Unit of competency Outline

Date retreived
23/07/2026 5:02 AM AWST

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Use specialist terminology in insurance claims

Use specialist terminology in insurance claims

Unit of competency
National Code
FNSISV406
State Code
AUS07
TGA Status
Replaced
DTWD Status
Transition (Replaced)
Current Release Number
1.00
Current Release Date
25/03/2015
View on TGA
State Implementation and Classification
Approved Date
16/09/2015
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
16/09/2015
Nominal Hours
30
Description
This unit describes the skills and knowledge required to understand, use and respond to information involving specialist terminology, such as medical or legal terminology (and processes), in insurance claims.It applies to individuals employed in job roles involving use of specialist medical and legal terminology 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.
Notes
Elements and Performance Criteria
1. Interpret documents and instructions
  • 1.1 Receive, understand and document written and oral instructions for a claim, using specialist terminology
  • 1.2 Interpret accurately claims documentation containing specialist terminology
  • 1.3 Use checklists and sources of information for specialist terminology in claims, where appropriate
  • 1.4 Understand abbreviations for specialist terms and related processes associated with insurance claims
  • 1.5 Seek clarification when necessary
2. Use appropriate specialist terminology
  • 2.1 Use appropriate specialist terminology in both written and oral communication with internal and external parties related to claim
  • 2.2 Use, spell and pronounce correctly specialist terminology related to insurance claims in appropriate context
  • 2.3 Present claims documentation to designated person for verification, if required
3. Apply specialist terminology
  • 3.1 Use specialist terminology correctly in completion of insurance claims tasks
  • 3.2 Seek assistance or clarification from specialist representatives or designated person as required
  • 3.3 Conduct all tasks within accepted organisational and ethical codes of conduct, including those relating to maintaining confidentiality, privacy and compliance
4. Extend understanding of specialist terminology
  • 4.1 Identify and seek clarification of gaps in knowledge, such as relevant legislation, through appropriate source or person
  • 4.2 Identify and use, where appropriate, abbreviations for commonly used specialist terms and associated processes for insurance claims
  • 4.3 Answer questions or define terms relating to specialist terminology used in insurance
No information
No information
Replaces
State Code National Code Title Type
D4238 FNSISV406A Use specialist terminology in insurance claims Unit of competency
Replaced By
State Code National Code Title Type
OCZ68 FNSISV416 Use specialist terminology in insurance claims Unit of competency