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Evidence Guide: FNSIBK404A - Provide a claims service to an insurance broking client

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

FNSIBK404A - Provide a claims service to an insurance broking client

What evidence can you provide to prove your understanding of each of the following citeria?

Register claim

  1. Comprehensive and detailed recording system is established to register claims that meet the terms of relevant business guidelines
  2. Claims recording system is regularly and accurately updated to minimise processing delays
Comprehensive and detailed recording system is established to register claims that meet the terms of relevant business guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claims recording system is regularly and accurately updated to minimise processing delays

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advise insurers

  1. Claim reports are made formally within organisation operating time requirements
  2. Formal acknowledgment of claims receipt is immediately sought from insurers
  3. Appointment of a loss adjuster is established immediately
Claim reports are made formally within organisation operating time requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Formal acknowledgment of claims receipt is immediately sought from insurers

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Appointment of a loss adjuster is established immediately

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete necessary documentation

  1. When required claim forms and other required documentation are requested without delay
  2. Assistance is supplied to client to complete claims documentation, when required, to ensure full and accurate information is available to insurers in assessment of the claim
  3. Claims documentation is checked for errors and omissions to ensure accuracy
When required claim forms and other required documentation are requested without delay

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assistance is supplied to client to complete claims documentation, when required, to ensure full and accurate information is available to insurers in assessment of the claim

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claims documentation is checked for errors and omissions to ensure accuracy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reinstate sum insured

  1. Insurer, where required, is formally requested to reinstate sum insured
  2. Client is advised whether the sum insured has been reinstated
Insurer, where required, is formally requested to reinstate sum insured

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is advised whether the sum insured has been reinstated

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advise client of rights and obligations

  1. Terms and conditions of the insurance policy are reviewed with the client to ensure the maximum claims recovery is sought
  2. Client is provided with advice on administration of the claims to ensure no breach of contract occurs and claims are managed efficiently
  3. Client is advised of appropriate legislative requirements to protect the client's interests
Terms and conditions of the insurance policy are reviewed with the client to ensure the maximum claims recovery is sought

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is provided with advice on administration of the claims to ensure no breach of contract occurs and claims are managed efficiently

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client is advised of appropriate legislative requirements to protect the client's interests

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with service providers

  1. Need for independent service providers with the range of expertise required for the claim is identified where settlement authority exists
  2. Suitable service provider is selected based on client's instructions where settlement authority exists
  3. Service provider is thoroughly briefed to ensure any investigation is comprehensive where settlement authority exists
  4. Report of the independent service provider is obtained, reviewed and assessed within agreed timeframes where settlement authority exists
  5. Contact with insurer's service provider is maintained to ensure reports and issues are dealt with promptly
Need for independent service providers with the range of expertise required for the claim is identified where settlement authority exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Suitable service provider is selected based on client's instructions where settlement authority exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Service provider is thoroughly briefed to ensure any investigation is comprehensive where settlement authority exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report of the independent service provider is obtained, reviewed and assessed within agreed timeframes where settlement authority exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contact with insurer's service provider is maintained to ensure reports and issues are dealt with promptly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Notify terms of settlement to client

  1. Details of insurer's settlement offer are prepared with recommendations for client review and acceptance without delay
  2. Client response to settlement offer is obtained and acted on without delay
  3. Settlement funds are remitted to client within terms of legislative requirements and business policy and procedures
Details of insurer's settlement offer are prepared with recommendations for client review and acceptance without delay

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Client response to settlement offer is obtained and acted on without delay

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Settlement funds are remitted to client within terms of legislative requirements and business policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Update relevant files and records

  1. Business records are updated without delay according to business policy and guidelines
Business records are updated without delay according to business policy and guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 fund procedures.

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

Required Skills and Knowledge

Required skills

well-developed communication skills to:

negotiate with clients and others

determine and confirm information, using questioning and active listening techniques

liaise with others, share information, listen and understand

write clear and concise reports

use language and concepts appropriate to cultural differences

numeracy and IT skills to:

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 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 skills for accessing and interpreting relevant information

interpersonal skills

organisational skills, including the ability to plan and sequence work

Required knowledge

broking systems and procedures

insurance contract terms and conditions

insurance products and procedures

relevant legislation

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.

Claims may include:

casualty

consequential loss

employee benefits

liability

personal injury

property loss

third party injury.

Service providers may include:

accountants

engineers

legal professionals

loss adjusters

management consultants

medical practitioners

risk managers

specialist technical experts

surveyors

valuers.

Business records may be:

manual or electronic.