Unit of competency Outline

Date retreived
23/07/2026 12:11 AM AWST

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Manage insurance claims portfolios

Manage insurance claims portfolios

Unit of competency
National Code
FNSISV418
State Code
ODR80
TGA Status
Current
DTWD Status
Approved
Current Release Number
1.00
Current Release Date
27/01/2022
View on TGA
State Implementation and Classification
Approved Date
08/04/2022
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
08/04/2022
Nominal Hours
45
Description
This unit describes the skills and knowledge required to assess claims portfolio complexity and manage workloads.The unit applies to individuals in claims roles in insurance organisations of various sizes and with a range of client bases.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Users are advised to check with the relevant state and territory regulatory authorities to confirm those requirements.
Notes
Elements and Performance Criteria
1. Gather information on insurance claims portfolio
  • 1.1 Source portfolio claims data according to organisational collection processes and legislative and regulatory requirements
  • 1.2 Access and document additional claims data and external resources, as required
  • 1.3 Identify changes to policies and procedures that impact claims portfolio
2. Evaluate portfolio workload
  • 2.1 Assess complexity of portfolio according to organisational policies and procedures
  • 2.2 Determine specialists required to progress claims according to organisational policies and procedures
  • 2.3 Evaluate time required to manage portfolio and prioritise workload
3. Review and communicate manageability of insurance claims portfolio
  • 3.1 Review nature of claims portfolio and assess own competency and authority to manage it
  • 3.2 Communicate workload and own competency to manage claims portfolio within required timeframes to required personnel and transfer or escalate workload, if required
  • 3.3 Collate feedback from required personnel in response to communication and, where required, reprioritise portfolio workload according to organisational policies and procedures
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State Code National Code Title Type
BHK4 FNS41521 Certificate IV in Life Insurance Qualification
AE665 FNSSS00019 Life Insurance Claims Handling Skill Set Skill set