Unit of competency Outline
Date retreived
22/07/2026 2:37 PM AWST
22/07/2026 2:37 PM AWST
Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.
Provide decisions on legal liability and indemnity of a claim
Provide decisions on legal liability and indemnity of a claim
Unit of competency
National Code
FNSISV513A
FNSISV513A
State Code
D4251
D4251
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
29/07/2014
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
29/07/2014
Nominal Hours
60
Description
This unit describes the performance outcomes, skills and knowledge required to provide decisions to ensure stakeholders receive accurate, timely advice regarding the legal liability and indemnity of a claim.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).
Notes
Elements and Performance Criteria
1. Monitor claims to support decision making process
- 1.1. Monitoring procedures are established to ensure that validity of a claim is assessed against organisation and policy acceptance criteria for relevant type and category of policy
- 1.2. Claims practices are monitored to ensure that information used to determine claim validity is accurate, comprehensive and authentic
2. Decide on the legal liability and indemnity of a claim
- 2.1. Relevant information/data is reviewed to determine the legal liability and indemnity of a claim
- 2.2. Decisions are determined in compliance with relevant legislation, organisation procedures and underwriting guidelines
- 2.3. Decisions are reviewed to ensure accuracy and compliance requirements are fully met
3. Provide stakeholders with accurate, timely advice regarding the legal liability and indemnity of a claim
- 3.1. Stakeholders are provided with consistent, accurate and timely advice regarding a claim
- 3.2. Technical and non-technical claims advice is provided to claims specialists, including review of outgoing correspondence and negotiation/settlement strategies as appropriate
- 3.3. Stakeholders are provided with accurate and timely advice regarding the legal liability and indemnity of the claim
- 3.4. Decisions are conveyed within timeframes that facilitate performance targets to be achieved
4. Review decisions and identify any required policy or procedural changes
- 4.1. Evaluation and review of decisions against requirements and outcomes is undertaken on a regular basis
- 4.2. Review process identifies extent to which decisions support process of accepting and managing a claim
- 4.3. Review process identifies extent to which decisions support setting of accurate claim portfolio reserves
- 4.4. Circumstances of claims and decisions concerning the legal liability and indemnity of the claim are documented for consideration in portfolio review
- 4.5. Changes to policy and procedures are instigated to minimise further loss in similar circumstances, if appropriate
5. Update records
- 5.1. Actions, procedures and outcomes are documented and recorded promptly and accurately
- 5.2. Finalised documentation is maintained according to organisation policy and legislative requirements and codes of practice, as applicable.
RANGE STATEMENT
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.
Types and categories of policies include:
accidental damage
additional benefits
burglary/theft
business interruption
business special risks
commercial
commercial motor
construction risks
crop
defined events
directors and officers
domestic
electronic equipment
employee fraud
engineering plant
environment and pollution
fire and perils
general and products liability
glass
Industrial Special Risks (ISR)
livestock
machinery breakdown
money
multi-risk
other personal items
package contracts
personal accident and illness
professional indemnity
public liability
sprinkler leakage
transit
travel.
Relevant information/data may include:
claims files and database information
claims frequency
claims portfolio reports
claims settlement costs
legal, government, professional and other documents
loss ratios
official, general and other correspondence
premium income
reports from others such as:
loss adjusters
assessors
claims specialists
underwriters
reports on claims.
Stakeholders may include:
agents or brokers
claims staff
insured, claimants, other relevant parties
reinsurers
underwriters.
Documentation may include:
file notes
reports.
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.
Types and categories of policies include:
accidental damage
additional benefits
burglary/theft
business interruption
business special risks
commercial
commercial motor
construction risks
crop
defined events
directors and officers
domestic
electronic equipment
employee fraud
engineering plant
environment and pollution
fire and perils
general and products liability
glass
Industrial Special Risks (ISR)
livestock
machinery breakdown
money
multi-risk
other personal items
package contracts
personal accident and illness
professional indemnity
public liability
sprinkler leakage
transit
travel.
Relevant information/data may include:
claims files and database information
claims frequency
claims portfolio reports
claims settlement costs
legal, government, professional and other documents
loss ratios
official, general and other correspondence
premium income
reports from others such as:
loss adjusters
assessors
claims specialists
underwriters
reports on claims.
Stakeholders may include:
agents or brokers
claims staff
insured, claimants, other relevant parties
reinsurers
underwriters.
Documentation may include:
file notes
reports.
EVIDENCE GUIDE
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.
Overview of assessment
Critical aspects for assessment and evidence required to demonstrate competency in this unit
Evidence of the ability to:
interpret and apply organisation policy and procedures and compliance with legislation and regulations and industry codes of practice in the determination and provision of legal/indemnity advice associated with a claim.
Context of and specific resources for assessment
Assessment must ensure:
competency is demonstrated in the context of the work environment and conditions specified in the range statement either in a relevant workplace or a closely simulated work environment
access to and the use of a range of common office equipment, technology, software and consumables
access to organisation records
access to organisation policies and procedures.
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:
evaluating an integrated activity, which combines the elements of competency for the unit, or a cluster of related units of competency
observing processes and procedures in workplaces
verbal or written questioning on underpinning knowledge and skills
evaluating samples of work
accessing and validating third party reports
setting and reviewing workplace projects and business simulations or scenarios.
Guidance information for assessment
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.
Overview of assessment
Critical aspects for assessment and evidence required to demonstrate competency in this unit
Evidence of the ability to:
interpret and apply organisation policy and procedures and compliance with legislation and regulations and industry codes of practice in the determination and provision of legal/indemnity advice associated with a claim.
Context of and specific resources for assessment
Assessment must ensure:
competency is demonstrated in the context of the work environment and conditions specified in the range statement either in a relevant workplace or a closely simulated work environment
access to and the use of a range of common office equipment, technology, software and consumables
access to organisation records
access to organisation policies and procedures.
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:
evaluating an integrated activity, which combines the elements of competency for the unit, or a cluster of related units of competency
observing processes and procedures in workplaces
verbal or written questioning on underpinning knowledge and skills
evaluating samples of work
accessing and validating third party reports
setting and reviewing workplace projects and business simulations or scenarios.
Guidance information for assessment
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AUS40 | FNSISV513 | Provide decisions on legal liability and indemnity of a claim | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| S727 | FNS51110 | Diploma of General Insurance | Qualification |
| D776 | FNS51312 | Diploma of Life Insurance | Qualification |