Application
This unit describes the skills and knowledge required to generate and process benefit related payments. It encompasses accessing and processing payment information and entering it in the correct format on a data management system to ensure timeframes for payment information are met and appropriate records are maintained.
It applies to individuals who use specialised knowledge and follow structured approaches, using limited discretion and judgement within the claims management function.
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.
Elements and Performance Criteria
ELEMENT | PERFORMANCE CRITERIA |
Elements describe the essential outcomes. | Performance criteria describe the performance needed to demonstrate achievement of the element. |
1. Process payments | 1.1 Identify classification types in accordance with organisational criteria, industry best practices, and relevant Acts and regulatory requirements 1.2 Identify, check and accurately record payment information in accordance with organisational guidelines, and Acts and regulatory requirements 1.3 Authorise payments in accordance with payment authority and organisational operating procedures 1.4 Generate payments as directed with reference to Acts, regulations, organisational policy and operating procedures and codes of practice, if applicable, within timeframes 1.5 Complete payment documents identifying relevant details in accordance with legislation and regulatory requirements 1.6 Adhere to payment authority delegations and limits in accordance with organisational policy and procedures |
2. Finalise claims payment information to facilitate payment | 2.1 Finalise and enter payment information on system to prompt payment where required 2.2 Despatch claims payment data and/or payments within required timeframes 2.3 Copy and file electronic and/or hard copy documents for auditing purposes according to organisational operating procedures |
Evidence of Performance
Evidence of the ability to:
process and finalise benefit or claim payments following organisational policy and procedures and regulatory requirements, including:
access and process payment information
enter data in the correct format in the data management system
ensure organisational timeframes are met
maintain appropriate records.
Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.
Evidence of Knowledge
To complete the unit requirements safely and effectively, the individual must:
describe details of organisational payment types and claims classifications, including a knowledge of codes for entering data
describe the key features and relevance to processing benefit payments of:
appropriate legislation and industry regulations
relevant codes of practice
organisational operating procedures.
Assessment Conditions
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, policy and procedures.
Assessors must satisfy NVR/AQTF assessor requirements.
Foundation Skills
This section describes language, literacy, numeracy and employment skills incorporated in the performance criteria that are required for competent performance.
Skill | Performance Criteria | Description |
Reading | 1.1-1.3 | Interprets textual information from a variety of sources and consolidates relevant related information |
Writing | 1.2, 1.5 | Accurately records information and completes documentation using required format, terminology and conventions specific to organisational requirements |
Oral Communication | 1.2, 1.3 | Participates in verbal exchanges using clear language and questioning and active listening to determine and confirm information |
Numeracy | 1.1-1.6, 2.1, 2.2 | Performs mathematical calculations to check accuracy of claim data |
Navigate the world of work | 1.1-1.6, 2.2, 2.3 | Recognises and follows relevant legislative requirements , protocols, policies and procedures and meets expectations associated with own role |
Get the work done | 1.1-1.6, 2.1-2.3 | Organises work according to defined requirements, using some analytical processes, taking responsibility for decisions and sequencing tasks to achieve efficient outcomes Uses the main features and functions of digital tools to complete work tasks |
Sectors
Personal injury management