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 evaluate a claims portfolio, including preparing reports on portfolio status and recommending changes to minimise losses.
It applies to individuals working in claims management job roles involving specialist knowledge and functions in a range of insurance sectors and may be applied within organisations of various sizes and across a range of client bases.
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. Evaluate status of claims portfolio |
1.1 Identify organisation’s expectations for claims portfolio performance 1.2 Analyse and evaluate claims portfolio data and information to identify trends and determine status of portfolio 1.3 Research industry to determine benchmarks for claims portfolios |
2. Recommend changes to claims portfolio, policy and/or procedures, as required |
2.1 Identify changes to portfolio, policy and procedures to improve portfolio performance and minimise claims losses 2.2 Document all changes and update records in compliance with organisational policy and procedures |
3. Prepare status report |
3.1 Prepare accurate and timely claims portfolio reports to document status and trends, where appropriate 3.2 Make recommendations on improvements to claims portfolio |
4. Communicate findings to key stakeholders |
4.1 Communicate promptly information which impacts on various portfolios to stakeholders according to organisational procedures |
5. Review status report findings |
5.1 Use feedback from stakeholders to review key findings and recommendations 5.2 Document all feedback and subsequent amendments to status report and record according to organisational policy and procedures |
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 |
1.1-1.3, 2.1 |
|
Writing |
2.2, 3.1, 3.2, 4.1, 5.1, 5.2 |
|
Oral Communication |
4.1 |
|
Navigate the world of work |
1.1, 2.1, 2.2, 3.1, 3.2, 4.1, 5.1 |
|
Interact with others |
4.1 |
|
Get the work done |
1.2, 1.3, 2.1, 3.1, 5.1 |
|
Unit Mapping Information
Code and title current version |
Code and title previous version |
Comments |
Equivalence status |
FNSISV515 Evaluate and report on status of claims portfolio |
FNSISV515A Evaluate and report on status of claims portfolio |
Updated to meet Standards for Training Packages. Minor changes to clarify intent of performance criteria. |
Equivalent unit |
Links
Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=c7200cc8-0566-4f04-b76f-e89fd6f102fe