Enrol Now Diploma of Personal Injury and Disability Insurance Management FNS51915


Download the ANZIIF Insurance Industry Qualifications 2016 brochure here

ANZIIF's Diploma of Personal Injury Management is designed for personal injury management claims and underwriting personnel, and provides Senior Associate Certified Insurance Professional (CIP) membership of ANZIIF. The Diploma develops the technical knowledge and skills required to provide quality personal injury management for all schemes, in all jurisdictions in Australia – including the self-insurance environment. Download the Workplace Observation (WPO) Form.

If you are enrolling into a 2016 study period, please be aware of these Assessment Changes


Course Structure

To be awarded the Diploma, students must complete the following five modules. It is suggested that each module will encompass 50–70 hours of study time.

Pre-requisites

None

Price

AUD $1,060 per module
AUD $250 PIBF51-15 module

Compulsory Modules

  • PIBF51-15 Business Fundamentals for Personal Injury Management

    This online unit describes the role of good customer service in building and maintaining the profitability of your organisation. The unit also describes how to identify, model and meet expected industry professional approaches to procedures, guidelines, policies, standards and ethical requirements.

    This module has a workplace assessment in the form of a Workplace Skills Observation (WPO). The WPO is due within 6 weeks of you completing the online assessment. Download the Workplace Skills Observation Form.

    Learning Outcomes

    When you have completed this unit, you should be able to:

    • identify the scope, sectors and responsibilities of the industry
    • identify and apply financial services industry guidelines, procedures and legislation
    • identify sustainability issues for the financial services industry
    • manage information
    • participate in and facilitate work team activities
    • plan work to be completed, taking into consideration:
      • time
      • resources
      • other constraints
    • develop and maintain personal competency.

    Competencies

    • FNSINC401 Apply principles of professional practice to work in the financial services industry

    Price

    Australia AUD $250
    Overseas AUD $250
    New Zealand NZD $245
    Emerging Market AUD $180

    Duration

    Open

    Pass Grade: 75

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  • PIM501-15 Personal Injury Statutory Framework

    Provides a snapshot of personal injury lines and the different workers compensation and compulsory third party (CTP) schemes operating in Australia. The module covers a history and overview of the political, social, and economic landscape including work, health and safety (WH&S) examines current issues in workers compensation and CTP, and stakeholder relationships. Students will learn about the management of claims under the workers compensation and CTP schemes and underwriting concepts in the personal injury market. 

    Learning Outcomes

    Upon completion of the program, participants should be able to:

    • describe the nature and intent of workers compensation and CTP
    • outline the evolution of the principles underlying workers compensation and CTP in Australia
    • apply principles underlying workers compensation to workplace policies and practices
    • explain the purpose of WH&S legislation
    • describe the roles, responsibilities and obligations of regulatory authorities, insurers and drivers
    • outline the expected impact of WH&S policies on workers compensation
    • explain the impact of personal injury and illness on the individual, the employer, the economy and society
    • explain the macro risks identified by the Productivity Commission Inquiry
    • evaluate the role and function of motor accident prevention programs
    • outline the characteristics of workers compensation and CTP schemes in Australia
    • distinguish between the different roles of the government, insurers and self-insurers
    • identify and describe the key features of the schemes operating in Australia
    • trace the progress of a dispute through the dispute management processes
    • identify and describe strategic risks affecting personal injury schemes
    • describe dispute resolution processes
    • outline factors impacting on underwriting and the setting of premiums
    • differentiate between approaches to underwriting in different schemes
    • outline how claims management can assist the underwriter
    • outline the size and scale of the workers compensation and CTP markets in Australia
    • explain the implications of trends in the labour force for workers compensation costs
    • analyse trends in workplace and motor vehicle accident injuries and claims
    • detail how organisational practices impact on premium rates
    • identify current issues in workers compensation and CTP
    • summarise expert studies into the effectiveness of approaches to WH&S regulation
    • identify the different stakeholders in a workers compensation claim
    • identify the different stakeholders in a CTP claim and the key similarities and differences between workers compensation and CTP stakeholders
    • outline the role of each stakeholder in the claims management process
    • distinguish between stakeholder interests and expectations
    • identify the effective role of a claims officer in managing stakeholders
    • outline the basic elements of the AS/NZS ISO 31000:2009 standard for managing risk
    • compare the consultation and communication process in risk management to that for claims management
    • explain the significance of effective claims management
    • recognise non-routine claims
    • evaluate the validity and eligibility of a claim
    • outline the responsibilities of claims management
    • explain the changing role of the claims officer and manager
    • profile the competent claims officer and manager
    • describe issues related to case management
    • apply expert reports to the workplace
    • outline workplace strategies that facilitate the claims role
    • apply risk identification processes to claims management responsibilities
    • plan professional development to address goals and deficiencies.

