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Unit of competency details

FNSISV308 - Process facultative and treaty reinsurance claims (Release 1)

Summary

Usage recommendation:
Deleted
The Deleted usage recommendation was implemented on 13 June 2017 to describe training components that have no replacement. Enrolments in training components and statements of attainment or qualifications issued before 13 June 2017 are valid. For any components marked as deleted after 13 June 2017, the applicable transition/teach-out periods apply. For specific questions regarding the enrolment, delivery or issuance of a statement of attainment/qualification, please contact your training regulator.
Mapping:
MappingNotesDate
DeletedDeleted from FNS Financial Services Training Package03/Nov/2020
Supersedes and is equivalent to FNSISV308A - Process facultative and treaty reinsurance claimsUpdated to meet Standards for Training Packages24/Mar/2015

Releases:
ReleaseRelease date
1 1 (this release) 25/Mar/2015


Classifications

SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 081103 Insurance And Actuarial Studies  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 081103 Insurance And Actuarial Studies  30/Jul/2015 
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Unit of competency

Modification History

Release 

Comments 

Release 1

This version first released with FNS Financial Services Training Package Version 1.0.

Application

This unit describes the skills and knowledge required to process facultative and treaty reinsurance claims in accordance with organisational guidelines and procedures.

It applies to individuals employed in a range of insurance sectors within organisations of various sizes and across a range of customer bases who apply systematic approaches to processing non-routine claims.

Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.

Unit Sector

Insurance services

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. Receive reinsurance claim

1.1 Receive and check information relating to facultative or treaty reinsurance claim

1.2 Check completeness of information

1.3 Confirm coverage of a claim, or series of claims, under specific customer, policy or treaty

2. Calculate recovery, including reinstatements

2.1 Calculate payment amount or amount outstanding according to organisational policy and procedures, and treaty and facultative obligations

2.2 Notify reinsurers of claim amount and details under relevant reinsurance arrangements

2.3 Request payment from reinsurer

2.4 Pass payment information on to appropriate staff, where required

2.5 Accurately record or enter on the system all claim information

Foundation Skills

This section describes language, literacy, numeracy and employment skills incorporated in the performance criteria that are required for competent performance.

Skill 

Performance Criteria 

Description 

Reading

1.1, 1.2, 1.3

  • Analyses and consolidates information and data from a range of sources, against defined criteria and requirements, and checks for accuracy and completeness

Writing

2.2, 2.3, 2.4, 2.5

  • Accurately records information and prepares correspondence and documentation using clear language and organisational formats and protocols

Oral Communication

2.2, 2.3, 2.4

  • Effectively participates in verbal exchanges using collaborative and inclusive techniques including active listening and questioning to convey and clarify information

Numeracy

1.1, 1.2, 2.1

  • Performs mathematical calculations to check financial data and to accurately process claims

Navigate the world of work

2.1

  • Complies with explicit policies and procedures

Interact with others

2.2-2.4

  • Uses a limited range of accepted practices for communicating in a work environment

Get the work done

1.1, 1.2, 1.3, 2.4

  • Plans and implements routine tasks and workload, making limited decisions on sequencing, timing and collaboration, and seeking assistance in setting priorities
  • Responds to predictable routine problems and implements standard or logical solutions
  • Uses digital technologies to access, enter and store information required to complete work tasks

Reading

1.1, 1.2, 1.3

  • Analyses and consolidates information and data from a range of sources, against defined criteria and requirements, and checks for accuracy and completeness

Unit Mapping Information

Code and title 

current version 

Code and title 

previous version 

Comments 

Equivalence status 

FNSISV308 Process facultative and treaty reinsurance claims

FNSISV308A Process facultative and treaty reinsurance claims

Updated to meet Standards for Training Packages

Equivalent unit

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=c7200cc8-0566-4f04-b76f-e89fd6f102fe

 

Assessment requirements

Modification History

Release 

Comments 

Release 1

This version first released with FNS Financial Services Training Package Version 1.0.

Performance Evidence

Evidence of the ability to:

  • accurately process facultative and treaty reinsurance claims across a representative range of products, customers and conditions by:
  • receiving, recording and clarifying the reinsurance claim information
  • notifying the customer of claim and payment outcomes
  • documenting and communicating outcomes to the reinsurer
  • calculate payments within facultative and reinsurance arrangements.

Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.

Knowledge Evidence

To complete the unit requirements safely and effectively, the individual must:

  • describe the difference between facultative and treaty reinsurance
  • outline key features of relevant legislation, regulations and organisational policy and procedures for processing facultative and treaty reinsurance claims
  • interpret key wording used in policies relating to facultative and treaty reinsurance
  • explain reinsurance terminology and concepts such as:
  • any one risk
  • any one event
  • reinstatement premium
  • outline principles and methods of filing and storing documentation
  • outline terms and conditions of reinsurance arrangements between insurers and reinsurers.

Assessment Conditions

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the insurance services field of work and include access to:

  • organisational records
  • organisational policy, procedures, legislation and regulations as they relate to contracts of insurance
  • a range of common technology and software

Assessors must satisfy NVR/AQTF assessor requirements.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=c7200cc8-0566-4f04-b76f-e89fd6f102fe