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Elements and Performance Criteria

  1. Identify unusual or unwanted trends in claims
  2. Assess impact of claim and determine alternative strategies

Required Skills

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

welldeveloped numeracy and IT skills to

undertake statistical analysis

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

welldeveloped 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

selfmanagement 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

consumers rights issues and requirements

industry sector compliance requirements such as the General Insurance Code of Practice

industry trends

loss surveying principles

organisation policy procedures underwriting guidelines and authorities

best underwriting guides BUG

loss control guides

relevant legislation regulatory guidelines and industry sector compliance requirements such as the Insurance Contracts Act Privacy Act Trade Practices and Corporations Act

research and analysis techniques

risk management techniques and tools

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

identify and assess data relating to losses analyse it and use the analysis as a basis for development of effective strategies

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


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.

Investigation may include:

whether there are any significant claim trends

whether there are any significant changes to the premium pool

whether there are changes in the insurance industry to coverage of risk.

Relevant data may include:

claim statistic reports

premium reports

surveys

other relevant materials.

Documentation may include:

assessor comments

premium income

reports on claims

solicitor's advice

surveys.

Strategies may include:

case studies

changes in policy wording, list of risks, premium rates

training.

Potential negative impacts may be identified by:

accuracy of rates charged

additional security arrangements

analysing loss ratios

analysing relevant geographic, demographic data

types of risk written

underwriting guidelines.

Consumers' rights may include:

privacy and access to dispute resolution procedures.

Types and categories of insurance portfolios/line of business may 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.