Application
This unit describes the skills and knowledge required to understand, use and respond to important information involving medical terminology in relation to insurance policies.
It applies to individuals involved in the provision of services in the insurance sector where medical and health considerations are a core function of responsibility.
No licensing, legislative or certification requirements apply to this unit at the time of publication.
Elements and Performance Criteria
ELEMENT | PERFORMANCE CRITERIA |
Elements describe the essential outcomes. | Performance criteria describe the performance needed to demonstrate achievement of the element. |
1. Interpret insurance-based information containing medical terminology | 1.1 Receive, interpret and follow written and verbal instructions containing medical terminology 1.2 Read and interpret documentation containing medical terminology 1.3 Seek clarification when necessary |
2. Communicate using medical terminology | 2.1 Use medical terminology in insurance-based communications with stakeholders 2.2 Spell and pronounce medical terminology correctly 2.3 Seek specialist advice from appropriate authority as necessary 2.4 Use medical abbreviations where appropriate 2.5 Explain medical terminology in simple language to stakeholders |
Evidence of Performance
Evidence of the ability to:
accurately interpret and respond to instructions containing commonly used medical terminology and abbreviations
use medical terminology appropriately in:
insurance contexts
simple language.
Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.
Evidence of Knowledge
To complete the unit requirements safely and effectively, the individual must:
outline organisational policy, procedures and guidelines relevant to medical insurance terminology
describe relevant organisational products that relate to medical insurance
identify and describe relevant codes or compliance requirements that may refer to the medical insurance sector
define what is meant by ‘medical insurance terminology’
explain procedures and practice in communicating medical terms in insurance
outline ethical issues and good practice in communicating to clients about medical matters in insurance
describe ways to maintain an up-to-date personal knowledge of medical terminology used in insurance contexts.
Assessment Conditions
Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the insurance services field of work and include access to:
organisational records
organisational policy, procedures, legislation and regulations as they relate to contracts of insurance
a range of common technology and software.
Assessors must satisfy NVR/AQTF assessor requirements.
Foundation Skills
This section describes language, literacy, numeracy and employment skills incorporated in the performance criteria that are required for competent performance.
Skill | Performance Criteria | Description |
Reading | 1.1, 1.2 | Interprets and synthesises complex language and specific medical terminology |
Writing | 1.3, 2.1-2.5 | Notes specific medical terminology accurately and uses abbreviation conventions where appropriate Defines and explains specific terms for different audiences using writing conventions appropriate for different stakeholders |
Oral Communication | 1.3, 2.1, 2.2, 2.3, 2.5 | Articulates complex medical terminology accurately and clearly Defines specific medical terminology in a way that is appropriate to the target audience |
Interact with others | 1.3, 2.1, 2.3, 2.5 | Selects and uses appropriate conventions and protocols to communicate appropriately with people from diverse backgrounds |
Get the work done | 1.1 | Follows clearly defined instructions regarding task completion and sequencing Uses digital technologies to access information required to complete work tasks |
Sectors
Insurance services