Lawdify for Insurance

Assess WICA claims with Statutory Precision

Month-by-month document review, running compensation totals, and MOM-ready reporting

Medical leave wages, medical expenses, and permanent incapacity lump sums, computed from the wage records, medical certificates, and incapacity assessments on the file. A work injury claim runs for months, so Lawdify folds in each new batch of documents and keeps the totals current. Your handlers approve every figure.

Assess WICA claims
Compute to the Act

Compensation computed the way the Act sets out

Lawdify reads the payroll records, the medical certificates, and the incapacity assessment, then computes each head of compensation with your configured statutory limits applied. The handler reviews and approves every figure.

Compensation computed the way the Act sets out
1

Permanent incapacity lump sums

Derive compensation from average monthly earnings, the age multiplying factor, and the assessed permanent incapacity percentage.

Applies the uplift for a 100% permanent incapacity assessment, then checks the result against the prevailing statutory floor and ceiling.

2

Medical leave wages

Separate hospitalisation leave at full pay from outpatient sick leave at two-thirds, and track the combined period against the statutory cap.

Splits 18 days of hospitalisation leave from 42 days of outpatient leave and flags the file approaching the combined limit.

3

Medical expense checks

Test every bill against the covered period and per-claim limit, and separate treatment for the work injury from unrelated care.

Flags three invoices dated beyond the covered period and one specialist consultation unrelated to the reported injury.

Keep the File Current

A claim file that stays current for as long as the claim runs

A work injury claim rarely closes in one pass. Every month brings fresh medical certificates, invoices, and specialist reports. Lawdify reads each new batch, reconciles it against what is already on file, and updates the running totals so the assessment never goes stale.

A claim file that stays current for as long as the claim runs
1

Monthly document intake

Read each new batch of certificates, bills, and reports as it arrives and reconcile it against the existing file, instead of reviewing the whole claim again.

Identifies two certificates in this month's batch that overlap three days already counted.

2

Running totals against the limits

Track cumulative leave days and medical expenses against the statutory caps as the claim progresses, and flag a file before it crosses a threshold.

Warns the file has used 11 of the 14 months of combined leave with treatment still ongoing.

3

Work Injury Report cross-check

Match the reported accident circumstances against the medical evidence and the employer's own incident record.

Notes the reported mechanism of injury does not match the diagnosis on the first medical certificate.

4

Earnings verification

Derive average monthly earnings from payroll records, including the allowances and overtime that count as earnings under the Act.

Recomputes average monthly earnings to include a shift allowance omitted from the employer's declaration.

Close work injury claims accurately, and defend every figure

Lawdify's WICA module takes the arithmetic and the evidence chasing off your handlers, so their time goes to the judgement calls.

Accurate compensation

Compute every head of compensation from source records rather than spreadsheets.

Fewer disputes

Catch computation errors and evidence gaps before the claim is contested.

Nothing missed month to month

Overlapping certificates, missing reports, and approaching limits surface as the claim runs on.

Minutes per review

However long the claim stays open, each monthly re-review takes minutes rather than an afternoon.

Consistent application

Apply the Act's schedules and your policy terms the same way across every handler.

Handler-led decisions

Your handlers approve every assessment — AI proposes, humans decide.

WICA module — frequently asked questions

No. Lawdify computes the compensation and assembles the evidence; your handler reviews, adjusts, and approves every figure before anything is paid.

Yes, and that is the normal case. The file stays open for the life of the claim: each new batch of certificates, bills, and reports is read and reconciled against what is already there, the running totals update, and the compensation figures are recomputed. Your handler sees what changed since the last review instead of re-reading the whole file.

Yes. The Act's floors, ceilings, and leave caps are configured values rather than hard-coded ones, so when they are revised your assessments follow the new figures from the date you set.

Yes. The module ingests your policy wordings and endorsements alongside the Act, so assessments reflect the cover you actually wrote.

Yes — Lawdify exposes a REST API and integrates with most core claims and policy admin systems.

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