Unit of competency Outline
Date retreived
22/07/2026 3:19 PM AWST
22/07/2026 3:19 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.
Negotiate settlements for medical indemnity claims
Negotiate settlements for medical indemnity claims
Unit of competency
National Code
FNSPIM512
FNSPIM512
State Code
AWF17
AWF17
TGA Status
Deleted
Deleted
DTWD Status
Deleted
Deleted
State Implementation and Classification
Approved Date
12/05/2016
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
12/05/2016
Nominal Hours
55
Description
This unit describes the skills and knowledge required to negotiate and settle claims within a medical indemnity context. It involves liaison and negotiation with key stakeholders to determine an agreed settlement.It applies to individuals who use specialised legal and medical knowledge to make judgements within their level of responsibility. They work independently and in teams and take responsibility for settling claims within a structured organisational framework. No licensing, legislative or certification requirements apply to this unit at the time of publication.
Notes
Elements and Performance Criteria
1. Prepare terms and conditions of settlement
- 1.1 Review analysis of claims information in files and organisational systems relating to causation and liability
- 1.2 Review calculations used to determine quantum including settlement amount and adjust if necessary based on case notes and previous relevant cases
- 1.3 Identify and assess settlement options to determine the most cost effective course of action according to organisational guidelines
- 1.4 Seek advice on settlement options with technical and/or legal advisors if required
- 1.5 Determine settlement terms, within limits of delegated authority, that meet legislative obligations and organisational and government policy requirements
2. Negotiate settlement terms and conditions
- 2.1 Prepare and accurately document settlement terms and conditions prior to negotiations according to organisational policies and procedures and relevant legislation
- 2.2 Negotiate settlement terms and conditions with key stakeholders, working with legal advisers if required, according to regulatory obligations and organisational policies and procedures
- 2.3 Make adjustments to settlement terms and conditions if required
3. Manage cases where litigation or disputation arises
- 3.1 Refer settlements that cannot be agreed to mediation or legal adviser or provider according to organisational procedures
- 3.2 Prepare instructions for legal adviser or provider using organisational templates and guidelines
- 3.3 Provide all relevant documents and information to involved parties according to legal or court requirements
- 3.4 Manage disagreements promptly and professionally to achieve the best outcome at minimum financial and other costs
4. Monitor settlement progress and finalise medical indemnity claim
- 4.1 Monitor progress of all claims negotiations using calendar and organisational tools
- 4.2 Provide stakeholders with accurate and timely advice regarding claim negotiations and proceedings
- 4.3 Obtain agreement on settlement and discharge or close the claim to ensure potential for further liability is eliminated
- 4.4 Document cases thoroughly and accurately and update all records according to organisational procedures and regulatory requirements
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| State Code | National Code | Title | Type |
|---|---|---|---|
| AZI3 | FNS42115 | Certificate IV in Personal Injury Management | Qualification |