Analyse and manage medical indemnity claims

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver FNSPIM417, 'Analyse and manage medical indemnity claims'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Analyse and manage medical indemnity claims' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


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. Receive and organise information relating to medical indemnity claim

1.1 Organise and collate information relating to the claim into a coherent file

1.2 Enter relevant claim details in organisational systems

1.3 Identify any information deficiencies and seek specific additional information from appropriate sources including medical experts

1.4 Maintain confidentiality of information according to legislative requirements, industry principles and organisational requirements

2. Research claim and validate medical indemnity claim information

2.1 Determine type of medical indemnity claim and the key parties involved

2.2 Assess sufficiency and thoroughness of information supplied including expert medical evidence

2.3 Determine if case needs to be referred to other personnel according to organisational delegation rules for cases with unresolved complexity, abnormalities, classification uncertainties or insufficient information

2.4 Review claim information to determine legitimacy of claim including validity and coverage of insurance policy

2.5 Review, segment and prioritise claims for assessment of liability

3. Assess medical indemnity claim to determine cause, liability and quantum

3.1 Undertake thorough and systematic review and assessment of facts, expert medical evidence and information relevant to circumstances of the claim

3.2 Consult with technical and/or claims advisers to clarify information and seek advice as required

3.3 Follow organisational procedures and use analysis tools to assess evidence in determining cause and liability

3.4 Apportion liability and determine quantum fairly and impartially within limits of delegated authority according to regulatory and organisational guidelines

4. Document decisions and determine quantum of claim settlement

4.1 Record outcome of analysis documenting all relevant information used to support the decision-making process

4.2 Use organisational tools and systems to determine quantum including claim settlement amount and note any additional considerations or exceptions

4.3 Update organisational systems accurately with required information in a timely manner


Qualifications and Skillsets

FNSPIM417 appears in the following qualifications:

  • FNS42115 - Certificate IV in Personal Injury Management