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. Collect and analyse data on claims trends | 1.1 Design and implement data gathering processes 1.2 Identify new data requirements and sources, and establish process for collecting data 1.3 Analyse data collected to identify trends in claims and related documents |
2. Monitor claims trends | 2.1 Prepare accurate and timely claims reports to document trends and identify issues, where appropriate 2.2 Communicate to management promptly relevant information which impacts on clients according to organisational procedures |
3. Identify opportunities to improve client outcomes | 3.1 Assist clients to identify changes to policies and procedures that will improve health and safety and return to work practices, and minimise claims costs in similar circumstances 3.2 Communicate advice to clients effectively and promote positive action 3.3 Provide sources of advice to clients where required |
Evidence of the ability to:
collect and interpret data from a wide range of sources
effectively monitor and analyse:
claims trends and their causes
effects on claims history
settlement policy and procedures
review policies and procedures and make recommendations for change
accurately prepare advice and recommendations for management and clients to undertake suitable actions.
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 organisational policy, procedures, claims guidelines and levels of authority
explain and employ analysis techniques in evaluating data
outline broad industry trends in claims handling
explain the different type of claims events and possible remediation strategies
outline the types of data and documents to be analysed to monitor claim trends.
Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the insurance services field of work and include access to:
organisational records
organisational policy, procedures, legislation and regulations as they relate to contracts of insurance
a range of common technology and software.
Assessors must satisfy NVR/AQTF assessor requirements.