FNSILF415 — Evaluate life insurance claims

1 Process claim information

• 1.1Receive and file claim information
• 1.2Summarise information in assessment notes according to organisational policies and procedures
• 1.3Check that documentation is correct and complete according to legislative and regulatory requirements

2 Evaluate claim information

• 2.1Determine the authority level required to evaluate the claim
• 2.2Analyse information and evidence against policy terms and conditions according to organisational policies and procedures
• 2.3Determine if policy terms and conditions are met
• 2.4Identify whether policy exclusions apply
• 2.5Analyse information on file, identify gaps and request additional information as required and according to code of professional practice and code of ethics
• 2.6Refer assessment of application and file to appropriate authority for approval if required, according to organisational policies and procedures

3 Establish liability for payment

• 3.1Determine authority level required to establish liability, and refer decision and rationale with claim file to appropriate authority if necessary, according to organisational policies and procedures
• 3.2Determine whether claim can be admitted and whether payment is required according to organisational policies and procedures and within authority limits
• 3.3Calculate and process payment according to organisational policies and procedures, as required
• 3.4Communicate outcomes to required parties according to organisational policies and procedures
• 3.5Update policy, claim records and file documentation according to organisational policies and procedures

4 Close claim

• 4.1Confirm required documentation for the claim is stored in claim file according to organisational policies and procedures
• 4.2Confirm required medical, financial and closure fields are completed in claims system according to organisational policies and procedures
• 4.3Confirm all policy records are updated in policy administration system according to organisational policies and procedures
• 4.4Update claim information in required systems according to organisational policies and procedures
• 4.5Advise policy owner or authorised parties of status of claim according to organisational policies and procedures

What does an assessment tool for FNSILF415 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for FNSILF415 needs to address all 46 unit components: 4 elements with 19 performance criteria, 1 performance evidence requirements, 18 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for FNSILF415?

Auditori pulls the current release of FNSILF415 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for FNSILF415 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing FNSILF415 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of FNSILF415, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.