List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.
ELEMENT | PERFORMANCE CRITERIA |
Elements describe the essential outcomes. | Performance criteria describe the performance needed to demonstrate achievement of the element. |
1. Identify information needs | 1.1 Review claim files and life insurance policy to identify payment criteria 1.2 Identify additional information needed as evidence for claims assessment |
2. Plan information collection | 2.1 Identify appropriate sources of required proofs 2.2 Select and enact an appropriate information collection method |
3. Collect and manage information | 3.1 Collect additional information from appropriate sources in accordance with procedures 3.2 Manage investigations in accordance with ethical and regulatory requirements 3.3 Consult appropriate personnel within organisation where investigations reveal need to escalate issues for clarification 3.4 Organise information for clarity and accessibility in accordance with procedures |
Evidence of the ability to:
gather information in a format suitable to facilitate assessment of claims
perform claims assessment tasks in accordance with relevant procedures and regulatory requirements.
Note: If a specific volume or frequency is not stated, then evidence must be provided at least once.
To complete the unit requirements safely and effectively, the individual must:
outline life insurance administrative requirements relating to life insurance claims assessment
explain life insurance policy payment criteria
outline life insurance policy terms and conditions
outline organisational procedures relating to life insurance claims assessment
explain organisational systems for data entry and filing
explain product information
outline relevant regulatory requirements relating to life insurance claims assessment
outline potential areas in the claims process that may require detailed investigation.
Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the life insurance field of work and include access to:
office equipment, technology, software and consumables
organisational records, policy and procedures.
Assessors must satisfy NVR/AQTF assessor requirements.