NTISthis.com

Evidence Guide: PSPINM002 - Conduct initial claim assessments

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

 

PSPINM002 - Conduct initial claim assessments

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

Receive and acknowledge claims

  1. Assess completeness of claim.
  2. Obtain missing information.
  3. Undertake risk streaming of claims.
  4. Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.
  5. Acknowledge the claim within required timeframes.
  6. Collate data for determining weekly earnings and payments, if claim is accepted or deferred.
Assess completeness of claim.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain missing information.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake risk streaming of claims.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Acknowledge the claim within required timeframes.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess need for rehabilitation referral

  1. Copy and forward documentation when referral is required for rehabilitation assessment.
  2. Review assessments if circumstances change.
  3. Progress claim for investigation and determination.
Copy and forward documentation when referral is required for rehabilitation assessment.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review assessments if circumstances change.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Progress claim for investigation and determination.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Receive and acknowledge claims

  1. Assess completeness of claim.
  2. Obtain missing information.
  3. Undertake risk streaming of claims.
  4. Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.
  5. Acknowledge the claim within required timeframes.
  6. Collate data for determining weekly earnings and payments, if claim is accepted or deferred.
Assess completeness of claim.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain missing information.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake risk streaming of claims.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Acknowledge the claim within required timeframes.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess need for rehabilitation referral

  1. Copy and forward documentation when referral is required for rehabilitation assessment.
  2. Review assessments if circumstances change.
  3. Progress claim for investigation and determination.
Copy and forward documentation when referral is required for rehabilitation assessment.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review assessments if circumstances change.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Progress claim for investigation and determination.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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. Receive and acknowledge claims

1.1 Assess completeness of claim.

1.2 Obtain missing information.

1.3 Undertake risk streaming of claims.

1.4 Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

1.5 Acknowledge the claim within required timeframes.

1.6 Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

2. Assess need for rehabilitation referral

2.1 Copy and forward documentation when referral is required for rehabilitation assessment.

2.2 Review assessments if circumstances change.

2.3 Progress claim for investigation and determination.

Required Skills and Knowledge

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. Receive and acknowledge claims

1.1 Assess completeness of claim.

1.2 Obtain missing information.

1.3 Undertake risk streaming of claims.

1.4 Conduct initial assessment to confirm that the employee is a ‘worker’ under the Act and that the reported condition is compensable under the legislation.

1.5 Acknowledge the claim within required timeframes.

1.6 Collate data for determining weekly earnings and payments, if claim is accepted or deferred.

2. Assess need for rehabilitation referral

2.1 Copy and forward documentation when referral is required for rehabilitation assessment.

2.2 Review assessments if circumstances change.

2.3 Progress claim for investigation and determination.

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 initial assessment of compensation claims

reading and applying complex information, including legislation and regulations

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, policies, procedures and guidelines relating to injury management

privacy legislation

freedom of information legislation

procedures to ensure confidentiality and security of information

requirements for referrals for rehabilitation assessment

definitions of eligible workers and disabilities under the legislation

medical terminology

documentary requirements of a claim

organisational standards for responding to claims