Elements and Performance Criteria
- Open injury management case files
- Case files are opened in compliance with legal and organisational requirements.
- Comprehensive details of claims are recorded in accordance with legislation, policy and procedures.
- All documents and other materials relating to claims are filed in accordance with file design and recordkeeping procedures.
- Access to and security of case files are controlled in accordance with the organisation's legal obligations and standards.
- Maintain injury management case files
- Correspondence, documentation, recordkeeping and reporting requirements are met and file copies are maintained in accordance with organisational policy and procedures.
- All actions relating to cases are documented and recorded on case files in accordance with legislation, policy and procedures.
- Information on files is completed and includes supporting information for any decisions or actions in accordance with legislation, policy and procedures.
- Case files are maintained to a standard that allows them to meet evidentiary requirements of tribunals and courts.
- Close injury management case files
- All outstanding actions are completed and case files are closed in accordance with organisational policy and procedures.
- Medical closure is confirmed and required documents are checked for completeness before adding to file.
- Arrangements for any lump sum payment for non-economic loss are finalised in accordance with legislation, policy and procedures.
- Weekly payments are discontinued and outstanding accounts are dealt with in accordance with legislation, policy and procedures.
- Record closure is undertaken and files are archived in accordance with recordkeeping policy and procedures.
- Reconciliation of payments is carried out in accordance with organisational policy and procedures.