovery of Health Services Charges (NI) Order 2006
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