Assessor Resource

FNSIBK512A
Negotiate complex claims settlement for insurance broking client

Assessment tool

Version 1.0
Issue Date: May 2024


This unit applies to insurance broking roles and may be applied within organisations of various sizes and across a range of customer bases.

This unit describes the performance outcomes, skills and knowledge required to research, organise, identify points of difference, clarify the crucial issues and present a case for a point of view in negotiating terms and conditions of insurance claims settlements for clients.

This unit is applicable to individuals working within enterprises and job roles subject to licensing, legislative, regulatory or certification requirements including legislation administered by the Australian Securities and Investments Commission (ASIC).

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Employability Skills

This unit contains employability skills.



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the ability to:

use effective communication and negotiation skills

implement claims management strategies and objectives

monitor and provide support to ongoing claims activities ensuring that prompt and quality service is provided.

Context of and specific resources for assessment

Assessment must ensure:

competency is demonstrated in the context of the work environment and conditions specified in the range statement either in a relevant workplace or a closely simulated work environment

access to and the use of a range of common office equipment, technology, software and consumables

access to organisation records

access to organisational policies and procedures.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples, in combination, are appropriate for this unit:

evaluating an integrated activity, which combines the elements of competency for the unit, or a cluster of related units of competency

observing processes and procedures in workplaces

verbal or written questioning on underpinning knowledge and skills

evaluating samples of work

accessing and validating third party reports

setting and reviewing workplace projects and business simulations or scenarios.

Guidance information for assessment

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

Required skills

well-developed communication skills to:

negotiate with clients and others

determine and confirm information, using questioning and active listening techniques

write clear and accurate reports

liaise with others, share information, listen and understand

use language and concepts appropriate to cultural differences

numeracy and IT skills to:

perform calculations related to achieving required outcomes

use computer applications (word processing, spreadsheet, database, specific purpose computer systems) to assist in achieving required outcomes

access and update records electronically

access web-based information services

well-developed literacy skills to read and interpret documentation from a variety of sources and record and consolidate relevant related information and maintain currency of industry products and services knowledge

research and analysis skills for accessing and interpreting relevant information

interpersonal skills

organisational skills, including the ability to plan and sequence work

Required knowledge

insurance broking systems and procedures

insurance contract terms and conditions

insurance products and procedures

relevant legislation

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.

Client or third party:

may make claims.

Types of claims may include:

casualty

consequential loss

employee benefits

liability

personal injury

property loss

third party injury.

Form of negotiation may include:

conference

consultants

inspections

verbal

written.

Negotiations may take place:

face-to-face

other appropriate intermediary

telephone

via a third party assessor.

Documentation may include:

claim forms

correspondence

independent service provider reports

invoices

letters of demand

loss adjuster reports

professional reports

proof of ownership

quotes

releases

statutory declarations

witness reports.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Terms and conditions of the insurance policy are reviewed with the client 
Client or third party is provided with advice relating to potential claim recovery 
Non-insured items are identified 
Contact with insurer is established to ensure claims reporting under policy requirements 
Contact with appropriate loss adjustor and/or underwriter claims specialist is established 
Type of claim is identified in order to establish type of negotiation required 
Independent claims resources are identified to represent client's interests if required 
Grounds for negotiation are prepared 
Negotiated agreement with the insurer regarding progressive settlement arrangements is achieved, and meets client requirements and approval 
Communication with client is maintained 
Details of insurer's settlement offer are prepared and documented with recommendations without delay for client review and acceptance 
Client response to settlement offer is obtained and acted on without delay 
Settlement funds are remitted to client 

Forms

Assessment Cover Sheet

FNSIBK512A - Negotiate complex claims settlement for insurance broking client
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

FNSIBK512A - Negotiate complex claims settlement for insurance broking client

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: