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Evidence Guide: FNSISV406 - Use specialist terminology in insurance claims

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

 

FNSISV406 - Use specialist terminology in insurance claims

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

Interpret documents and instructions

  1. Receive, understand and document written and oral instructions for a claim, using specialist terminology
  2. Interpret accurately claims documentation containing specialist terminology
  3. Use checklists and sources of information for specialist terminology in claims, where appropriate
  4. Understand abbreviations for specialist terms and related processes associated with insurance claims
  5. Seek clarification when necessary
Receive, understand and document written and oral instructions for a claim, using specialist terminology

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Interpret accurately claims documentation containing specialist terminology

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use checklists and sources of information for specialist terminology in claims, where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Understand abbreviations for specialist terms and related processes associated with insurance claims

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek clarification when necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use appropriate specialist terminology

  1. Use appropriate specialist terminology in both written and oral communication with internal and external parties related to claim
  2. Use, spell and pronounce correctly specialist terminology related to insurance claims in appropriate context
  3. Present claims documentation to designated person for verification, if required
Use appropriate specialist terminology in both written and oral communication with internal and external parties related to claim

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use, spell and pronounce correctly specialist terminology related to insurance claims in appropriate context

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Present claims documentation to designated person for verification, if required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply specialist terminology

  1. Use specialist terminology correctly in completion of insurance claims tasks
  2. Seek assistance or clarification from specialist representatives or designated person as required
  3. Conduct all tasks within accepted organisational and ethical codes of conduct, including those relating to maintaining confidentiality, privacy and compliance
Use specialist terminology correctly in completion of insurance claims tasks

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance or clarification from specialist representatives or designated person as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct all tasks within accepted organisational and ethical codes of conduct, including those relating to maintaining confidentiality, privacy and compliance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Extend understanding of specialist terminology

  1. Identify and seek clarification of gaps in knowledge, such as relevant legislation, through appropriate source or person
  2. Identify and use, where appropriate, abbreviations for commonly used specialist terms and associated processes for insurance claims
  3. Answer questions or define terms relating to specialist terminology used in insurance
Identify and seek clarification of gaps in knowledge, such as relevant legislation, through appropriate source or person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and use, where appropriate, abbreviations for commonly used specialist terms and associated processes for insurance claims

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Answer questions or define terms relating to specialist terminology used in insurance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

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

1. Interpret documents and instructions

1.1 Receive, understand and document written and oral instructions for a claim, using specialist terminology

1.2 Interpret accurately claims documentation containing specialist terminology

1.3 Use checklists and sources of information for specialist terminology in claims, where appropriate

1.4 Understand abbreviations for specialist terms and related processes associated with insurance claims

1.5 Seek clarification when necessary

2. Use appropriate specialist terminology

2.1 Use appropriate specialist terminology in both written and oral communication with internal and external parties related to claim

2.2 Use, spell and pronounce correctly specialist terminology related to insurance claims in appropriate context

2.3 Present claims documentation to designated person for verification, if required

3. Apply specialist terminology

3.1 Use specialist terminology correctly in completion of insurance claims tasks

3.2 Seek assistance or clarification from specialist representatives or designated person as required

3.3 Conduct all tasks within accepted organisational and ethical codes of conduct, including those relating to maintaining confidentiality, privacy and compliance

4. Extend understanding of specialist terminology

4.1 Identify and seek clarification of gaps in knowledge, such as relevant legislation, through appropriate source or person

4.2 Identify and use, where appropriate, abbreviations for commonly used specialist terms and associated processes for insurance claims

4.3 Answer questions or define terms relating to specialist terminology used in insurance

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

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

1. Interpret documents and instructions

1.1 Receive, understand and document written and oral instructions for a claim, using specialist terminology

1.2 Interpret accurately claims documentation containing specialist terminology

1.3 Use checklists and sources of information for specialist terminology in claims, where appropriate

1.4 Understand abbreviations for specialist terms and related processes associated with insurance claims

1.5 Seek clarification when necessary

2. Use appropriate specialist terminology

2.1 Use appropriate specialist terminology in both written and oral communication with internal and external parties related to claim

2.2 Use, spell and pronounce correctly specialist terminology related to insurance claims in appropriate context

2.3 Present claims documentation to designated person for verification, if required

3. Apply specialist terminology

3.1 Use specialist terminology correctly in completion of insurance claims tasks

3.2 Seek assistance or clarification from specialist representatives or designated person as required

3.3 Conduct all tasks within accepted organisational and ethical codes of conduct, including those relating to maintaining confidentiality, privacy and compliance

4. Extend understanding of specialist terminology

4.1 Identify and seek clarification of gaps in knowledge, such as relevant legislation, through appropriate source or person

4.2 Identify and use, where appropriate, abbreviations for commonly used specialist terms and associated processes for insurance claims

4.3 Answer questions or define terms relating to specialist terminology used in insurance

Evidence of the ability to:

accurately interpret instructions containing commonly used specialist terminology and abbreviations

review and update knowledge of specialist terminology used in insurance

use specialist terminology in insurance appropriately for the situation

access an appropriate person or source of information to clarify instructions or to locate missing information

explain specialist terminology and processes to others in simple, non-specialist language with non-disclosable information remaining confidential

conduct all work within accepted organisational and ethical codes of conduct including those relating to maintaining confidentiality, privacy and compliance.

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:

explain legal, financial and ethical consequences of misusing terminology used in specialist insurance products

explain the importance of wording of insurance policies in keeping with the organisation or industry sector

outline organisational policy, procedures, underwriting and claims guidelines and levels of authority

describe policy coverage and/or requirements and procedures in relation to communication and the release of information, security and confidentiality

identify and apply relevant legislation, regulatory guidelines and industry sector codes of practice

outline types and/or categories of specialist insurance policies

explain relevant legal terminology:

insurance law

commonly used legal terminology in insurance

appropriate use of legal terminology in employee’s area of responsibility within an insurance context

relevant legal process as it relates to insurance and/or legal claims proceedings

explain relevant terminology relating to medical conditions used in medical insurance.