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SISA Claims Management Course Expression of Interest
Tuesday 2 April 2024
SISA is currently assessing the level of need for a Claims Management Certificate for Members and Associates. It is noted that there has been no specific industry standard Claims Management Certificate in South Australia for some time, which means Members hold the responsibility to train staff and leaders on all aspects of workers compensation.
SISA is considering a Claims Management Certificate that will take approximately 10-12 months to complete (1 module per month) with modules to include (but not limited to):
Modules
Compensability of Claims
Physical injuries
Psychological injuries
Application (e.g. WFH, journey etc.)
Interim benefits
AWE calculations
Investigations
Permanent Impairment
When to consider for a PIA
Preparing for a PIA
Reviewing a PIA report
Determination & close out
Noise Induced Hearing Loss
Assessing a new NIHL claim
Medical investigations
Employment investigations
Determining liability
Dispute management
Prevention of NIHL claims
Claim Benefits
Income support
Medical expenses
Pre-approval requests
Therapeutic appliances
Property damage / transport
Discontinuing / reducing income support
Supplementary income
Income support reviews
Dispute resolution
SAET processes (e.g. IDH, Conciliation, JSC)
IMA’s & how to use them
Strategic use of SAET
Discovery & evidence use
Preparing for & attending Trial
Injury Management Programs
Early intervention programs
Managing psychosocial factors
Record management
Managing confidentiality
Claims management system considerations
RTWSA IM Standards
Preparing for and excelling at an IM evaluation
Suitable Employment & RRTW Plans
Section 18
Host employer arrangements
New/other employment requirements
What is reasonably practicable
RRTW Plans
SAET considerations
Service Standards
Gathering & Analysing Medical Data
Writing great medical report requests
When to refer for an IME, FCE, WSA, ICE, ADL, clinical notes etc. & who
Interpreting medical advice
Medical terminology
Serious / Complex Case Management
Seriously injured workers
Recoveries
Excess of loss notifications
Death claims
Redemptions
It would be appreciated if all Members could complete a short Expression of Interest to inform SISA as to whether a Claims Management Certificate is needed for the sector. We ask that the below 2 minute survey is completed and submitted at your earliest convenience.
