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Evidence Guide: FNSISV508 - Review and advise on claims costs, policies and procedures

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

 

FNSISV508 - Review and advise on claims costs, policies and procedures

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

Collect and analyse data on claims trends

  1. Design and implement data gathering processes
  2. Identify new data requirements and sources, and establish process for collecting data
  3. Analyse data collected to identify trends in claims and related documents
Design and implement data gathering processes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify new data requirements and sources, and establish process for collecting data

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Analyse data collected to identify trends in claims and related documents

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor claims trends

  1. Prepare accurate and timely claims reports to document trends and identify issues, where appropriate
  2. Communicate to management promptly relevant information which impacts on clients according to organisational procedures
Prepare accurate and timely claims reports to document trends and identify issues, where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate to management promptly relevant information which impacts on clients according to organisational procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify opportunities to improve client outcomes

  1. Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances
  2. Communicate advice to clients effectively and promote positive action
  3. Provide sources of advice to clients where required
Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate advice to clients effectively and promote positive action

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide sources of advice to clients where required

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. Collect and analyse data on claims trends

1.1 Design and implement data gathering processes

1.2 Identify new data requirements and sources, and establish process for collecting data

1.3 Analyse data collected to identify trends in claims and related documents

2. Monitor claims trends

2.1 Prepare accurate and timely claims reports to document trends and identify issues, where appropriate

2.2 Communicate to management promptly relevant information which impacts on clients according to organisational procedures

3. Identify opportunities to improve client outcomes

3.1 Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances

3.2 Communicate advice to clients effectively and promote positive action

3.3 Provide sources of advice to clients where required

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. Collect and analyse data on claims trends

1.1 Design and implement data gathering processes

1.2 Identify new data requirements and sources, and establish process for collecting data

1.3 Analyse data collected to identify trends in claims and related documents

2. Monitor claims trends

2.1 Prepare accurate and timely claims reports to document trends and identify issues, where appropriate

2.2 Communicate to management promptly relevant information which impacts on clients according to organisational procedures

3. Identify opportunities to improve client outcomes

3.1 Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances

3.2 Communicate advice to clients effectively and promote positive action

3.3 Provide sources of advice to clients where required

Evidence of the ability to:

collect and interpret data from a wide range of sources

effectively monitor and analyse:

claims trends and their causes

effects on claims history

settlement policy and procedures

review policies and procedures and make recommendations for change

accurately prepare advice and recommendations for management and clients to undertake suitable actions.

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 organisational policy, procedures, claims guidelines and levels of authority

explain and employ analysis techniques in evaluating data

outline broad industry trends in claims handling

explain the different type of claims events and possible remediation strategies

outline the types of data and documents to be analysed to monitor claim trends.