Elements and Performance Criteria

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.

Risk-based life insurance policy may include:
disability income
term life (including terminal illness and Total and Permanent Disablement (TPD))
trauma
whole of life.
Documentation may include:
claim forms
records of death
records of disablement
other medical records
statutory declarations and other such records
claims assessment outcomes
claims department records.
Procedures may include:
organisational complaints handling processes
organisational customer service charter
organisational guidelines
organisational policy
organisational privacy and confidentiality guidelines
organisational procedures.
Evidence may include:
records of death
records of disablement
other medical records
statutory declarations and other such records
claims department records.
Life insurance policy may include
disability income
term life (including terminal illness
Total and Permanent Disablement (TPD))
trauma
whole of life.
Consequences may include:
terms of settlement
discharge of the insurer's contractual obligation for the event claimed
changes to terms and conditions of ongoing insurance
reduced sum insured for ongoing insurance loss of insurance cover.
Policy discharge may include:
acceptance by claimant of amount of settlement
acceptance by claimant of timing of settlement
acceptance by claimant of terms of settlement.
Appropriate systems may include:
policy administration systems
document management systems.
Appropriate stakeholders may include:
internal parties
administrators
trustees
underwriters
claimant and associated parties
assignees
beneficiaries
executors
lawyers
life insured
next of kin
policy owners.
Regulatory requirements may include:
life insurance legislation
corporations legislation
privacy legislation
Australian Securities and Investments Commission (ASIC) regulatory guides
industry Codes of Practice.

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:
apply analytical and administrative skills in the settlement of claims
maintain and apply a thorough and up-to-date understanding of life insurance terms and conditions and claims processing
maintain and apply a thorough and up-to-date understanding of life insurance administrative requirements
perform tasks in accordance with relevant procedures and regulatory requirements.
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 records
access to corporate privacy policy
access to organisational policies and procedures.
Method of assessment
A range of assessment methods should be used to assess practical skills and knowledge. The following examples 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