NTISthis.com

Evidence Guide: FNSPIM415 - Manage personal injury case loads

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

FNSPIM415 - Manage personal injury case loads

What evidence can you provide to prove your understanding of each of the following citeria?

Develop case load management action plan

  1. Review claims portfolio to determine needs and required outcomes
  2. Identify claims information gaps and develop strategies to meet these
  3. Determine case load resource requirements in line with identified portfolio needs, legislative requirements and organisational policy and procedures
  4. Identify portfolio and case load management risks and develop strategies to manage them
  5. Develop holistic case load action plan in line with identified portfolio needs, legislation and organisational policy and guidelines
  6. Develop and maintain appropriate records
Review claims portfolio to determine needs and required outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify claims information gaps and develop strategies to meet these

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop and maintain appropriate records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement, monitor and review case load management action plan

  1. Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals
  2. Coordinate and lead claims and injury management activities of relevant services in line with portfolio needs and case load management action plan
  3. Organise and use appropriate resources, methods and techniques to achieve outcomes
  4. Apply appropriate models , strategies and guidelines to sequence and prioritise activities to achieve set objectives
  5. Monitor risks, identify performance gaps and develop appropriate strategies to meet them
  6. Review case load management action plan in line with outcomes and changing portfolio needs
Use appropriate communication strategies to liaise with range of stakeholders to achieve set goals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate case load management action plan

  1. Evaluate claims portfolio needs and escalate, transition or close as required
  2. Reflect on own practice and identify professional development and continuous improvement opportunities
Evaluate claims portfolio needs and escalate, transition or close as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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.