Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

PSPIM401A Mapping and Delivery Guide
Conduct initial claim assessments

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency PSPIM401A - Conduct initial claim assessments
Description This unit covers initial assessment of compensation claims for employment-related injuries. It includes receiving and acknowledging claims, and assessing rehabilitation need (for referral). Staff of the employer undertake this role.In practice, conducting initial assessments may overlap with other generalist or specialist public sector work activities such as acting ethically, complying with legislation, applying government processes, delivering client services, gathering and analysing information.No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication
Employability Skills This unit contains employability skills.
Learning Outcomes and Application Not applicable.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not applicable.
Competency Field Injury Management.
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Receive and acknowledge claims
  • Completeness of claim is assessed in accordance with legislation, policy and procedures.
  • Missing information is obtained in accordance with legislation, policy and procedures.
  • Risk streaming of claims is undertaken in accordance with organisational policy and procedures.
  • Initial assessment is conducted to confirm that the employee is a 'worker' under the Act and that the reported condition is compensable under the legislation.
  • Claim is acknowledged within required timeframes determined by legislation or organisational procedures.
  • Data is collated for determining weekly earnings and payments, if claim is accepted or deferred.
       
Element: Assess need for rehabilitation referral
  • The need for rehabilitation is determined in accordance with legislation, organisational policy and procedures.
  • When referral is required, documentation is copied and forwarded for rehabilitation assessment.
  • Assessments are reviewed in accordance with organisational policy and procedures if circumstances change.
  • Claim is progressed for investigation and determination in accordance with legislation, policy and procedures.
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

The Evidence Guide specifies the evidence required to demonstrate achievement in the unit of competency as a whole. It must be read in conjunction with the Unit descriptor, Performance Criteria, the Range Statement and the Assessment Guidelines for the Public Sector Training Package.

Units to be assessed together

Pre-requisite units that must be achieved prior to this unit:Nil

Co-requisite units that must be assessed with this unit:Nil

Co-assessed units that may be assessed with this unit to increase the efficiency and realism of the assessment process include, but are not limited to:

PSPETHC401A Uphold and support the values and principles of public service

PSPGOV402B Deliver and monitor service to clients

PSPGOV406B Gather and analyse information

PSPGOV408A Value diversity

PSPGOV422A Apply government processes

PSPLEGN401A Encourage compliance with legislation in the public sector

Overview of evidence requirements

In addition to integrated demonstration of the elements and their related performance criteria, look for evidence that confirms:

the knowledge requirements of this unit

the skill requirements of this unit

application of the Employability Skills as they relate to this unit (see Employability Summaries in Qualifications Framework)

initial assessment of compensation claims in a range of (3 or more) contexts (or occasions, over time)

Resources required to carry out assessment

These resources include:

legislation, policy, procedures and protocols relating to injury management

case studies and workplace scenarios to capture the range of situations likely to be encountered when undertaking initial claim assessments

Where and how to assess evidence

Valid assessment of this unit requires:

a workplace environment or one that closely resembles normal work practice and replicates the range of conditions likely to be encountered when initially assessing compensation claims, including coping with difficulties, irregularities and breakdowns in routine

initial assessment of compensation claims in a range of (3 or more) contexts (or occasions, over time)

Assessment methods should reflect workplace demands, such as literacy, and the needs of particular groups, such as:

people with disabilities

people from culturally and linguistically diverse backgrounds

Aboriginal and Torres Strait Islander people

women

young people

older people

people in rural and remote locations

Assessment methods suitable for valid and reliable assessment of this competency may include, but are not limited to, a combination of 2 or more of:

case studies

demonstration

observation

portfolios

questioning

scenarios

simulation or role plays

authenticated evidence from the workplace and/or training courses

For consistency of assessment

Evidence must be gathered over time in a range of contexts to ensure the person can achieve the unit outcome and apply the competency in different situations or environments

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This section describes the essential skills and knowledge and their level, required for this unit.

Skill requirements

Look for evidence that confirms skills in:

applying legislation, regulations and policies relating to initial assessment of compensation claims

assessing the completeness of information and the requirement for rehabilitation

reading and applying complex information such as legislation and regulations

responding to diversity, including gender and disability

applying procedures relating to occupational health and safety and environment in the context of injury management

Knowledge requirements

Look for evidence that confirms knowledge and understanding of:

legislation, 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

equal employment opportunity, equity and diversity principles

public sector legislation such as occupational health and safety and environment in the context of injury management

The Range Statement provides information about the context in which the unit of competency is carried out. The variables cater for differences between States and Territories and the Commonwealth, and between organisations and workplaces. They allow for different work requirements, work practices and knowledge. The Range Statement also provides a focus for assessment. It relates to the unit as a whole. Text in bold italics in the Performance Criteria is explained here.

Complete claimmay include:

injury report form

motor vehicle accident report if applicable

compensation claim form

prescribed medical certificate from legally qualified medical practitioner

information from the workplace that confirms reported condition is compensable under the legislation

Legislation, policy and procedures may include:

workers rehabilitation/compensation legislation

privacy legislation

freedom of information legislation

procedures to ensure confidentiality and security of information

organisation policy

performance standards

claims management manual

public sector standards

codes of conduct

codes of ethics

Initial assessmentmay need:

further investigation

Condition may include:

an illness or injury considered a disability under the legislation, where there is a relationship between the disability and the employment of the worker

Compensable means:

an injury or illness for which workers compensation benefits are payable

Weekly earningsare:

average weekly earnings/normal weekly earnings

the amount a worker could reasonably have expected to earn if not injured

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Completeness of claim is assessed in accordance with legislation, policy and procedures. 
Missing information is obtained in accordance with legislation, policy and procedures. 
Risk streaming of claims is undertaken in accordance with organisational policy and procedures. 
Initial assessment is conducted to confirm that the employee is a 'worker' under the Act and that the reported condition is compensable under the legislation. 
Claim is acknowledged within required timeframes determined by legislation or organisational procedures. 
Data is collated for determining weekly earnings and payments, if claim is accepted or deferred. 
The need for rehabilitation is determined in accordance with legislation, organisational policy and procedures. 
When referral is required, documentation is copied and forwarded for rehabilitation assessment. 
Assessments are reviewed in accordance with organisational policy and procedures if circumstances change. 
Claim is progressed for investigation and determination in accordance with legislation, policy and procedures. 

Forms

Assessment Cover Sheet

PSPIM401A - Conduct initial claim assessments
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

PSPIM401A - Conduct initial claim assessments

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: