Unit of competency Outline

Date retreived
22/07/2026 9:47 PM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Assist with claims management, rehabilitation and return-to-work programs

Assist with claims management, rehabilitation and return-to-work programs

Unit of competency
National Code
BSBWHS407A
State Code
WE729
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
18/12/2012
View on TGA
State Implementation and Classification
Approved Date
16/05/2014
Field of Education
061301 - Occupational Health And Safety
Original Release Date
16/05/2014
Nominal Hours
40
Description
This unit describes the performance outcomes, skills and knowledge required to assist with the management of workers’ compensation claims, rehabilitation and return-to-work programs.
Notes
Elements and Performance Criteria
1. Assist with managing claims
  • 1.1 Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
  • 1.2 Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
  • 1.3 Advise claimants as to whether their claim has been accepted
  • 1.4 Assist with the analysis of claims to identify the nature of the illness/injury and prepare reports according to organisational policies, and relevant legal and insurance requirements
  • 1.5 Estimate projected period of absence from work and where rehabilitation assistance is required, help ensure arrangements are made in the work team to deal with absence
2. Assist with planning for and implementing a successful rehabilitation or return-to-work program
  • 2.1 Facilitate consultation between rehabilitation provider and treating doctor, and other health professionals as required
  • 2.2 Facilitate consultation between rehabilitation provider, relevant managers and injured worker
  • 2.3 Document existing skills, experience and capabilities of injured worker to assist with return-to-work planning
  • 2.4 Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals
  • 2.5 Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work
  • 2.6 Consult with relevant managers about the return-to-work program
  • 2.7 Determine retraining that may be required when it is not possible for the worker to return to pre-injury duties
  • 2.8 Assist with establishing a rehabilitation or return-to-work program in consultation with injured worker
  • 2.9 Commence program as soon as possible
3. Assist with monitoring and evaluating a rehabilitation or return-to-work program
  • 3.1 Facilitate regular feedback and communication between provider, supervising manager and injured worker
  • 3.2 Facilitate regular contact and support between provider and injured worker
  • 3.3 Assist with identifying breaches of the return-to-work program, notifying breaches and taking prompt remedial action according to organisational policies, procedures, and relevant legal and insurance requirements
  • 3.4 Assist with modifying return-to-work programs where appropriate
  • 3.5 Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate
The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Rehabilitation provider may include:
allied health professional, such as occupational therapist and physiotherapist
job placement or training consultant
medical practitioner
mental health professional
rehabilitation case manager
return-to-work manager.
Relevant managers may include:
business owners
line managers
persons conducting businesses or undertakings (PCBUs) or their officers
project managers
senior managers
supervisors
team leaders.
Alternative duties may include:
alternative position
limited range of duties drawn from the injured worker’s regular job
normal duties supported by providing workplace aids, equipment and other measures
combination of the above.
Evaluation may include:
determining the extent to which the program meets its objective in relation to:
attainment and durability of the worker's return to work
timeframes
success rates
costs
requirements of the injured worker, fellow workers, supervisors and managers
specified organisational objectives, targets and policies
legislative duties and requirements.
The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit
Evidence of the following is essential:

understanding of the organisation’s rehabilitation and return-to-work programs
sound communication skills
knowledge of relevant legislation.
Context of and specific resources for assessment
Assessment must ensure access to:

appropriate documentation and resources normally used in the workplace.
Method of assessment
A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate for this unit:

analysis of responses to case studies and scenarios
assessment of written reports
direct questioning combined with review of portfolios of evidence and third-party workplace reports of on-the-job performance by the candidate
observation of performance in role plays
oral or written questioning to assess knowledge of workers’ compensation tribunal procedures
review of assessment undertaken of a proposed return-to-work program
evaluation of contact and support organised between provider and injured worker.
Guidance information for assessment
Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended.
Replaced By
State Code National Code Title Type
AUM41 BSBWHS407 Assist with claims management, rehabilitation and return-to-work programs Unit of competency