Unit of competency Outline

Date retreived
23/07/2026 2:26 AM AWST

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Manage personal injury claims

Manage personal injury claims

Unit of competency
National Code
FNSPIM434
State Code
OCZ34
TGA Status
Current
DTWD Status
Approved
Current Release Number
1.00
Current Release Date
02/02/2021
View on TGA
State Implementation and Classification
Approved Date
22/04/2021
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
22/04/2021
Nominal Hours
55
Description
This unit describes the skills and knowledge required to manage personal injury claims. It involves conducting initial assessments, developing case plans, reviewing case progress and conducting completion procedures on case closure.The unit applies to those who have developed skills and a broad knowledge base of the personal injury management sector and who work independently or across multidisciplinary teams. They make judgements within their 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. Users are advised to check with the relevant state and territory regulatory authorities to confirm those requirements.
Notes
Elements and Performance Criteria
1. Conduct initial assessment
  • 1.1 Contact stakeholders to gather information on personal injury case according to organisational policies and procedures, and legislative and regulatory requirements
  • 1.2 Conduct initial client interview and assessment according to organisational policies and procedures, and legislative and regulatory requirements
  • 1.3 Determine need for further assessment and referral services according to legislative and regulatory requirements and provide referrals for these according to organisational policies and procedures
  • 1.4 Collate and provide information to required stakeholders to support the referral process according to organisational policies and procedures, and legislative and regulatory requirements
2. Develop and obtain approval of personal injury case plan
  • 2.1 Negotiate and agree on goals and develop case plan in consultation with client, treating medical practitioner, employer and other key stakeholders
  • 2.2 Obtain approvals from treating medical practitioner and stakeholders prior to commencement of a return to life and health program according to organisational policies and procedures
3. Monitor and review case progress
  • 3.1 Conduct case review meetings with multidisciplinary team and key stakeholders according to organisational policies and procedures
  • 3.2 Monitor progress and effectiveness of client’s case against goals using organisational policies and procedures and modify case plan as required
  • 3.3 Conduct follow up review meetings with client according to case plan and organisational policies and procedures
  • 3.4 Conduct closure interviews on completion of case management plan according to organisational policies and procedures, and legislative and regulatory requirements
  • 3.5 Complete and distribute case management reports according to organisational policies and procedures, and legislative and regulatory requirements
No information
No information
Replaces
State Code National Code Title Type
AUS59 FNSPIM414 Manage personal injury claims Unit of competency