Assessor Resource

FNSISV513A
Provide decisions on legal liability and indemnity of a claim

Assessment tool

Version 1.0
Issue Date: May 2024


This unit requires the application of high level communication, analysis and decision making skills to the provision of advice on the legal liability and indemnity of a claim to key stakeholders (brokers, insured, underwriters, claimants, other relevant parties). It may be applied in the insurance sector of the financial services industry.

This unit describes the performance outcomes, skills and knowledge required to provide decisions to ensure stakeholders receive accurate, timely advice regarding the legal liability and indemnity of a claim.

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:

interpret and apply organisation policy and procedures and compliance with legislation and regulations and industry codes of practice in the determination and provision of legal/indemnity advice associated with a claim.

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 organisation 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

highly developed communication skills to:

determine and confirm information, using questioning and active listening as required

relate effectively to customers

liaise with others, share information, listen and understand

use language and concepts appropriate to cultural differences

well-developed 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

learning skills to maintain knowledge of changes to compliance legislation and requirements

problem solving skills to identify any issues that have the potential to impact on work outcomes and to develop options to resolve these issues when they arise

self-management skills for complying with ethical, legal and procedural requirements research and analysis skills for accessing and interpreting relevant information

organisational skills, including the ability to plan and sequence work

Required knowledge

claims management

data analysis techniques/procedures

insurance law, relevant legal systems and procedures, relevant acts

IT and communications systems

loss adjusting principles and practice

organisation policy, procedures, underwriting guidelines and authorities

policy coverage requirements and wording

relevant industry compliance requirements, legislation and industry codes of practice

risk prevention and loss minimisation methods and application

types and categories of insurance policies

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.

Types and categories of policies include:

accidental damage

additional benefits

burglary/theft

business interruption

business special risks

commercial

commercial motor

construction risks

crop

defined events

directors and officers

domestic

electronic equipment

employee fraud

engineering plant

environment and pollution

fire and perils

general and products liability

glass

Industrial Special Risks (ISR)

livestock

machinery breakdown

money

multi-risk

other personal items

package contracts

personal accident and illness

professional indemnity

public liability

sprinkler leakage

transit

travel.

Relevant information/data may include:

claims files and database information

claims frequency

claims portfolio reports

claims settlement costs

legal, government, professional and other documents

loss ratios

official, general and other correspondence

premium income

reports from others such as:

loss adjusters

assessors

claims specialists

underwriters

reports on claims.

Stakeholders may include:

agents or brokers

claims staff

insured, claimants, other relevant parties

reinsurers

underwriters.

Documentation may include:

file notes

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
Monitoring procedures are established to ensure that validity of a claim is assessed against organisation and policy acceptance criteria for relevant type and category of policy 
Claims practices are monitored to ensure that information used to determine claim validity is accurate, comprehensive and authentic 
Relevant information/data is reviewed to determine the legal liability and indemnity of a claim 
Decisions are determined in compliance with relevant legislation, organisation procedures and underwriting guidelines 
Decisions are reviewed to ensure accuracy and compliance requirements are fully met 
Stakeholders are provided with consistent, accurate and timely advice regarding a claim 
Technical and non-technical claims advice is provided to claims specialists, including review of outgoing correspondence and negotiation/settlement strategies as appropriate 
Stakeholders are provided with accurate and timely advice regarding the legal liability and indemnity of the claim 
Decisions are conveyed within timeframes that facilitate performance targets to be achieved 
Evaluation and review of decisions against requirements and outcomes is undertaken on a regular basis 
Review process identifies extent to which decisions support process of accepting and managing a claim 
Review process identifies extent to which decisions support setting of accurate claim portfolio reserves 
Circumstances of claims and decisions concerning the legal liability and indemnity of the claim are documented for consideration in portfolio review 
Changes to policy and procedures are instigated to minimise further loss in similar circumstances, if appropriate 
Actions, procedures and outcomes are documented and recorded promptly and accurately 
Finalised documentation is maintained according to organisation policy and legislative requirements and codes of practice, as applicable. 

Forms

Assessment Cover Sheet

FNSISV513A - Provide decisions on legal liability and indemnity of a claim
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

FNSISV513A - Provide decisions on legal liability and indemnity of a claim

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: