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How Individual Claims Still Shape Your Premium

10.09.2026

ARTICLE

When news broke that Victoria’s average WorkCover premium would remain ‘frozen’ at 1.8% of the state’s total rateable remuneration, following a painful period of steep hikes, many businesses breathed a sigh of relief, thinking their workers’ compensation costs would be capped moving forward.


However, behind the reassuring political headlines lies an important reality. The 1.8% figure is just a state-wide average, not a flat rate applied to every business. In reality, WorkSafe Victoria determines your premium using a system called a ‘claims experience rating’, which comes down to three main factors. First is claim frequency, which tracks the number of injury claims lodged by your staff.

 

Second, and most importantly, is claim severity and duration, including how much money is spent on weekly income payments and medical treatment, and how long a worker remains off work. Finally, WorkSafe Victoria measures your performance against your industry peers. So if your business has longer-lasting, more expensive claims than the average competitor in your industry or sector, your rating goes up, and so does your premium. 


What Really Drives Your Premium

Every year, WorkSafe Victoria calculates individual premiums by looking at the past three calendar years’ worth of data, taking into account these three factors. Your performance rating then acts as a multiplier. If your business performs better than your industry peers, you receive a discount, but if you experience a spike in injuries or struggle to get workers back to work, you receive a premium loading.

 

So while the 1.8% freeze acts as a state-wide cap on the entire insurance pool, ensuring the government cannot hit the entire Victorian business community with a blanket price hike, your premium can still go up (or down) based on your specific industry’s safety record and how your business’s claim costs compare to those of your competitors. Because it is an average limit, WorkSafe Victoria must keep the ledger balanced. If one high-risk industry (like healthcare or manufacturing) experiences a surge in claims and sees its industry rate rise, another lower-risk sector must see its rate drop to keep the state’s total baseline anchored at 1.8%. Thus, a poor claims history could easily override the state’s 1.8% average benchmark, triggering a significant premium hike for your business.


Practical Steps to Protect Your Premium

This premium tension delivers a clear mandate for employers in Victoria: you cannot control state-wide caps or industry classifications, but you have direct control over your approach to risk management. Relying on the 1.8% cap is a risky strategy that leaves businesses exposed to factors that can materially affect premium outcomes. Instead, organisations should take deliberate action to minimise ongoing financial exposure. 


The most effective way to protect your rating is to prevent minor or moderate incidents from developing into long-term claims. Use the current premium freeze as a window to fund early-intervention safety programs. If an injury occurs, immediately launch tailored return-to-work pathways. Providing modified duties early keeps workers connected to the business and reduces the duration and cost of compensation payments. The long-term benefit can far outweigh the initial time investment.


For large employers and self-insurers, proactively audit open claims portfolios to ensure case management aligns with realistic recovery timelines. Identify high-risk claims early (especially complex mental injuries) and consider rehabilitation providers to mitigate long-term liability.

 

Insights and articles published on this website are current to the dates stated and intended to provide general information only. They should not be relied upon as legal advice. You should discuss your specific situation with a suitably qualified professional advisor.