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

FNSILA502 Mapping and Delivery Guide
Evaluate collected information

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency FNSILA502 - Evaluate collected information
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to apply diagnostic and mathematical skills to determine liability and extent of loss. It encompasses analysis of information obtained through loss investigation and includes evaluation of recovery rights and success relating to a loss situation, and determining the extent of loss, damage or injury.It applies to individuals who use specialised knowledge, analytical skills and systematic approaches and techniques for problem solving and evaluating information and data in a range of situations.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the insurance loss adjusting field of work and include access to:

organisational records

organisational policy, procedures, legislation and regulations as they relate to contracts of insurance

common office equipment, technology, software and consumables.

Assessors must satisfy NVR/AQTF assessor requirements.

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: Determine whether loss is covered by insurance or other criteria
  • Accurately and thoroughly collect relevant evidence, facts and information
  • Review insurance policy conditions to determine whether loss falls within policy coverage
       
Element: Apply and analyse established facts
  • Assess validity of claim against reported circumstances and policy specifications
  • Accurately and consistently identify fraud indicators
  • Apply appropriate analysis techniques, and prioritise and assess data thoroughly
  • Document data analysis techniques and procedures, and record promptly and accurately
       
Element: Determine extent of loss, damage or injury
  • Determine extent of liability and loss against available evidence and facts and in accordance with legislative and/or insurers, or client, or organisational policy and guidelines
  • Ensure extent of loss or damage determined is consistent with assessment of and nature of claim, and is within legislative, insurer, client or organisational constraints
       
Element: Establish recovery rights
  • Identify all other contributory insurances
  • Identify and assess all cases for potential subrogation action
  • Identify sources and rights of recovery and evaluate likelihood of recovery success
  • Correctly issue recovery demands, where necessary
       


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.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine whether loss is covered by insurance or other criteria

1.1 Accurately and thoroughly collect relevant evidence, facts and information

1.2 Review insurance policy conditions to determine whether loss falls within policy coverage

2. Apply and analyse established facts

2.1 Assess validity of claim against reported circumstances and policy specifications

2.2 Accurately and consistently identify fraud indicators

2.3 Apply appropriate analysis techniques, and prioritise and assess data thoroughly

2.4 Document data analysis techniques and procedures, and record promptly and accurately

3. Determine extent of loss, damage or injury

3.1 Determine extent of liability and loss against available evidence and facts and in accordance with legislative and/or insurers, or client, or organisational policy and guidelines

3.2 Ensure extent of loss or damage determined is consistent with assessment of and nature of claim, and is within legislative, insurer, client or organisational constraints

4. Establish recovery rights

4.1 Identify all other contributory insurances

4.2 Identify and assess all cases for potential subrogation action

4.3 Identify sources and rights of recovery and evaluate likelihood of recovery success

4.4 Correctly issue recovery demands, where necessary

Evidence of the ability to:

maintain and apply thorough knowledge of types and categories of insurance policies, industry codes of practice and relevant legislation

apply loss adjusting principles and practice to evaluate claims

effectively use data analysis and evaluation techniques to verify validity of claims.

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

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

outline the key features of:

business mathematics and statistics relevant to assessing insurance loss

data analysis techniques and procedures

identify and explain the key features of insurance loss, including:

claims management

insurable interest

loss adjusting principles and practice

policy coverage and requirements

principles of cost estimating, recovery and salvage methods

relevant contract and commercial law principles

relevant insurance law legislation and industry codes of practice

subrogation

types or categories of insurance policies

explain the key requirements of industry codes of practice and relevant legislation

identify the types and categories of insurance policies within the domain of insurance loss adjusting

identify the types of liabilities to be considered in assessing loss.

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.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine whether loss is covered by insurance or other criteria

1.1 Accurately and thoroughly collect relevant evidence, facts and information

1.2 Review insurance policy conditions to determine whether loss falls within policy coverage

2. Apply and analyse established facts

2.1 Assess validity of claim against reported circumstances and policy specifications

2.2 Accurately and consistently identify fraud indicators

2.3 Apply appropriate analysis techniques, and prioritise and assess data thoroughly

2.4 Document data analysis techniques and procedures, and record promptly and accurately

3. Determine extent of loss, damage or injury

3.1 Determine extent of liability and loss against available evidence and facts and in accordance with legislative and/or insurers, or client, or organisational policy and guidelines

3.2 Ensure extent of loss or damage determined is consistent with assessment of and nature of claim, and is within legislative, insurer, client or organisational constraints

4. Establish recovery rights

4.1 Identify all other contributory insurances

4.2 Identify and assess all cases for potential subrogation action

4.3 Identify sources and rights of recovery and evaluate likelihood of recovery success

4.4 Correctly issue recovery demands, where necessary

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
Accurately and thoroughly collect relevant evidence, facts and information 
Review insurance policy conditions to determine whether loss falls within policy coverage 
Assess validity of claim against reported circumstances and policy specifications 
Accurately and consistently identify fraud indicators 
Apply appropriate analysis techniques, and prioritise and assess data thoroughly 
Document data analysis techniques and procedures, and record promptly and accurately 
Determine extent of liability and loss against available evidence and facts and in accordance with legislative and/or insurers, or client, or organisational policy and guidelines 
Ensure extent of loss or damage determined is consistent with assessment of and nature of claim, and is within legislative, insurer, client or organisational constraints 
Identify all other contributory insurances 
Identify and assess all cases for potential subrogation action 
Identify sources and rights of recovery and evaluate likelihood of recovery success 
Correctly issue recovery demands, where necessary 

Forms

Assessment Cover Sheet

FNSILA502 - Evaluate collected information
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

FNSILA502 - Evaluate collected information

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: