Unit of competency Outline

Date retreived
23/07/2026 3:39 PM AWST

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Manage impairment benefit claims

Manage impairment benefit claims

Unit of competency
National Code
FNSPIM504
State Code
AUS74
TGA Status
Deleted
DTWD Status
Deleted
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 impairment benefit claims within the personal injury management context. It encompasses collecting, analysing and using appropriate information and criteria to assess and estimate the degree of impairment to calculate and pay the correct entitlement.It applies to individuals who have well-developed skills and a broad knowledge base of the sector, services and organisation, and take responsibility for case and/or technical management of impairment claims.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. Determine nature of impairment benefit claim and collect required information
  • 1.1 Review impairment benefit claim to determine nature of claim and estimate degree of impairment
  • 1.2 Determine type and sources of information and guidelines required to make impairment benefit liability decision
  • 1.3 Collect information required for decision-making process, including accessing appropriate services and referrals to independent assessors as required
2. Determine liability for impairment benefit
  • 2.1 Undertake thorough and systematic review of facts, evidence and information relevant to circumstances of impairment claim
  • 2.2 Follow organisational procedures to determine liability of claimed injury for impairment benefit
  • 2.3 Use appropriate criteria and guidelines for basis of making sound and sustainable liability decision
3. Manage impairment benefit claims process
  • 3.1 Determine and apply appropriate legislative, regulatory and organisational policy and procedures to manage impairment benefit claims
  • 3.2 Identify stakeholders in impairment benefit process and determine strategies to manage stakeholder relationships
  • 3.3 Use appropriate IT systems to collect, analyse, store and access required information
  • 3.4 Use appropriate criteria to calculate correct entitlement
  • 3.5 Use effective and appropriate strategies to communicate impairment decisions to claimant
  • 3.6 Pay entitlement and finalise claim according to organisational procedures
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