Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

FNSPIM415 Mapping and Delivery Guide
Manage personal injury case loads

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency FNSPIM415 - Manage personal injury case loads
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to manage personal injury case loads. It encompasses developing, implementing, monitoring and evaluating action plans to manage case loads.It applies to individuals who have well-developed skills and specialised knowledge of the sector, services and organisation, and work independently or across multidisciplinary teams. They make judgements within their level of responsibility to achieve organisational objectives and standards.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the personal injury management field of work and include access to:

office equipment, technology, software and consumables

organisational records, policies and procedures.

Assessors must satisfy NVR/AQTF assessor requirements.
Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Develop case load management action plan
  • Review claims portfolio to determine needs and required outcomes
  • Identify claims information gaps and develop strategies to meet these
  • Determine case load resource requirements in line with identified portfolio needs, legislative requirements and organisational policy and procedures
  • Identify portfolio and case load management risks and develop strategies to manage them
  • Develop holistic case load action plan in line with identified portfolio needs, legislation and organisational policy and guidelines
  • Develop and maintain appropriate records
       
Element: Implement, monitor and review case load management action plan
  • Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals
  • Coordinate and lead claims and injury management activities of relevant services in line with portfolio needs and case load management action plan
  • Organise and use appropriate resources, methods and techniques to achieve outcomes
  • Apply appropriate models , strategies and guidelines to sequence and prioritise activities to achieve set objectives
  • Monitor risks, identify performance gaps and develop appropriate strategies to meet them
  • Review case load management action plan in line with outcomes and changing portfolio needs
       
Element: Evaluate case load management action plan
  • Evaluate claims portfolio needs and escalate, transition or close as required
  • Reflect on own practice and identify professional development and continuous improvement opportunities
       


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.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Develop case load management action plan

1.1 Review claims portfolio to determine needs and required outcomes

1.2 Identify claims information gaps and develop strategies to meet these

1.3 Determine case load resource requirements in line with identified portfolio needs, legislative requirements and organisational policy and procedures

1.4 Identify portfolio and case load management risks and develop strategies to manage them

1.5 Develop holistic case load action plan in line with identified portfolio needs, legislation and organisational policy and guidelines

1.6 Develop and maintain appropriate records

2. Implement, monitor and review case load management action plan

2.1 Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals

2.2 Coordinate and lead claims and injury management activities of relevant services in line with portfolio needs and case load management action plan

2.3 Organise and use appropriate resources, methods and techniques to achieve outcomes

2.4 Apply appropriate models , strategies and guidelines to sequence and prioritise activities to achieve set objectives

2.5 Monitor risks, identify performance gaps and develop appropriate strategies to meet them

2.6 Review case load management action plan in line with outcomes and changing portfolio needs

3. Evaluate case load management action plan

3.1 Evaluate claims portfolio needs and escalate, transition or close as required

3.2 Reflect on own practice and identify professional development and continuous improvement opportunities

Evidence of the ability to:

apply appropriate models and guidance to sequence and prioritise caseload management activities

develop, implement and monitor caseload action plans

plan, monitor and review a range of claims and injury management activities

comply with legislation and regulatory requirements

communicate effectively with a range of stakeholders.

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

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

explain key features of relevant organisational policies and procedures that assist in the management and compliance of personal injury claims

outline the skills and strategies needed to prioritise and manage a portfolio of cases

compare and contrast case management models and strategies

identify barriers to effective caseload management and strategies to manage them

discuss strategies for dealing with issues and problems relating to case load management.

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, 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.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Develop case load management action plan

1.1 Review claims portfolio to determine needs and required outcomes

1.2 Identify claims information gaps and develop strategies to meet these

1.3 Determine case load resource requirements in line with identified portfolio needs, legislative requirements and organisational policy and procedures

1.4 Identify portfolio and case load management risks and develop strategies to manage them

1.5 Develop holistic case load action plan in line with identified portfolio needs, legislation and organisational policy and guidelines

1.6 Develop and maintain appropriate records

2. Implement, monitor and review case load management action plan

2.1 Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals

2.2 Coordinate and lead claims and injury management activities of relevant services in line with portfolio needs and case load management action plan

2.3 Organise and use appropriate resources, methods and techniques to achieve outcomes

2.4 Apply appropriate models , strategies and guidelines to sequence and prioritise activities to achieve set objectives

2.5 Monitor risks, identify performance gaps and develop appropriate strategies to meet them

2.6 Review case load management action plan in line with outcomes and changing portfolio needs

3. Evaluate case load management action plan

3.1 Evaluate claims portfolio needs and escalate, transition or close as required

3.2 Reflect on own practice and identify professional development and continuous improvement opportunities

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
Review claims portfolio to determine needs and required outcomes 
Identify claims information gaps and develop strategies to meet these 
Determine case load resource requirements in line with identified portfolio needs, legislative requirements and organisational policy and procedures 
Identify portfolio and case load management risks and develop strategies to manage them 
Develop holistic case load action plan in line with identified portfolio needs, legislation and organisational policy and guidelines 
Develop and maintain appropriate records 
Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals 
Coordinate and lead claims and injury management activities of relevant services in line with portfolio needs and case load management action plan 
Organise and use appropriate resources, methods and techniques to achieve outcomes 
Apply appropriate models , strategies and guidelines to sequence and prioritise activities to achieve set objectives 
Monitor risks, identify performance gaps and develop appropriate strategies to meet them 
Review case load management action plan in line with outcomes and changing portfolio needs 
Evaluate claims portfolio needs and escalate, transition or close as required 
Reflect on own practice and identify professional development and continuous improvement opportunities 

Forms

Assessment Cover Sheet

FNSPIM415 - Manage personal injury case loads
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

FNSPIM415 - Manage personal injury case loads

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: