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Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

1. Identify unusual or unwanted trends in claims
   • Investigate and report unusual or unwanted trends in cover or claims
   • Access and analyse relevant data and documentation, including impact of reinsurance
2. Assess impact of claim and determine alternative strategies
   • Determine strategies to minimise potential negative impacts to portfolio within requirements to meet policy obligations and legal requirements
   • Protect consumers’ rights according to compliance requirements and codes of practice
   • Communicate information which impacts on portfolio or line of business promptly to underwriter
   • Determine and act on need for urgent action to protect organisation’s interests

Performance Evidence

Evidence of the ability to:

accurately identify and assess data and trends relating to losses

effectively analyse the data and trends to identify post loss

use the analysis as a basis for developing effective strategies to minimise loss.

Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.

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Knowledge Evidence

To complete the unit requirements safely and effectively, the individual must:

explain consumers’ rights issues and requirements

describe industry trends as they relate to insurance losses

explain the principles for loss surveying

outline organisational policy, procedures, underwriting guidelines and authorities:

best underwriting guides (BUG)

loss control guides

identify and apply relevant legislation, regulatory guidelines and industry sector compliance requirements as they apply to:

insurance contracts

consumer protection

financial services

corporations

select and apply research and analysis techniques

outline risk management techniques and tools

outline impacts of losses on reinsurance.

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