Unit of competency Outline
Date retreived
22/07/2026 6:20 PM AWST
22/07/2026 6:20 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.
Process claims payments
Process claims payments
Unit of competency
National Code
FNSISV310A
FNSISV310A
State Code
D4232
D4232
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
28/07/2014
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
28/07/2014
Nominal Hours
20
Description
This unit describes the performance outcomes, skills and knowledge required to generate and process claim related payments. It encompasses ensuring timeframes for payments are met and appropriate records maintained.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. Process payments
- 1.1. Payment information is identified, checked and accurately recorded
- 1.2. All payments are authorised in accordance with organisation operating procedures
- 1.3. Payments are generated as directed with reference to legislation, organisation policy and operating procedures and codes of practice, if applicable, within timeframes
- 1.4. Payment documents are completed identifying relevant details
- 1.5. Payment limits are observed for amounts requiring personal signing
2. Notify reinsurer, if appropriate
- 2.1. Reinsurance information related to claims payment is checked
- 2.2. Where appropriate, reinsurers notified of claim payment amount and details under relevant reinsurance arrangements
3. Finalise claims payment information to facilitate payment
- 3.1. Where required, payment information is finalised and entered on the system to prompt payment
- 3.2. Claims payment data and/or payments are dispatched within the required timeframe
- 3.3. Documents are copied and filed for auditing purposes according to organisation operating procedures
- 3.4. Interested parties are advised according to operating procedures where liability is not accepted
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.
Organisation operating procedures would specify:
authority levels
delegations
filing requirements
organisation accounting systems
other relevant details
payment process
timeframes.
Payment limits will be related to:
the authority limits and will vary from one organisation to another.
Reinsurers notified by:
raising a credit or a debit note.
Systems may be:
computerised, and data recording and updating may be electronic in the majority of cases.
Entering claims payment data may include:
coding according to organisation requirements (entering statistical data).
Documents may be:
hard copies/paper or they may be electronic.
Filing may be:
filing of hard copies or entry and storage in a computer system.
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.
Organisation operating procedures would specify:
authority levels
delegations
filing requirements
organisation accounting systems
other relevant details
payment process
timeframes.
Payment limits will be related to:
the authority limits and will vary from one organisation to another.
Reinsurers notified by:
raising a credit or a debit note.
Systems may be:
computerised, and data recording and updating may be electronic in the majority of cases.
Entering claims payment data may include:
coding according to organisation requirements (entering statistical data).
Documents may be:
hard copies/paper or they may be electronic.
Filing may be:
filing of hard copies or entry and storage in a computer system.
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:
use detail and accuracy in following relevant legislation and organisation policy.
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.
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:
use detail and accuracy in following relevant legislation and organisation policy.
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.
Guidance information for assessment
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| C9837 | FNSINSV310B | Process a claims payment | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AUS00 | FNSISV310 | Process insurance claims payments | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| D704 | FNS30511 | Certificate III in General Insurance | Qualification |