FNSISV513 — Provide decisions on legal liability and indemnity of a claim

Elements & performance criteria

Performance evidence

• effectively establish and implement monitoring processes
• make decisions on legal liability and indemnity within given parameters
• advise clients of decisions in a timely manner
• initiate changes to policies and procedures to better support organisational goals
• document all aspects of the process
• apply organisational policy and procedures, and comply with legislation, regulations and industry codes of practice in the determination and provision of legal and indemnity advice associated with a claim.

Knowledge evidence

• explain the claims management process
• outline data analysis techniques and procedures
• identify and outline key features of relevant legislation, regulatory guidelines and industry sector codes of practice as they apply to legal liability and indemnity in insurance claims
• outline information technology and communications systems
• explain the principles and practice of loss adjustment
• outline key features of organisational policy, procedures, insurance guidelines and levels of authority
• outline and explain the importance of wording of insurance policies in keeping with the organisation or industry sector
• explain risk prevention and loss minimisation methods and application
• identify types and categories of insurance policies.

Foundation skills

• Reading: Critically analyses complex documentation from a variety of sources and consolidates information relating to specific criteria to determine requirements
• Writing: Accurately records information and prepares correspondence and documentation using clear language and organisational formats and protocols Writes, edits and proofreads documents to ensure clarity of meaning, and accuracy and consistency of information
• Oral Communication: Clearly explains detailed information using language, tone and pace appropriate to the audience Clarifies information effectively using active listening and questioning
• Numeracy: Performs mathematical calculations to analyse financial data and statistics to accurately advise on cost of claims and liability
• Navigate the world of work: Takes full responsibility for following policies, procedures and legislative requirements and identifies organisational implications of new legislation or regulation Modifies or develops organisational policy and procedures to comply with legislative requirements and organisational goals
• Interact with others: Implements strategies for a diverse range of colleagues and clients to build rapport and foster strong relationships Collaborates with others, sharing information to build strong work groups and avoid behaviours that are not conducive to a productive environment
• Get the work done: Accepts responsibility for planning and sequencing complex tasks and workload, negotiating key aspects with others and taking into account capabilities, efficiencies and effectiveness Applies systematic and analytical decision-making processes for complex and non-routine situations Makes critical decisions quickly and intuitively in complex situations, taking into consideration a range of variables including the outcomes of previous decisions Investigates new and innovative ideas as a means to continuously improve work practices and processes through consultation, and formal and analytical thinking Uses digital technologies to access, enter, check and store information required to complete work tasks

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

Questions about assessing FNSISV513