Unit of competency Outline

Date retreived
22/07/2026 6:24 PM AWST

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Manage personal injury claims

Manage personal injury claims

Unit of competency
National Code
FNSPIM414
State Code
AUS59
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
25/03/2015
View on TGA
State Implementation and Classification
Approved Date
16/09/2015
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
16/09/2015
Nominal Hours
55
Description
This unit describes the skills and knowledge required to manage personal injury claims. It involves providing individual case management, conducting initial assessments, planning rehabilitation services, monitoring rehabilitation progress and ensuring effective closure programs.It applies to individuals who have well developed skills and specialised knowledge of the sector, services and organisation to work independently or across multidisciplinary teams. They make judgements within level of responsibility to achieve organisational objectives and standards.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.
Notes
Elements and Performance Criteria
1. Conduct an initial assessment
  • 1.1 Contact stakeholders to gather relevant information on personal injury case in accordance with organisation guidelines and legislative requirements
  • 1.2 Obtain additional information from relevant stakeholders as required
  • 1.3 Conduct initial interview and assessment in accordance with organisation guidelines and legislative requirements to determine conclusions
  • 1.4 Determine the need for specific assessment and referral services in line with legislation and provide referrals for these in accordance with organisation policies and procedures
  • 1.5 Provide appropriate information to support the referral process (internal and external), to stakeholders in accordance with organisation guidelines and legislative requirements
2. Plan case
  • 2.1 Agree on goals in consultation with client, treating medical practitioner, employer and other key stakeholders
  • 2.2 Identify and access additional sources of information relevant to the rehabilitation planning process
  • 2.3 Negotiate appropriate goal setting in accordance with organisational guidelines
  • 2.4 Assist people in the decision making process in accordance with organisation policies and guidelines
  • 2.5 Develop case plans in accordance with organisational guidelines
  • 2.6 Obtain approvals from the treating medical practitioner and stakeholders prior to the commencement of a return to work and health program in accordance with organisation policies and procedures
  • 2.7 Maintain regular communication with relevant stakeholders throughout the rehabilitation program
3. Monitor and review case progress
  • 3.1 Schedule multidisciplinary team and review meetings according to organisational guidelines
  • 3.2 Use organisational processes to identify services and methods of evaluation at each stage of the rehabilitation process
  • 3.3 Identify indicators and triggers which suggest modification or alteration to the case plan in accordance with organisation guidelines and modify or alter the case plan accordingly
  • 3.4 Monitor the progress and effectiveness of a person’s case using organisational guidelines
  • 3.5 Assist an injured person with the long-term management of their injury
No information
No information
Replaces
State Code National Code Title Type
D4288 FNSPIM411A Manage personal injury case loads Unit of competency
Replaced By
State Code National Code Title Type
OCZ34 FNSPIM434 Manage personal injury claims Unit of competency