Elements and Performance Criteria
- Interpret documents and instructions which contain specialist insurance terminology
- Written and oral instructions for a claim, using specialist terminology, are received, understood and documented
- Claims documentation containing specialist terminology is accurately interpreted
- Checklists and sources of information for specialist terminology used in claims are used where appropriate
- Abbreviations for specialist terms and related processes associated with insurance claims are understood
- Clarification is sought when necessary
- Use appropriate specialist terminology in written and oral communication related to a claim
- Appropriate specialist terminology is used in both written and oral communication with internal and external parties related to a claim
- Specialist terminology related to insurance claims is spelt and pronounced correctly and used in appropriate context
- Claims documentation is presented to a designated person for verification, if required
- Apply specialist terminology to claims tasks
- Specialist terminology is used correctly in the completion of insurance claims tasks
- Assistance or clarification is sought from specialist representatives or designated person as required
- All tasks are conducted within accepted organisation and ethical codes of conduct including those relating to maintaining confidentiality, privacy and compliance
- Extend understanding of specialist terminology
- Gaps in knowledge, such as relevant legislation, are identified and clarification is sought through appropriate source or person
- Abbreviations for commonly used specialist terms and associated processes for insurance claims are identified and used where appropriate
- Questions relating to specialist terminology used in insurance can be answered and terms defined