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. Assess claim | 1.1 Assess available information to establish if it is sufficient for a determination to be made. 1.2 Identify additional information required, if any, to make the determination. 1.3 Obtain additional information. 1.4 Re-assess information to determine if it is sufficient or if further investigation is required. 1.5 Make a decision to defer where information is insufficient, and consider interim payments where applicable. |
2. Make a determination | 2.1 Confirm the claimant’s eligibility and the reported condition as compensable under the legislation. 2.2 Assess details of the claim to ensure they qualify for payment. 2.3 Accept or reject the claim based on all available evidence. 2.4 Calculate notional weekly earnings where required. 2.5 Advise the claimant and other relevant parties in writing of the decision, and ensure advice contains all information required by the legislation. 2.6 Complete case records ensuring they contain comprehensive details of the claim and justification for the decision. |
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 determination of compensation claims
assessing the sufficiency of information and the requirement for further investigation
analysing information and making judgments
calculating interim payments
reading and applying complex information
using communication with a diverse range of people including employers, unions, workplace supervisors, medical advisers, legal advisers, insurer/self-insurer
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 determination of claims
privacy legislation
freedom of information legislation
procedures to ensure confidentiality and security of information
eligibility and compensable conditions under the legislation
expenses that may be claimed
non-economic loss
medical terminology
documentary requirements of a claim
organisational standards for claim determinations
range of payment options under the legislation
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.