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

PSPINM001 Mapping and Delivery Guide
Process claims

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency PSPINM001 - Process claims
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills required to process compensation claims for employment related injuries. It includes confirming claim details, processing payments and maintaining files.This unit applies to those working in public sector roles but may be applied to anyone working in a similar organisational context.The skills and knowledge described in this unit must be applied within the legislative, regulatory and policy environment in which they are carried out. Organisational policies and procedures must be consulted and adhered to.Those undertaking this unit would work independently, while performing routine tasks in a familiar context.No licensing, legislative or certification requirements apply to unit at the time of publication.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

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.
Prerequisites/co-requisites
Competency Field Injury management
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: Confirm details
  • Complete documents, and obtain authorisation/s for claims.
  • Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability.
  • Record account details.
  • Notify relevant personnel when accounts are rejected.
       
Element: Process payments
  • Produce and post cheques or process electronic transfer of funds.
  • Batch accounts where required for traceability.
  • Confirm authorisations for periodic payments to avoid overpayments.
  • Process claims within time limits.
       
Element: Maintain files
  • Maintain records.
  • Document all contacts.
  • Maintain evidence of file management for audit purposes.
       
Element: Confirm details
  • Complete documents, and obtain authorisation/s for claims.
  • Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability.
  • Record account details.
  • Notify relevant personnel when accounts are rejected.
       
Element: Process payments
  • Produce and post cheques or process electronic transfer of funds.
  • Batch accounts where required for traceability.
  • Confirm authorisations for periodic payments to avoid overpayments.
  • Process claims within time limits.
       
Element: Maintain files
  • Maintain records.
  • Document all contacts.
  • Maintain evidence of file management for audit purposes.
       


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.

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. Confirm details

1.1 Complete documents, and obtain authorisation/s for claims.

1.2 Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability.

1.3 Record account details.

1.4 Notify relevant personnel when accounts are rejected.

2. Process payments

2.1 Produce and post cheques or process electronic transfer of funds.

2.2 Batch accounts where required for traceability.

2.3 Confirm authorisations for periodic payments to avoid overpayments.

2.4 Process claims within time limits.

3. Maintain files

3.1 Maintain records.

3.2 Document all contacts.

3.3 Maintain evidence of file management for audit purposes.

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 processing of claims

recording and reporting of transactions

reading and interpreting claims information

checking the accuracy of calculations and reconciliations

assessing reasonableness of accounts

using communication including reporting of irregularities and errors

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, and guidelines relating to injury management and processing claims

privacy legislation

procedures to ensure confidentiality and security of information

procedures for cash and non-cash handling

injury management claims relating to diverse disabilities

methods and techniques for simple numerical calculations

equal employment opportunity, equity and diversity principles

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.

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. Confirm details

1.1 Complete documents, and obtain authorisation/s for claims.

1.2 Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability.

1.3 Record account details.

1.4 Notify relevant personnel when accounts are rejected.

2. Process payments

2.1 Produce and post cheques or process electronic transfer of funds.

2.2 Batch accounts where required for traceability.

2.3 Confirm authorisations for periodic payments to avoid overpayments.

2.4 Process claims within time limits.

3. Maintain files

3.1 Maintain records.

3.2 Document all contacts.

3.3 Maintain evidence of file management for audit purposes.

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
Complete documents, and obtain authorisation/s for claims. 
Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability. 
Record account details. 
Notify relevant personnel when accounts are rejected. 
Produce and post cheques or process electronic transfer of funds. 
Batch accounts where required for traceability. 
Confirm authorisations for periodic payments to avoid overpayments. 
Process claims within time limits. 
Maintain records. 
Document all contacts. 
Maintain evidence of file management for audit purposes. 
Complete documents, and obtain authorisation/s for claims. 
Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability. 
Record account details. 
Notify relevant personnel when accounts are rejected. 
Produce and post cheques or process electronic transfer of funds. 
Batch accounts where required for traceability. 
Confirm authorisations for periodic payments to avoid overpayments. 
Process claims within time limits. 
Maintain records. 
Document all contacts. 
Maintain evidence of file management for audit purposes. 

Forms

Assessment Cover Sheet

PSPINM001 - Process claims
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

PSPINM001 - Process claims

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: