Work with legal teams to resolve non-routine and complex 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 FNSISV522, 'Work with legal teams to resolve non-routine and complex insurance claims'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Work with legal teams to resolve non-routine and complex 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. Establish requirements of legal proceedings for non-routine and complex insurance claim

1.1 Establish comprehensive terms of reference and instructions applicable to legal proceedings for claim

1.2 Identify terms of reference and confirm they are within organisational and legislative guidelines, codes of practice and personal authorities, and are documented accordingly

1.3 Negotiate, confirm and document roles and responsibilities of parties involved in legal proceedings for claim

1.4 Identify requirements and procedures of legal system involved in claim proceedings

2. Obtain and assess required claims information, and provide to legal team

2.1 Identify legal team representatives and obtain information requirements

2.2 Engage with legal team to identify legal data and information sources and discuss applicable options for obtaining requested legal data and information

2.3 Obtain facts, evidence and information applicable to claims proceedings

2.4 Research and analyse additional historical and legal data, as required

2.5 Identify information deficiencies and seek additional information

2.6 Provide legal data and information to legal team in compliance with organisational policies and procedures, and compliance, ethical and legal requirements

3. Support legal process to manage claim

3.1 Obtain instructions and receipt of legal advice pertaining to claim

3.2 Communicate with legal teams and other applicable parties as required and expedite insurance claim resolution

3.3 Negotiate timelines for provision of required documents to legal team within agreed timeframes

3.4 Clarify conflicting evidence and information according to organisational and legislative requirements, codes of practice, and other relevant guidelines and ensure settlement payments comply with relevant policies

3.5 Document all actions, procedures and outcomes in supporting legal team within required timeframes

4. Support legal team with settlement arrangements

4.1 Participate in mediation and negotiation activities, as required

4.2 Initiate meeting with instructing legal practitioner to discuss settlement meeting and review settlement documents

4.3 Check and exchange documentation with required parties

4.4 Draft letter of confirmation of settlement, and forward to instructing legal practitioner for review and despatch to required parties

5. Report claim outcomes and update records

5.1 Inform stakeholders of claim outcome according to organisational policies and procedures

5.2 Document and record actions, procedures and outcomes according to organisational policies and procedures, legislative requirements, and codes of practice

5.3 Provide stakeholders with advice regarding claim settlement