Assessor Resource

FNSSUP401
Process complex superannuation benefit or insurance claim

Assessment tool

Version 1.0
Issue Date: May 2024


This unit describes the skills and knowledge required to receive applications for complex superannuation benefit payment or insurance claims, and ensure correct funds are allocated to members. Conditions would include claims for death, total and permanent disability (TPD), income protection, terminal illness payment and situations of severe financial hardship.

It applies to individuals who use specialised industry knowledge and analytical skills to evaluate and process complex information and data following defined procedures.

Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)


Evidence Required

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. Receive applications for benefit payment and/or insurance claims

1.1 Identify benefit types to determine appropriate steps for processing benefit

1.2 Acknowledge and receipt applications for superannuation benefit payment and/or insurance claim received via post or electronic means

1.3 Document receipt according to organisational procedures

1.4 Check applications and/or claims and organisational documents to ensure information is complete and correct

1.5 Check applications for eligibility

1.6 Verify signature on application with original documents

2. Identify and manage application and/or claim errors

2.1 Identify errors and incomplete applications and/or claims

2.2 Action incomplete or incorrect applications and/or claims according to organisational requirements

2.3 Prepare applications and/or claims for processing when required information is obtained

3. Assess and process applications for benefits and insurance claims

3.1 Check applications against conditions identified in trust deed and organisational procedures

3.2 Source additional information as required from relevant personnel

3.3 Check trust deed for defined beneficiaries and communicate with possible beneficiaries as necessary

3.4 Calculate benefit to include additional fees, charges and/or other factors, using computer system

3.5 Check information, including taxation and calculation results for integrity

3.6 Issue rollover documentation to members, Australian Taxation Office (ATO) and rollover funds, as required

3.7 Process application in accordance with conditions identified in trust deed, relevant legislation and organisational procedures

3.8 Pay benefit following organisational procedures if there is no objection from possible beneficiaries

4. Provide member communications

4.1 Provide statements and claim correspondence according to organisational guidelines and compliance requirements

4.2 Document processes and outcomes of application and/or claim in member files

4.3 Provide instruction for complaints to members as required

4.4 Maintain positive relations with clients

Evidence of the ability to:

process complex superannuation or insurance claims in accordance with conditions contained in the trust deed and organisational requirements

manage applications and claim errors

identify, source and interpret required information to process benefits for lump sum payments, death claims and disablement claims

calculate payments including taxation requirements as required

assess and determine benefit entitlements for death and disablement claims using computer programs.

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:

describe the key features of organisational policy, objectives and procedures relating to processing complex superannuation benefit or insurance claims

identify features and differences between payment types

describe documentation requirements for processing death and disability payments

outline the steps and procedures for:

assessing claims and calculating and processing payments

monitoring pension and annuity payments

outline the taxation requirements for:

death

deductions for payments

income protection

total and permanent disablement benefits

terminal illness benefit

financial hardship payment.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the superannuation field of work and include access to:

common office equipment, technology, software and consumables

organisational financial records

organisational policy and procedures.

Assessors must satisfy NVR/AQTF assessor requirements.

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Receive applications for benefit payment and/or insurance claims

1.1 Identify benefit types to determine appropriate steps for processing benefit

1.2 Acknowledge and receipt applications for superannuation benefit payment and/or insurance claim received via post or electronic means

1.3 Document receipt according to organisational procedures

1.4 Check applications and/or claims and organisational documents to ensure information is complete and correct

1.5 Check applications for eligibility

1.6 Verify signature on application with original documents

2. Identify and manage application and/or claim errors

2.1 Identify errors and incomplete applications and/or claims

2.2 Action incomplete or incorrect applications and/or claims according to organisational requirements

2.3 Prepare applications and/or claims for processing when required information is obtained

3. Assess and process applications for benefits and insurance claims

3.1 Check applications against conditions identified in trust deed and organisational procedures

3.2 Source additional information as required from relevant personnel

3.3 Check trust deed for defined beneficiaries and communicate with possible beneficiaries as necessary

3.4 Calculate benefit to include additional fees, charges and/or other factors, using computer system

3.5 Check information, including taxation and calculation results for integrity

3.6 Issue rollover documentation to members, Australian Taxation Office (ATO) and rollover funds, as required

3.7 Process application in accordance with conditions identified in trust deed, relevant legislation and organisational procedures

3.8 Pay benefit following organisational procedures if there is no objection from possible beneficiaries

4. Provide member communications

4.1 Provide statements and claim correspondence according to organisational guidelines and compliance requirements

4.2 Document processes and outcomes of application and/or claim in member files

4.3 Provide instruction for complaints to members as required

4.4 Maintain positive relations with clients

Evidence of the ability to:

process complex superannuation or insurance claims in accordance with conditions contained in the trust deed and organisational requirements

manage applications and claim errors

identify, source and interpret required information to process benefits for lump sum payments, death claims and disablement claims

calculate payments including taxation requirements as required

assess and determine benefit entitlements for death and disablement claims using computer programs.

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:

describe the key features of organisational policy, objectives and procedures relating to processing complex superannuation benefit or insurance claims

identify features and differences between payment types

describe documentation requirements for processing death and disability payments

outline the steps and procedures for:

assessing claims and calculating and processing payments

monitoring pension and annuity payments

outline the taxation requirements for:

death

deductions for payments

income protection

total and permanent disablement benefits

terminal illness benefit

financial hardship payment.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the superannuation field of work and include access to:

common office equipment, technology, software and consumables

organisational financial records

organisational policy and procedures.

Assessors must satisfy NVR/AQTF assessor requirements.
Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Identify benefit types to determine appropriate steps for processing benefit 
Acknowledge and receipt applications for superannuation benefit payment and/or insurance claim received via post or electronic means 
Document receipt according to organisational procedures 
Check applications and/or claims and organisational documents to ensure information is complete and correct 
Check applications for eligibility 
Verify signature on application with original documents 
Identify errors and incomplete applications and/or claims 
Action incomplete or incorrect applications and/or claims according to organisational requirements 
Prepare applications and/or claims for processing when required information is obtained 
Check applications against conditions identified in trust deed and organisational procedures 
Source additional information as required from relevant personnel 
Check trust deed for defined beneficiaries and communicate with possible beneficiaries as necessary 
Calculate benefit to include additional fees, charges and/or other factors, using computer system 
Check information, including taxation and calculation results for integrity 
Issue rollover documentation to members, Australian Taxation Office (ATO) and rollover funds, as required 
Process application in accordance with conditions identified in trust deed, relevant legislation and organisational procedures 
Pay benefit following organisational procedures if there is no objection from possible beneficiaries 
Provide statements and claim correspondence according to organisational guidelines and compliance requirements 
Document processes and outcomes of application and/or claim in member files 
Provide instruction for complaints to members as required 
Maintain positive relations with clients 

Forms

Assessment Cover Sheet

FNSSUP401 - Process complex superannuation benefit or insurance claim
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

FNSSUP401 - Process complex superannuation benefit or insurance claim

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: