Assessment Requirements for FNSISV514 Review and update claim reserves in portfolio

Release: 1

Assessment Requirements for FNSISV514 Review and update claim reserves in portfolio

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:

undertake high level data collection, financial analysis and monitoring of funds for managing claims reserves

apply effective communication and management skills related to the review, update and reporting in an insurance claims portfolio

accurately interpret and comply with relevant legislation, and claims and reserves trends.

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:

explain data analysis techniques relating to claims reserves

outline industry trends in claims reserving policy and procedures

outline relevant information technology and communications systems required for determining claims reserves

outline key features of insurance guidelines, levels of authority and organisational policy, procedures and obligations in reserving

identify and describe key features of relevant legislation, regulatory guidelines and industry sector codes of practice

explain the importance of wording of insurance policies in keeping with the organisation or industry sector

explain the reinsurance processes and implications on claims reserves

explain risk prevention and loss minimisation methods and application to claims reserves

explain types and categories of insurance policies

outline processes for authorising payments, settlements and reserves changes.

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