FNSILA501A - Plan and implement loss investigation Competency Mapping Template

Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

FNSILA501A Mapping and Delivery Guide
Plan and implement loss investigation

Version 1.0
Issue Date: May 2024

Qualification	-	Unit of Competency	FNSILA501A - Plan and implement loss investigation
Description	This unit describes the performance outcomes, skills and knowledge required to use high level analytical, liaison and planning skills to interact with clients, authorities and specialists in coordinating loss investigations that determine the extent of loss, damage or injury.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).
Employability Skills	This unit contains employability skills.
Learning Outcomes and Application	This unit applies to loss adjusting coordination job roles but does not cover assessment and analysis of evidence and data relating to a loss situation. It may be applied within organisations of various sizes and across a range of customer bases.
Duration and Setting	X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites
Competency Field

Development and validation strategy and guide for assessors and learners		Student Learning Resources	Handouts Activities	Slides PPT	Assessment 1	Assessment 2	Assessment 3	Assessment 4
Elements of Competency	Performance Criteria
Element: Receive instructions from client	Comprehensive terms of reference or instructions that meet the requirements of the relevant parties are established prior to engagement Relevant parties are promptly advised of decisions to accept or reject terms of reference or instructions and the reasons for such decisions Acceptable terms and instructions that are within client or organisation policy and legislative guidelines, codes of practice and personal authorities are negotiated, confirmed and clearly documented
Element: Establish relevant facts	Facts, evidence and information relevant to the circumstances of loss, damage or injury, are collected thoroughly, systematically and accurately Information deficiencies are identified and additional information is sought from appropriate sources Validity of loss situation and/or claim is assessed fairly and impartially against reported circumstances, available evidence, facts and information Insurance cover for loss, damage or injury where applicable is determined and policy conditions are reviewed to ensure loss falls within policy coverage Contractual and/or other obligations of each party to the circumstances under enquiry are established Fraud indicators are identified accurately and consistently All relevant facts, evidence and information are organised and documented confidentially into a coherent body of case knowledge
Element: Plan and implement loss investigation	Available facts, evidence and information are analysed to determine viable course of action and appropriate investigative activities Investigative activities are assessed for appropriateness to loss situation and compliance with relevant legislation, codes of practice, insurers, client, organisation or other guidelines Requirements for urgent action to protect client interests are identified and determined Appropriate and confidential channels of communication are established with clients and other relevant parties Professional and cordial relationships are established and maintained with all relevant parties during the investigation Comprehensive records are established and maintained of investigative activities, methodology and time spent during investigations
Element: Preserve evidence	All evidence gathered is progressively collated and recorded promptly and accurately Evidence gathered is preserved by appropriate means for subsequent assessment and enquiry
Element: Liaise with authorities	Liaison with all appropriate authorities is established whenever and wherever required When and where required, clearance or authorisation for investigative activities is received from appropriate authorities and recorded promptly
Element: Verify and document information	Facts, evidence and information gathered is regularly reviewed and assessed for thoroughness and consistency All appropriate methods within client, organisation, legislative, code of practice or other guidelines are employed to clarify conflicting evidence or information Investigative actions, procedures and outcomes are documented and recorded promptly and accurately
Element: Appoint specialists	The need to appoint specialist assistance is identified and determined promptly and accurately and conveyed to the client and other relevant parties Appointed specialists are engaged as required and thoroughly briefed

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: apply loss adjusting principles and practice and investigative practices and guidelines relevant to various types of loss/damage apply loss prevention principles and practice use fraud detection, control and prevention principles apply thorough knowledge of types and categories of insurance policies, industry codes of practice and relevant legislation roles, responsibilities and jurisdiction of specialists and other authorities.
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, assignment, 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 and interview clients and others

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

liaise with others, share information, listen and understand

use language and concepts appropriate to cultural differences

numeracy and IT skills to:

calculate and estimate loss

apply data analysis techniques and procedures

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

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 for accessing and interpreting relevant information

