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Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

1. Collect and analyse data on claims trends
   • Design and implement data gathering processes
   • Identify new data requirements and sources, and establish process for collecting data
   • Analyse data collected to identify trends in claims and related documents
2. Monitor claims trends
   • Prepare accurate and timely claims reports to document trends and identify issues, where appropriate
   • Communicate to management promptly relevant information which impacts on clients according to organisational procedures
3. Identify opportunities to improve client outcomes
   • Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances
   • Communicate advice to clients effectively and promote positive action
   • Provide sources of advice to clients where required

Performance Evidence

Evidence of the ability to:

collect and interpret data from a wide range of sources

effectively monitor and analyse:

claims trends and their causes

effects on claims history

settlement policy and procedures

review policies and procedures and make recommendations for change

accurately prepare advice and recommendations for management and clients to undertake suitable actions.

Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.

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Knowledge Evidence

To complete the unit requirements safely and effectively, the individual must:

outline organisational policy, procedures, claims guidelines and levels of authority

explain and employ analysis techniques in evaluating data

outline broad industry trends in claims handling

explain the different type of claims events and possible remediation strategies

outline the types of data and documents to be analysed to monitor claim trends.

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