Provide decisions on legal liability and indemnity of a claim

Unit of competency Outline

Date retreived
23/07/2026 1:24 AM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Unit of competency

National Code
FNSISV513

State Code
AUS40

TGA Status
Current

DTWD Status
Approved

Current Release Number
1.00

Current Release Date
25/03/2015

View on TGA

State Implementation and Classification

Approved Date

16/09/2015

Field of Education

081103 - Insurance And Actuarial Studies

Original Release Date

16/09/2015

Nominal Hours

Description

This unit describes the skills and knowledge required to convey decisions to ensure stakeholders receive accurate, timely advice regarding the legal liability and indemnity of a claim.It applies to individuals working in roles that require high level communication, analysis and decision-making skills to provide advice on the legal liability and indemnity of a claim to key stakeholders.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.

Notes

Elements and Performance Criteria

1. Monitor claims to support decision-making process

1.1 Establish monitoring procedures to ensure that validity of claim is assessed against organisational and policy acceptance criteria for relevant type and category of policy
1.2 Monitor claims practices to ensure that information used to determine claim validity is accurate, comprehensive and authentic

2. Decide on legal liability and indemnity of claim

2.1 Review relevant information and data to determine legal liability and indemnity of claim
2.2 Make decisions that comply with relevant legislation, organisational procedures and underwriting guidelines
2.3 Review decisions to ensure accuracy and that compliance requirements are fully met

3. Provide stakeholders with accurate, timely advice regarding legal liability and indemnity of claim

3.1 Provide stakeholders with consistent, accurate and timely advice regarding claim
3.2 Provide technical and non-technical claims advice to claims specialists, including review of outgoing correspondence and negotiation and settlement strategies, as appropriate
3.3 Provide stakeholders with accurate and timely advice regarding legal liability and indemnity of claim
3.4 Convey decisions within timeframes to ensure performance targets are achieved

4. Review decisions and identify any required policy or procedural changes

4.1 Evaluate and review decisions against requirements and outcomes on regular basis
4.2 Ensure review process identifies extent to which decisions support process of accepting and managing claim
4.3 Ensure review process identifies extent to which decisions support setting of accurate claim portfolio reserves
4.4 Document circumstances of claims and decisions concerning legal liability and indemnity of claim for consideration in portfolio review
4.5 Instigate changes to policy and procedures to minimise further loss in similar circumstances, if appropriate

5. Update records

5.1 Document actions, procedures and outcomes, and record promptly and accurately
5.2 Maintain finalised documentation according to organisational policy and legislative requirements and codes of practice, as applicable

No information

Replaces

State Code	National Code	Title	Type
D4251	FNSISV513A	Provide decisions on legal liability and indemnity of a claim	Unit of competency

State Code	National Code	Title	Type
BHU8	FNS51822	Diploma of Financial Services	Qualification
AWE4	FNS51115	Diploma of General Insurance	Qualification
AWB9	FNS51315	Diploma of Life Insurance	Qualification