Elements and Performance Criteria

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.


motor vehicle accident, dependency payments, journey/third party, pecuniary loss, loss of goods, weekly payments, medical expenses, death of a worker, claim made after worker ceases employment and others


assessors

investigators

private investigators

medical advisers

surveyors

engineers

accountants

auditors

and others as required


the employer

the authorised insurer

the customer

compensation authority

self insurer

medical and like providers

union

the worker

legal service providers

the community

employer and industry associations

claims assessors

insurance brokers

solicitors

risk management consultants

investigators

witnesses


computer and/or manual systems


according to legislation and industry codes of practice and organisation guidelines


legislation

regulations

organisation operating procedures

codes of practice, where applicable


the acts and regulations appropriate to the jurisdiction in which the claim is made

statutory authority and guidelines

terms of agreements and advice

licensing conditions

performance standards

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.
Overview of assessment

To achieve competency in this unit, a person must be able to demonstrate:

thorough understanding of the industry and organisation obligations and objectives
effective analysis and interpretation of data

Evidence required for demonstration of consistent performance:
Competence in this unit must be assessed over a period of time in order to ensure consistency of performance over the Range Statement and contexts applicable to the work environment.

Delivery/assessment relationship to other units:
This unit can be assessed independently, however it may be assessed with other appropriate units such as:
FNSINSV503B Undertake post loss risk management
FNSINSV306B Receive and record/register claim
FNSINSV307B Follow organisation procedures to process claim
FNSINSV309B Settle claims
FNSINSV507B Implement claim recovery procedures
FNSINSV508B Review claims settlement policies and procedures
FNSINSV512B Settle non-routine, complex claims.
Consideration should be given to implications on the qualification structure if assessing with the above listed units.

Method of assessment:
For valid and reliable assessment of this unit, evidence should be gathered through a range of methods to indicate consistent performance.
Assessment of this unit of competence will usually include observation of processes and procedures, oral and/or written questioning on underpinning knowledge and skills to ensure knowledge principles are both known and applied. Other methods such as case study and analysis, workplace records/documentation review, may be used as required

Context of assessment:
Assessment of performance requirements in this unit should be undertaken within the general insurance industry context and should cover aspects of personal/financial responsibility and accountability.
Aspects of competency, including the attainment of relevant knowledge and skills, may be assessed in a relevant workplace, a closely simulated work environment, or other appropriate means that clearly meet industry competency requirements.

Resources required for assessment:
Unless otherwise specified, there are no significant resource implications for assessment of this unit, apart from access to a relevant workplace or closely simulated office environment and the use of a range of office equipment, technology and consumables. These may include routine commercial computer hardware, software, telephones, facsimiles, and other relevant office equipment.