Unit of competency Outline
Date retreived
22/07/2026 2:57 PM AWST
22/07/2026 2:57 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.
Review and advise on claims costs, policies and procedures
Review and advise on claims costs, policies and procedures
Unit of competency
National Code
FNSISV508A
FNSISV508A
State Code
D4246
D4246
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 review claims history, predict future claims costs and policies and procedures including analysing data, prepare reports on claims and monitor trends in claims settlement to advise on changes to minimise losses.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. Collect and analyse data on claims trends
- 1.1. Data gathering processes are designed and implemented
- 1.2. New data requirements and sources are identified and process for collecting the data established
- 1.3. Data collected is analysed to identify trends and trends are documented
2. Monitor claims trends
- 2.1. Accurate and timely claims reports are prepared to document trends and identify issues where appropriate
- 2.2. Relevant information which impacts on a client portfolio is communicated promptly to management according to organisation procedures
3. Identify opportunities to improve client outcomes
- 3.1. Assist clients identify changes to policies and procedures to improve occupational health and safety and return to work practices and minimise claims costs in similar circumstances
- 3.2. Advice to clients is communicated effectively promoting positive action
- 3.3. Sources of advice are provided to client where required
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.
Data may include:
claim statistic reports
claims history
claims reports
costs
declinature claims
frequency of events
inter-disciplinary rehabilitation (IDR) referrals
occupational health and safety reports
surveys
type of events.
Sources of information may include:
occupational health and safety (OHS) reports
previous policies and historical documents
reports on claims
surveys.
Documentation may include:
claims frequency
claims settlement costs
loss ratios
premium calculations/income
premium income
reports on claims
surveys.
Relevant information may include:
changes to type of business conducted
claims impact on client policy premiums
client operating conditions
client organisation or organisational structure or financial arrangements
industry trends, regulations
internal or external factors impacting premiums
legislative, industry or economic changes.
Changes may include:
OHS and environmental practices
organisation processes and procedures
relevant return to work, health strategies.
Sources of advice may include:
industry consultants
industry specialists
OHS and Return to Work specialists
specialist brokers.
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.
Data may include:
claim statistic reports
claims history
claims reports
costs
declinature claims
frequency of events
inter-disciplinary rehabilitation (IDR) referrals
occupational health and safety reports
surveys
type of events.
Sources of information may include:
occupational health and safety (OHS) reports
previous policies and historical documents
reports on claims
surveys.
Documentation may include:
claims frequency
claims settlement costs
loss ratios
premium calculations/income
premium income
reports on claims
surveys.
Relevant information may include:
changes to type of business conducted
claims impact on client policy premiums
client operating conditions
client organisation or organisational structure or financial arrangements
industry trends, regulations
internal or external factors impacting premiums
legislative, industry or economic changes.
Changes may include:
OHS and environmental practices
organisation processes and procedures
relevant return to work, health strategies.
Sources of advice may include:
industry consultants
industry specialists
OHS and Return to Work specialists
specialist brokers.
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:
collect and interpret data from a wide range of sources and analyse the causes of trends and the effects on claims history, settlement policies and procedures
prepare advice and recommendations for suitable actions.
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:
collect and interpret data from a wide range of sources and analyse the causes of trends and the effects on claims history, settlement policies and procedures
prepare advice and recommendations for suitable actions.
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 |
|---|---|---|---|
| AUS19 | FNSISV508 | Review and advise on claims costs, policies and procedures | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| S727 | FNS51110 | Diploma of General Insurance | Qualification |
| S717 | FNS50110 | Diploma of Personal Injury Management | Qualification |