Assessor Resource

PSPINM002
Conduct initial claim assessments

Assessment tool

Version 1.0
Issue Date: April 2024


This unit describes the skills required to undertake initial assessment of compensation claims for employment related injuries. It includes receiving and acknowledging claims, and assessing rehabilitation need (for referral).

This unit applies to those working in the area of initial assessment of compensation claims. Staff of the employer undertakes this role.

The skills and knowledge described in this unit must be applied within the legislative, regulatory and policy environment in which they are carried out. Organisational policies and procedures must be consulted and adhered to.

Those undertaking this unit would work under supervision, while performing routine tasks in a range of familiar contexts.

No licensing, legislative or certification requirements apply to unit at the time of publication.

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


Evidence Required

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.

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the range of conditions section.

1. Receive and acknowledge claims

1.1 Assess completeness of claim.

1.2 Obtain missing information.

1.3 Undertake risk streaming of claims.

1.4 Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

1.5 Acknowledge the claim within required timeframes.

1.6 Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

2. Assess need for rehabilitation referral

2.1 Copy and forward documentation when referral is required for rehabilitation assessment.

2.2 Review assessments if circumstances change.

2.3 Progress claim for investigation and determination.

Evidence required to demonstrate competence must satisfy all of the requirements of the elements and performance criteria. If not otherwise specified the candidate must demonstrate evidence of performance of the following on at least one occasion.

applying legislation, regulations and policies relating to initial assessment of compensation claims

reading and applying complex information, including legislation and regulations

Evidence required to demonstrate competence must satisfy all of the requirements of the elements and performance criteria. If not otherwise specified the depth of knowledge demonstrated must be appropriate to the job context of the candidate.

public sector legislation, including work health and safety, and environment

regulations, policies, procedures and guidelines relating to injury management

privacy legislation

freedom of information legislation

procedures to ensure confidentiality and security of information

requirements for referrals for rehabilitation assessment

definitions of eligible workers and disabilities under the legislation

medical terminology

documentary requirements of a claim

organisational standards for responding to claims

This unit contains no specific industry-mandated assessment conditions. Guidance on suggested and recommended conditions and methods can be found in the Implementation Guide.

Assessors must satisfy the NVR/AQTF mandatory competency requirements for assessors.

Submission Requirements

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)

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.

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the range of conditions section.

1. Receive and acknowledge claims

1.1 Assess completeness of claim.

1.2 Obtain missing information.

1.3 Undertake risk streaming of claims.

1.4 Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

1.5 Acknowledge the claim within required timeframes.

1.6 Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

2. Assess need for rehabilitation referral

2.1 Copy and forward documentation when referral is required for rehabilitation assessment.

2.2 Review assessments if circumstances change.

2.3 Progress claim for investigation and determination.

Evidence required to demonstrate competence must satisfy all of the requirements of the elements and performance criteria. If not otherwise specified the candidate must demonstrate evidence of performance of the following on at least one occasion.

applying legislation, regulations and policies relating to initial assessment of compensation claims

reading and applying complex information, including legislation and regulations

Evidence required to demonstrate competence must satisfy all of the requirements of the elements and performance criteria. If not otherwise specified the depth of knowledge demonstrated must be appropriate to the job context of the candidate.

public sector legislation, including work health and safety, and environment

regulations, policies, procedures and guidelines relating to injury management

privacy legislation

freedom of information legislation

procedures to ensure confidentiality and security of information

requirements for referrals for rehabilitation assessment

definitions of eligible workers and disabilities under the legislation

medical terminology

documentary requirements of a claim

organisational standards for responding to claims

This unit contains no specific industry-mandated assessment conditions. Guidance on suggested and recommended conditions and methods can be found in the Implementation Guide.

Assessors must satisfy the NVR/AQTF mandatory competency requirements for assessors.

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
Assess completeness of claim. 
Obtain missing information. 
Undertake risk streaming of claims. 
Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation. 
Acknowledge the claim within required timeframes. 
Collate data for determining weekly earnings and payments, if claim is accepted or deferred. 
Copy and forward documentation when referral is required for rehabilitation assessment. 
Review assessments if circumstances change. 
Progress claim for investigation and determination. 
Assess completeness of claim. 
Obtain missing information. 
Undertake risk streaming of claims. 
Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation. 
Acknowledge the claim within required timeframes. 
Collate data for determining weekly earnings and payments, if claim is accepted or deferred. 
Copy and forward documentation when referral is required for rehabilitation assessment. 
Review assessments if circumstances change. 
Progress claim for investigation and determination. 

Forms

Assessment Cover Sheet

PSPINM002 - Conduct initial claim assessments
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

PSPINM002 - Conduct initial claim assessments

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: