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 FNSISV405A, '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

1. Collect and organise information relating to claim

1.1. All relevant information is obtained to determine whether a valid claim exists (liability)

1.2. Relevant information is organised into a coherent and valid body of case knowledge

1.3. Confidentiality of information is maintained according to legislative requirements and industry principles as appropriate

1.4. Any information deficiencies are identified, and additional information is sought from appropriate sources

2. Research claim and validate claim information

2.1. Claims information is checked to determine legitimacy of claim, including validity of the policy, and whether the claimant is eligible to claim on the policy

2.2. Needs for investigation/further information are identified and appropriate service provider/s are appointed where necessary

2.3. Information is provided to reinsurers, if applicable

2.4. Investigation and research are undertaken within established claims management criteria and authorities

2.5. Progress of investigation is monitored, if applicable

2.6. All missing information, abnormalities or classification uncertainties are referred to an appropriate authority

3. Maintain records and lines of communication

3.1. Regular contact is maintained with the relevant parties to ensure that they are aware of the current status of the claim and are actively participating in the process

3.2. Information which impacts on the policy is communicated promptly to the underwriter

3.3. Diary system is maintained regularly and accurately and timelines adhered to


Qualifications and Skillsets

FNSISV405A 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
  • FNS41915 - Certificate IV in Personal Injury Management