This unit applies to individuals who assist with claims management, rehabilitation and return-to-work programs.

Note that the unit does not in any way address the process of treating the worker for their injury or illness as this is the task of health and rehabilitation professionals. Instead the unit focuses on assisting with managing claims and ensuring that the organisation supports the worker through return-to-work programs.

NOTE: The terms Occupational Health and Safety (OHS) and Work Health and Safety (WHS) are equivalent and generally either can be used in the workplace. In jurisdictions where the National Model WHS Legislation has not been implemented RTOs are advised to contextualise the unit of competency by referring to the existing State/Territory OHS legislative requirements.

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.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Not applicable.

This unit contains employability skills.

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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.

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

Required skills

communication skills and discretion to discuss compensation, treatment, rehabilitation and return-to-work matters sensitively with a range of people

consultation and negotiation skills to address issues around compensation, treatment, rehabilitation and return-to-work matters sensitively with a range of people

organisational and administrative skills to see that all claims are properly managed and that claimant is clear about what is happening and what to expect

planning skills to customise rehabilitation or return-to-work programs to suit injured workers.

Required knowledge

external parties involved in return to work

processes and procedures for accessing relevant workers’ compensation legislation, principles and procedures

processes and procedures for preparing a workplace for return to work

importance of return to work to the injured worker, fellow workers and the employer

organisation’s responsibilities for rehabilitation or return-to-work programs

rehabilitation concepts and return-to-work procedures

return-to-work planning and return-to-work arrangements

rights and obligations of all parties under the relevant workers’ compensation scheme and relevant legislation

sources of assistance to help with rehabilitation and return-to-work programs

variety of methods, techniques and tools to support the injured worker.

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.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice	Yes	No	Comments/feedback
Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
Advise claimants as to whether their claim has been accepted
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
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
Facilitate consultation between rehabilitation provider and treating doctor, and other health professionals as required
Facilitate consultation between rehabilitation provider, relevant managers and injured worker
Document existing skills, experience and capabilities of injured worker to assist with return-to-work planning
Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals
Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work
Consult with relevant managers about the return-to-work program
Determine retraining that may be required when it is not possible for the worker to return to pre-injury duties
Assist with establishing a rehabilitation or return-to-work program in consultation with injured worker
Commence program as soon as possible
Facilitate regular feedback and communication between provider, supervising manager and injured worker
Facilitate regular contact and support between provider and injured worker
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
Assist with modifying return-to-work programs where appropriate
Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate

Assessment Cover Sheet

BSBWHS407A - Assist with claims management, rehabilitation and return-to-work programs

Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

BSBWHS407A - Assist with claims management, rehabilitation and return-to-work programs

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: