Unit of competency Outline

Date retreived
22/07/2026 9:45 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.

Represent personal injury management agent or insurer at conciliation and review hearings

Represent personal injury management agent or insurer at conciliation and review hearings

Unit of competency
National Code
FNSPIM402A
State Code
D4279
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
24/11/2010
State Implementation and Classification
Approved Date
29/07/2014
Field of Education
081105 - Investment And Securities
Original Release Date
29/07/2014
Nominal Hours
80
Description
This unit describes the performance outcomes, skills and knowledge required to represent personal injury management agents or insurers at formal or informal conciliation and review hearings. It encompasses application of relevant State or Territory legislative requirements in relation to personal injury management, knowledge of organisation policies and procedures, and external conciliation processes.This unit may apply to job roles subject to licensing, legislative, regulatory or certification requirements so Commonwealth, State or Territory requirements should be confirmed with the relevant body.
Notes
Elements and Performance Criteria
1. Prepare for hearings of disputes
  • 1.1. Review of decision is made by contacting the person, relevant parties and the treating doctor where relevant, and considering any new/additional information provided
  • 1.2. Additional information is obtained from relevant parties as required and provided to stakeholders
  • 1.3. All parties affected by the decision are clearly and promptly advised of their review rights in accordance with legislative requirements
2. Present cases at conciliation conferences
  • 2.1. Appropriate forms are completed in accordance with conciliation office requirements and referred to the conciliation office
  • 2.2. Conciliation conference is arranged to bring the parties to agreement and reach conciliation
  • 2.3. Formal notification documenting the outcome of conciliation, including any disputes is provided to all relevant parties
3. Present case in court/tribunal/review hearings
  • 3.1. Courts are provided with all relevant documentation prior to pre-hearing conference
  • 3.2. Insurers manage matter before the court or tribunal in a matter that achieves the best and most expeditious resolution at minimum cost
RANGE STATEMENT
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.
Relevant parties may include:
employer and industry associations
family members
medical and like providers
workers compensation, personal injury authority
self insurer
the authorised insurer
the community
the employer
unions and union representatives.
Conciliation conferences may include:
formal legal proceedings
informal meetings between the disputing parties.
Disputes may involve:
insurer's procedures including failure to meet response time limits set for both informal and formal disputes resolution made direct to the insurer by any of the parties involved in the claim
liability
medical and like providers/panels.
Documentation may include:
assessor's reports and reports from medical and like providers
medical panels
rehabilitation providers
the employer.
EVIDENCE GUIDE
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 ability to:
interpret and comply with industry and organisation obligations and objectives
negotiate effectively on behalf of the organisation and build client relationships
understand conciliation and review hearing procedures and requirements
effectively prepare for and represent the agent's or insurer's interests at review hearings.

Context of and specific resources for assessment
Assessment must ensure:
competency is demonstrated in the context of the work environment and conditions specified in the range statement either in a relevant workplace or a closely simulated work environment
access to and the use of a range of common office equipment, technology, software and consumables
access to organisation records
access to organisation policies and procedures.

Method of assessment
A range of assessment methods should be used to assess practical skills and knowledge. The following examples, in combination, are appropriate for this unit:
evaluating an integrated activity, which combines the elements of competency for the unit, or a cluster of related units of competency
observing processes and procedures in workplaces
verbal or written questioning on underpinning knowledge and skills
evaluating samples of work
accessing and validating third party reports.

Guidance information for assessment
State Code National Code Title Type
S702 FNS40310 Certificate IV in Personal Injury Management (Claims Management) Qualification