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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. Receive and acknowledge claims
   • 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.
2. Assess need for rehabilitation referral
   • Copy and forward documentation when referral is required for rehabilitation assessment.
   • Review assessments if circumstances change.
   • Progress claim for investigation and determination.
3. Receive and acknowledge claims
   • 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.
4. Assess need for rehabilitation referral
   • Copy and forward documentation when referral is required for rehabilitation assessment.
   • Review assessments if circumstances change.
   • Progress claim for investigation and determination.

Performance Evidence

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

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Knowledge Evidence

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

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