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.


information provided by the customer

claims history

witness statements


individuals

corporations

incidents

incidents

evidence

statements

locations

objects

processes


phone calls

observation

interviews

review of documents

mechanical or chemical analysis and

other relevant information gathering activities

I

suspected or potential fraud

validation of evidence

determining causes or sequence of events

identification of subject matter

corroboration or analysis of subject matter

extent of liability or

other actual or potential problems


documents

electronic records

audio and video tapes

photographs

subject matter and other relevant materials

Comprehensive reports may include:

findings

recommendations

photos

witness statements


paper

electronic


level of detail

topics to be covered

areas to be excluded

limits and types of enclosures

attachments and evidence

frequency and number of reports

structure of reports and number copies

methods of transmission


would be the person who was monitoring the investigation on behalf of the organisation


legislation

regulations

organisation operating procedures

codes of practice, where applicable

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

To achieve competency in this unit, a person must be able to demonstrate:

knowledge of relevant legislation and regulatory requirements
knowledge of, and ability to implement, investigation methodologies
comprehensive understanding of the industry sector and all legal obligations and company procedures in relation to investigating claims
ability to produce complete and accurate investigation reports

Evidence required for demonstration of consistent performance:
Competence in this unit must be assessed over a period of time in order to ensure consistency of performance over the Range Statement and contexts applicable to the work environment.

Delivery/assessment relationship to other units:
This unit can be assessed independently:

Method of assessment:
For valid and reliable assessment of this unit, evidence should be gathered through a range of methods to indicate consistent performance.
Assessment of this unit of competence will usually include observation of processes and procedures, oral and/or written questioning on underpinning knowledge and skills to ensure knowledge principles are both known and applied. Other methods such as case study and analysis, workplace records/documentation review, may be used as required.

Context of assessment:
Assessment of performance requirements in this unit should be undertaken within the general insurance industry context and should cover aspects of personal/financial responsibility and accountability.
Aspects of competency, including the attainment of relevant knowledge and skills, may be assessed in a relevant workplace, a closely simulated work environment, or other appropriate means that clearly meet industry competency requirements.

Resources required for assessment:
Unless otherwise specified, there are no significant resource implications for assessment of this unit, apart from access to a relevant workplace or closely simulated office environment and the use of a range of office equipment, technology and consumables. These may include routine commercial computer hardware, software, telephones, facsimiles, and other relevant office equipment.