Manage complex life insurance claims

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver FNSILF504A, 'Manage complex life insurance claims'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Manage complex life insurance claims' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


Elements and Performance Criteria

1. Confirm validity of the claim

1.1 Receive and acknowledge claim notification

1.2 Review details of the life insurance policy to ensure valid cover is in force

1.3 Establish that the claimant is authorised to deal with the policy

1.4 Compile necessary documentation

1.5 Check that documentation is correct and complete and address any gaps in accordance with procedures

1.6 Assess the organisational authority level required to process the claim and refer it to an appropriately authorised individual as necessary

2. Conduct complex claim assessment

2.1 Review and apply policy terms, conditions and definitions to identify payment criteria in accordance with procedures

2.2 Identify and review evidence against payment criteria in accordance with procedures

2.3 Review all information relevant to the circumstances of loss/damage/injury to establish a chain of events

2.4 Identify potential fraud indicators

2.5 Identify whether policy exclusions apply

2.6 Recognise the need for further information and collect as appropriate

3. Appoint specialists to assist in complex claims assessment as required

3.1 Identify the need to appoint specialists to undertake claims assessment

3.2 Engage and brief appointed specialists as required

3.3 Monitor specialists’ activities to ensure adherence to timelines, procedures and ethical and regulatory requirements

3.4 Interpret and utilise specialists' reports

4. Assess and report on liability

4.1 Identify whether the terms and conditions of the policy have been verifiably met

4.2 Assess liability in accordance with the terms and conditions of the policy

4.3 Where the claim is not admitted, communicate the decision to appropriate stakeholders

4.4 Where the claim is admitted, calculate

5. Finalise claim payments

5.1 Advise client of the consequences of proceeding with the payment

5.2 Obtain policy discharge, as appropriate

5.3 Process payment in accordance with organisational authority levels, procedures and ethical and regulatory requirements

5.4 Update all appropriate records in accordance with procedures

5.5 Communicate settlement details to appropriate stakeholders in accordance with procedures and regulatory requirements

5.6 Initiate reinsurance recovery, if appropriate


Qualifications and Skillsets

FNSILF504A appears in the following qualifications: