Unit of competency Outline

Date retreived
23/07/2026 4:15 PM AWST

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Use specialist terminology in insurance claims

Use specialist terminology in insurance claims

Unit of competency
National Code
FNSISV416
State Code
OCZ68
TGA Status
Current
DTWD Status
Approved
Current Release Number
1.00
Current Release Date
02/02/2021
View on TGA
State Implementation and Classification
Approved Date
22/04/2021
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
22/04/2021
Nominal Hours
30
Description
This unit describes the skills and knowledge required to understand, use and respond to written insurance claims documentation and written and verbal instructions involving specialist terminology, such as medical or legal terminology and processes.The unit applies to those working in job roles involving the use of specialist medical and legal terminology in a range of insurance sectors, in organisations of various sizes and across a range of client bases.No licensing, legislative or certification requirements apply to this unit at the time of publication.
Notes
Elements and Performance Criteria
1. Interpret instructions and claims documentation
  • 1.1 Receive, review and document written and oral claim instructions containing specialist terminology
  • 1.2 Interpret claims documentation containing specialist terminology and processes and their abbreviations
  • 1.3 Seek clarification when necessary
2. Apply appropriate specialist terminology during insurance claims process
  • 2.1 Use appropriate specialist terminology and abbreviations when communicating with internal and external parties in writing and orally regarding insurance claim
  • 2.2 Complete claims-related tasks using appropriate specialist terminology and according to legislative requirements, organisational policies and procedures, and ethical codes of conduct
  • 2.3 Present claims documentation to designated person for verification, if required
  • 2.4 Seek assistance or clarification from specialist representatives or designated personnel as required
3. Build own skills in using specialist terminology
  • 3.1 Identify gaps in knowledge of specialist terminology relating to own work role and seek clarification through appropriate source or person
  • 3.2 Respond to questions from, or define terms for, external stakeholders relating to specialist terminology used in insurance claims when required
No information
No information
Replaces
State Code National Code Title Type
AUS07 FNSISV406 Use specialist terminology in insurance claims Unit of competency