Settle non-routine and complex 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 FNSISV511, 'Settle non-routine and complex claims'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Settle non-routine and complex 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. Determine terms and conditions of settlement

1.1 Determine and evaluate non-routine aspects of claim in light of policy wording and general policy of organisation

1.2 Follow organisational claims procedures for non-routine and complex claims, where required

1.3 Determine settlement terms according to policy wording, legislation, organisational operating procedures and codes of practice, taking into account non-routine aspects of claim and parties involved

1.4 Identify type and level of variation to standard claims settlement to establish type of negotiation or mediation that may be required and to ensure logical, persuasive and technically correct claims interpretations can be applied

2. Negotiate and communicate settlement terms

2.1 Advise promptly client and/or relevant party terms and conditions of settlement offer according to claims procedures

2.2 Consider response by client and/or relevant party to terms of settlement offer to assess whether adjustment is required

2.3 Negotiate settlement terms, where required, to reach mutual agreement, meet obligations and minimise unnecessary loss to organisation

2.4 Support negotiated settlements with suitable documentation that clearly states agreements reached

2.5 Modify terms of settlement offer as necessary and advise client and/or relevant party promptly

3. Document liability decisions

3.1 Clearly communicate decisions to relevant parties in manner required by legislation, operating procedures and codes of practice

3.2 Document decisions in such a way as to determine basis on which decision was reached and all evidence and information that was considered

3.3 Communicate to relevant personnel any aspects of claim relevant to policy wording and general organisational policy

4. Finalise settlement

4.1 Make final payments in required timeframe once settlement is reached

4.2 Obtain settlement release from client and/or third party, as applicable

4.3 Obtain discharge to ensure any potential for further liability is eliminated

5. Identify any required changes to policy or procedures

5.1 Document circumstances of claim for consideration in portfolio review

5.2 Instigate changes to policy and procedures to minimise further loss in similar circumstances, if appropriate

6. Report findings and update records

6.1 Document actions, procedures and outcomes and record promptly and accurately

6.2 Provide stakeholders with accurate and timely advice regarding claim settlement

6.3 Store and maintain finalised claims files according to organisational policy, legislative requirements and codes of practice, as applicable


Qualifications and Skillsets

FNSISV511 appears in the following qualifications:

  • FNS51110 - Diploma of General Insurance
  • FNS51115 - Diploma of General Insurance