Unit of competency Outline
Date retreived
22/07/2026 3:59 PM AWST
22/07/2026 3:59 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.
Process claims
Process claims
Unit of competency
National Code
PSPIM301A
PSPIM301A
State Code
C8165
C8165
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
Nominal Hours
20
Description
This unit covers processing of compensation claims for employment-related injuries in accordance with legislation, organisational policy and procedures. It includes confirming claim details, processing payments and maintaining files.In practice, processing claims may overlap with other generalist or specialist public sector work activities such as acting ethically, complying with legislation, accessing and using resources and financial systems, organising workplace information, etc. No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication
Notes
Elements and Performance Criteria
1. Confirm details
- 1.1 Documents are completed, and authorisation/s are obtained for claims in accordance with legislation, organisational policy and procedures.
- 1.2 Reasonableness of accounts is assessed to ensure accounts that are paid are relevant to disability.
- 1.3 Account details are recorded in accordance with system and organisational requirements.
- 1.4 When accounts are rejected notifications are made in accordance with legislation, organisational policy and procedures.
2. Process payments
- 2.1 Cheque production and posting or electronic transfer of funds is effected in accordance with organisational procedures.
- 2.2 Accounts are batched where required for traceability.
- 2.3 Authorisations for periodic payments are confirmed to avoid overpayments.
- 2.4 Claims are processed within time limits to comply with legislation, policy and key performance indicators.
3. Maintain files
- 3.1 Records are maintained in accordance with legislation and the organisation's recordkeeping requirements.
- 3.2 Documentation of all contacts relating to processing of claims is completed in accordance with organisational policy and procedures.
- 3.3 Evidence of file management is maintained for audit purposes.
The Range Statement provides information about the context in which the unit of competency is carried out. The variables cater for differences between States and Territories and the Commonwealth, and between organisations and workplaces. They allow for different work requirements, work practices and knowledge. The Range Statement also provides a focus for assessment. It relates to the unit as a whole. Text in bold italics in the Performance Criteria is explained here.
Claims may be:
weekly/fortnightly payments
lump sum payments
medical and other expenses
settlements
redemptions
Legislation, organisational policy and proceduresmay include:
occupational health and safety and injury management legislation
workers rehabilitation/compensation legislation
privacy legislation
freedom of information legislation
procedures to ensure confidentiality and security of information
public sector standards
codes of practice
codes of ethics
Evidence of file managementmay show:
that the direction of claim activity is proactive
that the claim is being managed (not just a matter of processing payments)
Claims may be:
weekly/fortnightly payments
lump sum payments
medical and other expenses
settlements
redemptions
Legislation, organisational policy and proceduresmay include:
occupational health and safety and injury management legislation
workers rehabilitation/compensation legislation
privacy legislation
freedom of information legislation
procedures to ensure confidentiality and security of information
public sector standards
codes of practice
codes of ethics
Evidence of file managementmay show:
that the direction of claim activity is proactive
that the claim is being managed (not just a matter of processing payments)
The Evidence Guide specifies the evidence required to demonstrate achievement in the unit of competency as a whole. It must be read in conjunction with the Unit descriptor, Performance Criteria, the Range Statement and the Assessment Guidelines for the Public Sector Training Package.
Units to be assessed together
Pre-requisite units that must be achieved prior to this unit:Nil
Co-requisite units that must be assessed with this unit:Nil
Co-assessed units that may be assessed with this unit to increase the efficiency and realism of the assessment process include, but are not limited to:
PSPETHC301B Uphold the values and principles of public service
PSPGOV301B Work effectively in the organisation
PSPGOV305B Access and use resources and financial systems
PSPGOV307B Organise workplace information
PSPGOV308B Work effectively with diversity
PSPLEGN301B Comply with legislation in the public sector
Overview of evidence requirements
In addition to integrated demonstration of the elements and their related performance criteria, look for evidence that confirms:
the knowledge requirements of this unit
the skill requirements of this unit
application of the Employability Skills as they relate to this unit (see Employability Summaries in Qualifications Framework)
processing of claims in a range of (3 or more) contexts (or occasions, over time)
Resources required to carry out assessment
These resources include:
legislation, policy, procedures and protocols relating to the processing of claims
case studies and workplace scenarios to capture the range of situations likely to be encountered when processing claims
Where and how to assess evidence
Valid assessment of this unit requires:
a workplace environment or one that closely resembles normal work practice and replicates the range of conditions likely to be encountered when processing claims, including coping with difficulties, irregularities and breakdowns in routine
processing of claims in a range of (3 or more) contexts (or occasions, over time)
Assessment methods should reflect workplace demands, such as literacy, and the needs of particular groups, such as:
people with disabilities
people from culturally and linguistically diverse backgrounds
Aboriginal and Torres Strait Islander people
women
young people
older people
people in rural and remote locations
Assessment methods suitable for valid and reliable assessment of this competency may include, but are not limited to, a combination of 2 or more of:
case studies
demonstration
portfolios
questioning
scenarios
simulation or role plays
authenticated evidence from the workplace and/or training courses
For consistency of assessment
Evidence must be gathered over time in a range of contexts to ensure the person can achieve the unit outcome and apply the competency in different situations or environments
Units to be assessed together
Pre-requisite units that must be achieved prior to this unit:Nil
Co-requisite units that must be assessed with this unit:Nil
Co-assessed units that may be assessed with this unit to increase the efficiency and realism of the assessment process include, but are not limited to:
PSPETHC301B Uphold the values and principles of public service
PSPGOV301B Work effectively in the organisation
PSPGOV305B Access and use resources and financial systems
PSPGOV307B Organise workplace information
PSPGOV308B Work effectively with diversity
PSPLEGN301B Comply with legislation in the public sector
Overview of evidence requirements
In addition to integrated demonstration of the elements and their related performance criteria, look for evidence that confirms:
the knowledge requirements of this unit
the skill requirements of this unit
application of the Employability Skills as they relate to this unit (see Employability Summaries in Qualifications Framework)
processing of claims in a range of (3 or more) contexts (or occasions, over time)
Resources required to carry out assessment
These resources include:
legislation, policy, procedures and protocols relating to the processing of claims
case studies and workplace scenarios to capture the range of situations likely to be encountered when processing claims
Where and how to assess evidence
Valid assessment of this unit requires:
a workplace environment or one that closely resembles normal work practice and replicates the range of conditions likely to be encountered when processing claims, including coping with difficulties, irregularities and breakdowns in routine
processing of claims in a range of (3 or more) contexts (or occasions, over time)
Assessment methods should reflect workplace demands, such as literacy, and the needs of particular groups, such as:
people with disabilities
people from culturally and linguistically diverse backgrounds
Aboriginal and Torres Strait Islander people
women
young people
older people
people in rural and remote locations
Assessment methods suitable for valid and reliable assessment of this competency may include, but are not limited to, a combination of 2 or more of:
case studies
demonstration
portfolios
questioning
scenarios
simulation or role plays
authenticated evidence from the workplace and/or training courses
For consistency of assessment
Evidence must be gathered over time in a range of contexts to ensure the person can achieve the unit outcome and apply the competency in different situations or environments
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AWU90 | PSPINM001 | Process claims | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| J283 | PSP40112 | Certificate IV in Government | Qualification |