Unit of competency details
PSPINM001 - Process claims (Release 1)
Summary
Usage recommendation:
Deleted
The
Deleted
usage recommendation was implemented on 13 June 2017 to describe training components that have no replacement. Enrolments in training components and statements of attainment or qualifications issued before 13 June 2017 are valid. For any components marked as deleted after 13 June 2017, the applicable transition/teach-out periods apply. For specific questions regarding the enrolment, delivery or issuance of a statement of attainment/qualification, please contact your
training regulator.
Releases:
1 1 (this release) |
07/Mar/2016 |
Companion volumes:
Unit of competency
Assessment requirements
Training packages that include this unit
Qualifications that include this unit
Classifications
Classification history
ASCED Module/Unit of Competency Field of Education Identifier | 081103 | Insurance And Actuarial Studies | 09/Aug/2016 | |
The content being displayed has been produced by a third party, while all attempts have been made to make this content as accessible as possible it cannot be guaranteed. If you are encountering issues following the content on this page please consider downloading the content in its original form
Unit of competency
Modification History
Release
|
Comments
|
1
|
This unit was released in PSP Public Sector Training Package release 1.0 and meets the Standards for Training Packages.
This unit supersedes and is equivalent to PSPIM301A Process claims.
- Unit code updated
- Content and formatting updated to comply with new standards
- All PC transitioned from passive to active voice
|
Application
This unit describes the skills required to process compensation claims for employment related injuries. It includes confirming claim details, processing payments and maintaining files.
This unit applies to those working in public sector roles but may be applied to anyone working in a similar organisational context.
The skills and knowledge described in this unit must be applied within the legislative, regulatory and policy environment in which they are carried out. Organisational policies and procedures must be consulted and adhered to.
Those undertaking this unit would work independently, while performing routine tasks in a familiar context.
No licensing, legislative or certification requirements apply to unit at the time of publication.
Competency Field
Injury management
Elements and Performance Criteria
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. Confirm details
|
1.1 Complete documents, and obtain authorisation/s for claims.
1.2 Assess the reasonableness of accounts to ensure accounts that are paid are relevant to disability.
1.3 Record account details.
1.4 Notify relevant personnel when accounts are rejected.
|
2. Process payments
|
2.1 Produce and post cheques or process electronic transfer of funds.
2.2 Batch accounts where required for traceability.
2.3 Confirm authorisations for periodic payments to avoid overpayments.
2.4 Process claims within time limits.
|
3. Maintain files
|
3.1 Maintain records.
3.2 Document all contacts.
3.3 Maintain evidence of file management for audit purposes.
|
Foundation Skills
Foundation skills are embedded within the elements and performance criteria of this unit.
Unit Mapping Information
This unit supersedes and is equivalent to PSPIM301A Process claims.
Links
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Assessment requirements
Modification History
Release
|
Comments
|
1
|
These Assessment Requirements were released in PSP Public Sector Training Package release 1.0 and meet the Standards for Training Packages.
- Assessment Requirements created drawing upon specified assessment information from superseded unit
|
Performance Evidence
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 processing of claims
- recording and reporting of transactions
- reading and interpreting claims information
- checking the accuracy of calculations and reconciliations
- assessing reasonableness of accounts
- using communication including reporting of irregularities and errors
Knowledge Evidence
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, and guidelines relating to injury management and processing claims
- privacy legislation
- procedures to ensure confidentiality and security of information
- procedures for cash and non-cash handling
- injury management claims relating to diverse disabilities
- methods and techniques for simple numerical calculations
- equal employment opportunity, equity and diversity principles
Assessment Conditions
This unit contains no specific industry-mandated assessment conditions. Guidance on suggested and recommended conditions and methods can be found in the Implementation Guide.
Assessors must satisfy the NVR/AQTF mandatory competency requirements for assessors.
Links
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=bebbece7-ff48-4d2c-8876-405679019623