Modification History
Not applicable.
Unit Descriptor
Unit descriptor |
This unit describes the performance outcomes, skills and knowledge required to implement and supervise liaison with insurance bodies. It encompasses establishing insurer liaison, supervising the claim procedures, managing complex claims and managing risk. This unit is applicable to individuals working within enterprises and job roles subject to licensing, legislative, regulatory or certification requirements including legislation administered by the Australian Securities and Investments Commission (ASIC). |
Application of the Unit
Application of the unit |
This unit applies to job roles involving implementing and supervising the liaison between insurance bodies and has application to trustees and small Australian Prudential Regulation Authority (APRA) funds. It does not cover the payment of benefits to a member but covers the obtaining of monies from the insurer. |
Licensing/Regulatory Information
Not applicable.
Pre-Requisites
Prerequisite units |
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Employability Skills Information
Employability skills |
This unit contains employability skills. |
Elements and Performance Criteria Pre-Content
Elements describe the essential outcomes of a unit of competency. |
Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the required skills and knowledge section and the range statement. Assessment of performance is to be consistent with the evidence guide. |
Elements and Performance Criteria
ELEMENT |
PERFORMANCE CRITERIA |
1. Establish insurer liaison |
1.1. Organisation guidelines for insurance arrangements are identified 1.2. Insurance performance measures are established 1.3. Tendering process is facilitated when necessary 1.4. Contact is established with insurer and regular liaison maintained 1.5. Insurance premiums payment details are established 1.6. Procedures for processing claims are established 1.7. Required paperwork is obtained 1.8. Insurer is provided with information to maintain accurate member records |
2. Manage risk |
2.1. Risk of member profile is assessed with insurer 2.2. Procedures are undertaken to reduce risk in line with organisation guidelines 2.3. Claims documentation is assessed and reports generated for trustee 2.4. Trustee decisions on claims and risk management procedures are implemented |
3. Supervise claim procedures |
3.1. Paperwork for claim applications is prepared 3.2. Personal statements and medical reports are obtained as required 3.3. Performance requirements for insurer are monitored 3.4. Insurer is provided with information as required in order to process claim 3.5. Disputed claims are referred to complaints procedure |
4. Manage complex claims |
4.1. Documentation for complex claims is gathered and prepared for insurer 4.2. Claim applications are checked against conditions identified in trust deed 4.3. Claim beneficiaries are incorporated into claims processing procedure 4.4. Claim correspondence is complied in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures 4.5. Claim correspondence is forwarded to insurer |
Required Skills and Knowledge
REQUIRED SKILLS AND KNOWLEDGE |
This section describes the skills and knowledge required for this unit. |
Required skills |
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Required knowledge |
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Evidence Guide
EVIDENCE GUIDE |
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The Evidence Guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package. |
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Overview of assessment |
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Critical aspects for assessment and evidence required to demonstrate competency in this unit |
Evidence of the ability to:
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Context of and specific resources for assessment |
Assessment must ensure:
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Method of assessment |
A range of assessment methods should be used to assess practical skills and knowledge. The following examples, in combination, are appropriate for this unit:
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Guidance information for assessment |
Range Statement
RANGE STATEMENT |
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The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included. |
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Performance measures may include: |
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Information may include: |
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Unit Sector(s)
Unit sector |
Superannuation |
Competency field
Competency field |
Co-requisite units
Co-requisite units |
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