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Elements and Performance Criteria

  1. Receive reinsurance claim
  2. Calculate the recovery including reinstatements

Required Skills

Required skills

communication skills to

determine and confirm information using questioning and active listening as required

relate to customers

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 webbased information services

literacy skills to read and interpret documentation from a variety of sources and record and consolidate relevant related information

research and analysis skills for accessing and interpreting relevant information

organisational skills including the ability to plan and sequence work

Required knowledge

relevant legislation and regulations organisation policy and procedures and sector policy wording

reinsurance terminology and concepts such as

any one risk

any one event

reinstatement premium

IT and communications systems

principles and methods of filing

Evidence Required

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

fully comply with organisation operating procedures legislative requirements and industry codes of practice where applicable

comply with terms and conditions of organisation reinsurance arrangement

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

Guidance information for assessment

Range Statement

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.

Facultative reinsurance may include:

reinsurance negotiated and placed on a case by case basis, as opposed to the automatic protection provided under a reinsurance treaty

each facultative reinsurance arrangement is subject to a process of offer and acceptance between parties. It is usually arranged where a type of insurance may be excluded from the terms of a treaty, where amounts insured exceed capacity, where no treaty reinsurance facility in is place, or where assessed risk is excessive and the insurer wishes to protect the results of its treaty arrangements.

Treaty reinsurance may include:

an obligatory reinsurance contract usually effected to cover the whole or a certain section of the reinsured's business with the reinsurer receiving details of each individual risk reinsured.

Claims checking may be through:

checking against facultative certificate/placing slip or cover note

checking against treaty cover note.

Organisation policies and procedures may include:

authority levels.

Entering claims data may include:

coding according to organisation requirements (entering statistical data).