FNS40310 - Certificate IV in Personal Injury Management (Claims Management)
Certificate IV in Personal Injury Management (Claims Management)
This qualification reflects job roles requiring well-developed skills and a broad knowledge base in a wide variety of contexts within the personal injury management sector. It may involve supervision or leadership and guidance with some limited responsibility for the claims processing of others. Possible work functions may include:
processing case claims within a large organisation
working as a claims agent
coordinating case claims
managing a claims team
analysing claims
resolving disputes
leading and supporting a team
monitoring and processing claims in accordance with underwriting requirements
Subjects
Packaging Rules
13 units must be achieved.
4 core units
plus9 elective units
at least 5 elective units of competency must be selected from the elective bank below
a minimum of 2 electives must be selected from units aligned to Certificate IV qualifications in the FNS10 Financial Services or another endorsed Training Package
a maximum of 2 electives can be selected from units aligned to Diploma qualifications in any endorsed Training Package or accredited course
a maximum of 2 electives can be selected from units aligned to Certificate III qualifications in any endorsed Training Package or accredited course.
Elective units must be relevant to the work outcome, local industry requirements and the qualification level.
Units selected from other Training Packages or accredited courses must not duplicate units selected from or available within the FNS10 Financial Services or BSB07 Business Services Training Packages.
Preferred pathways for candidates entering this qualification include:
FNS30210 Certificate III in Personal Injury Management (Claims Management)
The primary pathway from this qualification is employment in the personal injury management sector that may relate to job roles within:
workplace injury insurance
compulsory third party insurance (CTP)
This qualification may be suited to an Australian Apprenticeship pathway.
A further learning pathway utilising qualifications such as FNS50110 Diploma of Personal Injury Management would support career progression.
Entry Requirements
Not applicable.
Licensing Information
Not applicable.
Employability Skills
QUALIFICATION SUMMARY
Employability Skill
Industry/enterprise requirements for this qualification include:
Communication
actively consulting stakeholders and seeking feedback
developing and writing reports to specifications
fostering stakeholder relationships and providing a high level of customer service and relationship management
presenting cases at conciliation conferences, courts, tribunals and reviewing hearings
using effective high level written and oral skills to mediate, negotiate and facilitate resolutions
using external networks and providing advice on rehabilitation services
Teamwork
working effectively within a multi-disciplinary team
working with a wide range of experts inside and outside the organisation, such as medical and rehabilitation advisers and job search case managers for job placement
Problem solving
analysing and assessing the injured person's capability to return to work
collecting, comparing and contrasting data
costing rehabilitation services and return to work plans
developing and implementing payment schedules
using dispute resolution techniques
using judgement and decision making skills
Initiative and enterprise
developing and using techniques to assist the long-term management of clients' injuries
developing innovative approaches to return to work strategies
matching employer's requirements and worker's capabilities
Planning and organising
conducting initial assessments, and developing and monitoring return to work plans and rehabilitation plans
coordinating and securing resources to assist injured persons
developing and implementing contingency management strategies to keep clients informed on the progress of their case
monitoring, reviewing and closing cases
preparing for hearings
researching stakeholder educational needs and documenting information
using and maintaining systems, records and reporting procedures
Self-management
applying case load management skills
managing own time and priorities and dealing with contingencies
representing organisation in a professional manner at hearings and court cases
working ethically and complying with all industry codes of practice and legislative requirements
Learning
arranging induction and training for injured workers at place of employment
educating injured persons on job search techniques
maintaining currency of knowledge of legislation, injury management models and related services
referring claimants to external rehabilitation services
Technology
conducting web searches and using corporate templates
using business technology such as computers, and word processing and document management software
using presentation equipment and materials
using research data devices and telecommunication devices and equipment
