Analyse 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 FNSISV405, 'Analyse insurance claims'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Analyse 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

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

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

1. Collect and organise information relating to claim

1.1 Obtain all relevant information to determine whether valid claim exists

1.2 Organise relevant information into coherent and valid body of case knowledge

1.3 Maintain confidentiality of information according to legislative requirements and industry principles

1.4 Identify any information deficiencies and seek additional information from appropriate sources

2. Research claim and validate claim information

2.1 Check claims information to determine legitimacy of claim, including validity of policy and whether claimant is eligible to claim on policy

2.2 Identify needs for investigation and/or further information and appoint appropriate service providers where necessary

2.3 Undertake investigation and research within established claims management criteria and authorities

2.4 Monitor progress of investigation, if applicable

2.5 Refer all missing information, abnormalities or classification uncertainties to an appropriate authority

3. Maintain records and lines of communication

3.1 Maintain regular contact with relevant parties to ensure they are aware of current status of claim and are actively participating in process

3.2 Communicate information promptly to underwriter, which impacts on policy

3.3 Maintain regular and accurate diary system, and adhere to timelines


Qualifications and Skillsets

FNSISV405 appears in the following qualifications:

  • FNS41410 - Certificate IV in General Insurance
  • FNS40310 - Certificate IV in Personal Injury Management (Claims Management)
  • FNS41610 - Certificate IV in Loss Adjusting
  • FNS41510 - Certificate IV in Life Insurance
  • FNS41411 - Certificate IV in General Insurance
  • FNS41611 - Certificate IV in Loss Adjusting
  • FNS51415 - Diploma of Loss Adjusting
  • FNS41915 - Certificate IV in Personal Injury Management
  • FNS41415 - Certificate IV in General Insurance
  • FNS42115 - Certificate IV in Personal Injury Management