    Competencies

    • FNSPIM406 Develop and maintain knowledge of personal injury management insurance

    Price

    Australia AUD $1,060
    Overseas AUD $1,060
    New Zealand NZD $1,000
    Emerging Market AUD $745

    Duration

    Standard (12 weeks)

    Online Assignment

    Pass Grade: students must be assessed as competent in all assignment questions

    Online Exam

    Pass Grade: 50%
    Duration: 90min

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  • PIM502-15 Personal Injury Law and Regulation

    Looks at the relevant Acts that impact on workers compensation and CTP in each of the jurisdictions in Australia, and the key legal elements and compensation principles relevant to claims. Students will look at the impact of the Privacy Act, Freedom of Information (FOI) Act and work health and safety legislation on personal injury claims and also examine the role of the supervisor in a workers compensation and CTP environment.

    Learning Outcomes

    Upon completion of the program, participants should be able to:

    • define common law and the principles of tort
    • explain the role of precedent
    • describe the legal system that operates in Australia
    • differentiate between statute and regulations
    • explain how legislation/regulation are developed and applied
    • outline the hierarchy of the courts
    • identify the different regulators and their roles
    • describe the types of workers compensation and CTP schemes operating in Australia
    • define the key legal elements which affect the handling and management of personal injury claims
    • be familiar with the legal definitions of terms and concepts necessary to your work as a personal injury claims handler
    • explain the requirements necessary to apply for a self-insurance licence in all jurisdictions
    • identify the relevant Acts that apply in each of the 10 jurisdictions
    • explain the key legal elements necessary to establish a claim in your particular jurisdiction
    • compare and contrast the treatment of the key legal elements necessary to establish in order to bring a claim across each jurisdiction
    • identify the requirements for the maintenance of company records in the management of the claim
    • apply your understanding of the key legal elements to your jurisdiction
    • explain the purpose of other legislation impacting on a personal injury claim
    • apply the Privacy Act to a workers compensation claim and the maintenance of records
    • apply the Freedom of Information Act to a workers compensation claim and the maintenance of records
    • identify compliance of the Acts with the practices adopted in your own workplace
    • define the supervisory role of the team leader in the personal injury context
    • explain the role of the supervisor in ensuring compliance with relevant legislation and regulation in the personal injury environment
    • describe the expectations placed on supervisors and their responsibilities to the staff they supervise
    • describe the stakeholders’ expectations of the supervisor in the personal injury context
    • identify the knowledge and skills required of a supervisor in the personal injury environment.

    Competencies

    • FNSORG504 Monitor and supervise work practices to meet financial services regulatory requirements
    • FNSPIM509 Comply with regulatory frameworks

    Price

    Australia AUD $1,060
    Overseas AUD $1,060
    New Zealand NZD $1,000
    Emerging Market AUD $745

    Duration

    Standard (12 weeks)

    Online Assignment

    Pass Grade: students must be assessed as competent in all assignment questions

    Online Exam

    Pass Grade: 50%
    Duration: 90min

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  • PIM503-15 Personal Injury Claims Management

    Looks at how and why organisations and insurers use claims data and reports to review and measure claims performance. Students will learn about injury notification, claims lodgement and the issues to consider in determining initial liability for personal injury claims. The module also covers personal injury claims investigations and management including the provision of benefits to injured parties, ongoing liability reviews and the role of service providers.

    Learning Outcomes

    Upon completion of the program, participants should be able to:

    • distinguish a business outcome from a key performance indicator (KPI)
    • describe the three main areas of business performance in personal injury insurance
    • describe service utilisation data and its use in managing claims and revising work practices
    • identify the potential barriers in implementing proposed work practices and the strategies used to overcome them
    • outline the role of team managers, technical advisers and injury management advisers in identifying and implementing changes to claims management processes
    • describe the importance of early notification of injury
    • describe the purpose of the claims management regulatory obligations
    • identify the different groupings of claims that organisations use to ensure the most effective claims management
    • identify the required time frames to determine initial liability
    • describe different investigations and their ability to influence liability decisions
    • describe different types of medical investigations, including the role of medico-legal reports
    • review and analyse information in order to make a sound decision regarding liability
    • notify stakeholders of the decision, their rights, obligations and the mechanism for review
    • establish a claims strategy
    • maintain appropriate records in accordance with organisational guidelines.
    • describe how weekly benefits entitlements and possible lump sum payments are determined
    • determine when the services of external service providers are required
    • describe the multi-disciplinary approach to claims management
    • identify the risks associated with the ineffective monitoring and review of the claim
    • identify potential avenues for recovery and instigate recovery proceedings
    • describe a service provider and list four common external and internal service providers
    • determine service parameters and expectations to enable performance to be reviewed effectively
    • describe your organisation’s data-recording facilities and explain the importance of recording clear, brief claim notes
    • describe the strategies to review and monitor ongoing service performance.

    Competencies

    • FNSCUS503 Review business performance
    • FNSISV506 Investigate insurance claims
    • FNSISV508 Review and advise on claims costs, policies and procedures
    • FNSISV509 Analyse financial, medical and psychological claims assessments

    Price

    Australia AUD $1,060
    Overseas AUD $1,060
    New Zealand NZD $1,000
    Emerging Market AUD $745

    Duration

    Standard (12 weeks)

    Online Assignment

    Pass Grade: students must be assessed as competent in all assignment questions

    Online Exam

    Pass Grade: 50%
    Duration: 90min

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  • PIM504-15 Personal Injury Case Management

    Examines the role of the case manager and the case management process, the medical environment, the injury management process, and the return to work process. This provides an overview of case management techniques and the medical environment including terminology, basic human anatomy, common injury types and typical duration of treatment.

    Students will also learn about dispute resolution processes and negotiation skills, injury management and treatment plans, rehabilitation and return to work plans and rights and obligations of parties to personal injury management claims.

    Learning Outcomes

    • identify the key components of the case management process
    • describe the link between an injury and the injured person’s ability to return to their pre-injury activities, including work
    • identify the different expectations of the various stakeholders
    • describe the case manager’s role in clarifying stakeholder expectations and achieving a successful outcome for all parties
    • outline the skills required for effective workload management
    • describe the common personal injuries encountered by the case manager
    • describe the recommended treatment and estimated recovery timeframes for common personal injuries within all personal injury schemes
    • describe appropriate responses to requests for treatment of personal injuries
    • describe and identify potential sources of personal injury risk exposures within workers compensation and CTP contexts
    • describe some basic techniques to identify personal injury risks
    • identify three techniques to analyse personal injury risks
    • rank specified personal injury risks to evaluate existing controls
    • outline and monitor risk control strategies for managing personal injury risk exposures
    • identify the parameters of the personal injury system which may affect the services provided to injured persons
    • utilise organisational and legislative requirements to define the services scope
    • identify potential limitations and barriers to the provision of services and utilise appropriate techniques to minimise their impact
    • describe the injury management process
    • develop appropriate injury management plans for injured persons
    • describe the necessary personal skills to achieve desired outcomes
    • describe and implement appropriate processes for the development of a return to work program
    • describe and implement appropriate processes for the development of a return to health program
    • monitor and review the return to work or return to health program
    • identify the typical barriers to return to pre-injury activities
    • implement strategies for facilitating return to pre-injury activities including work
    • manage stakeholder expectations and the deployment process
    • develop and implement a job search plan for injured workers
    • educate injured workers on job search skills and techniques
    • match workers’ needs with employer requirements
    • develop the necessary interpersonal skills to reduce the possibility of a dispute arising and escalating
    • display an appropriate non-adversarial attitude to the parties in a dispute
    • negotiate effectively in the course of dispute resolution
    • employ appropriate communication protocols in dealing with the parties in a dispute
    • outline the processes and procedures for internal dispute resolution
    • outline the processes and procedures for taking a dispute to ADR
    • describe the importance of customer service in effective dispute resolution.

    Competencies

    • FNSPIM401 Plan and implement rehabilitation and return to work and health strategies
    • FNSPIM415 Manage personal injury case loads
    • FNSPIM501 Develop a return to work or injury management strategy
    • FNSRSK501 Undertake risk identification

    Price

    Australia AUD $1,060
    Overseas AUD $1,060
    New Zealand NZD $1,000
    Emerging Market AUD $745

    Duration

    Standard (12 weeks)

    Online Assignment

    Pass Grade: students must be assessed as competent in all assignment questions

    Online Exam

    Pass Grade: 50%
    Duration: 90min

    Enrol Now