organisational skills, including the ability to plan and sequence work

investigative, analytical, evaluative and deductive reasoning skills

Required knowledge

business mathematics and statistics

claims management

data analysis techniques and procedures

fraud detection, control and prevention principles

insurable interest

investigative practices and guidelines

loss adjusting principles and practice

policy coverage and requirements

principles of cost estimating

relevant contract and commercial law principles

insurance law

relevant legislation and industry codes of practice

roles, responsibilities and jurisdiction of specialists and other authorities

rules of evidence and information gathering and documenting principles

subrogation

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.
Terms of reference or instructions may include:	date and location of loss (local or remote) estimate of loss instructions for investigating loss/damage/injury insurer's reference name of insured and initial contact negotiating settlements date of receipt of instructions other parties involved period of insurance policy cover policy number type.
Terms of reference or instructions may be:	electronic verbal written.
Relevant parties may include:	broker or agent client consultants government or statutory authorities insured insurer legal or other practitioners manufacturers medical mortgagee principal subcontractor suppliers third party trustee.
Client or organisation policy and legislative guidelines may include:	Australasian Institute of Chartered Loss Adjusters (AICLA) Charter of Objects and Professional Conduct claims clerical codes of practice complaints and dispute resolution procedures information technology and administrative systems loss loss recovery policies and procedures in relation to risks.
Investigative activities include:	consultation credit and character checks desktop and other research financial forensic, mechanical, electrical, metallurgical, chemical and other tests interviews legal procedures physical examinations surveying surveys valuations.
Relevant legislation may include:	building or construction Consumer Credit Code contracts law environmental hazardous materials industry codes of practice Insurance Agents and Brokers Act Insurance Contracts Act motor vehicle occupational health and safety (OHS) Privacy Act secrecy laws Trade Practices Act.
Means of preserving evidence may include:	documentation electronic forensic, medical, mechanical, chemical and other means photographic physical.
Appropriate authorities may include:	fire services industry and professional associations local governments medical and legal professionals police statutory authorities unions and union representatives.
Methods to clarify conflicting evidence or information include:	consultation credit and character checks desktop and other research financial forensic, mechanical, electrical, metallurgical, chemical and other tests interviews legal procedures physical examinations surveying surveys valuations.
Documentation may include:	interview records legal, government, professional, other documents meeting notes minutes official, general, other correspondence reasons for adopting/incorporating certain evidence/information preferred over other evidence/information records of telephone conversations reference to all evidence/information considered reports from others such as loss adjusters/assessors/ insurers/medical providers and others the basis on which the decision was determined time sheets.
Specialist assistance may include:	accountants arborists architects building consultants chemists consultants engineers forensic hydrologists jewellers legal medical metallurgists meteorologists private and other investigators quantity and other surveyors valuers.

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
Comprehensive terms of reference or instructions that meet the requirements of the relevant parties are established prior to engagement
Relevant parties are promptly advised of decisions to accept or reject terms of reference or instructions and the reasons for such decisions
Acceptable terms and instructions that are within client or organisation policy and legislative guidelines, codes of practice and personal authorities are negotiated, confirmed and clearly documented
Facts, evidence and information relevant to the circumstances of loss, damage or injury, are collected thoroughly, systematically and accurately
Information deficiencies are identified and additional information is sought from appropriate sources
Validity of loss situation and/or claim is assessed fairly and impartially against reported circumstances, available evidence, facts and information
Insurance cover for loss, damage or injury where applicable is determined and policy conditions are reviewed to ensure loss falls within policy coverage
Contractual and/or other obligations of each party to the circumstances under enquiry are established
Fraud indicators are identified accurately and consistently
All relevant facts, evidence and information are organised and documented confidentially into a coherent body of case knowledge
Available facts, evidence and information are analysed to determine viable course of action and appropriate investigative activities
Investigative activities are assessed for appropriateness to loss situation and compliance with relevant legislation, codes of practice, insurers, client, organisation or other guidelines
Requirements for urgent action to protect client interests are identified and determined
Appropriate and confidential channels of communication are established with clients and other relevant parties
Professional and cordial relationships are established and maintained with all relevant parties during the investigation
Comprehensive records are established and maintained of investigative activities, methodology and time spent during investigations
All evidence gathered is progressively collated and recorded promptly and accurately
Evidence gathered is preserved by appropriate means for subsequent assessment and enquiry
Liaison with all appropriate authorities is established whenever and wherever required
When and where required, clearance or authorisation for investigative activities is received from appropriate authorities and recorded promptly
Facts, evidence and information gathered is regularly reviewed and assessed for thoroughness and consistency
All appropriate methods within client, organisation, legislative, code of practice or other guidelines are employed to clarify conflicting evidence or information
Investigative actions, procedures and outcomes are documented and recorded promptly and accurately
The need to appoint specialist assistance is identified and determined promptly and accurately and conveyed to the client and other relevant parties
Appointed specialists are engaged as required and thoroughly briefed

Forms

Assessment Cover Sheet

FNSILA501A - Plan and implement loss investigation

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

FNSILA501A - Plan and implement loss investigation

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:

Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

FNSILA501A Mapping and Delivery Guide Plan and implement loss investigation

Version 1.0 Issue Date: May 2024

Evidence Required

Submission Requirements

Assessment Tasks

Observation Checklist

Forms

Assessment Cover Sheet

FNSILA501A - Plan and implement loss investigation

Assessment task 1: [title]

Assessment Record Sheet

FNSILA501A - Plan and implement loss investigation

FNSILA501A Mapping and Delivery Guide
Plan and implement loss investigation

Version 1.0
Issue Date: May 2024