Assessor Resource

FNSSUP407
Assess complex superannuation benefit or insurance claims

Assessment tool

Version 1.0
Issue Date: May 2024


This unit describes the skills and knowledge required to assess complex superannuation benefits and/or insurance claims. 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. Review validity of request

1.1 Review validity of request for payment against fund entitlements within operating guidelines, operational authorities and legislative guidelines

1.2 Undertake review in methodical manner, using suitable checklist or similar instruments to ensure accuracy

2. Review documentation and evidence

2.1 Establish payment criteria to enable compliance to be determined within terms and conditions of trust, relevant legislation and operating guidelines

2.2 Obtain additional evidence where required from appropriate parties to confirm that request complies with fund’s conditions of entitlement

3. Determine entitlement and communicate decision

3.1 Determine level of entitlement based on accurate and complete information

3.2 Determine entitlements within authority levels and obtain sign-off where required

3.3 Make decision on payment in accordance with trustee instruction, operating guidelines and relevant legislation

3.4 Communicate decision according to organisational policy and procedures to relevant parties

Evidence of the ability to:

review validity of requests and related documentation and evidence

determine entitlements according to organisational authority levels, fund entitlements and operating guidelines

follow appropriate payment criteria according to the terms and conditions of the trust deed, relevant legislation and organisational procedures.

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 relevant legislation relating to superannuation

outline the organisational authority levels

explain the key aspects of fund entitlements and operating guidelines

identify appropriate payment criteria according to relevant trust deed, legislation or organisational procedure

explain the application of fund policies and procedures on the assessment of superannuation benefit or insurance claims

outline recent changes to products and services, and implications for assessments.

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. Review validity of request

1.1 Review validity of request for payment against fund entitlements within operating guidelines, operational authorities and legislative guidelines

1.2 Undertake review in methodical manner, using suitable checklist or similar instruments to ensure accuracy

2. Review documentation and evidence

2.1 Establish payment criteria to enable compliance to be determined within terms and conditions of trust, relevant legislation and operating guidelines

2.2 Obtain additional evidence where required from appropriate parties to confirm that request complies with fund’s conditions of entitlement

3. Determine entitlement and communicate decision

3.1 Determine level of entitlement based on accurate and complete information

3.2 Determine entitlements within authority levels and obtain sign-off where required

3.3 Make decision on payment in accordance with trustee instruction, operating guidelines and relevant legislation

3.4 Communicate decision according to organisational policy and procedures to relevant parties

Evidence of the ability to:

review validity of requests and related documentation and evidence

determine entitlements according to organisational authority levels, fund entitlements and operating guidelines

follow appropriate payment criteria according to the terms and conditions of the trust deed, relevant legislation and organisational procedures.

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 relevant legislation relating to superannuation

outline the organisational authority levels

explain the key aspects of fund entitlements and operating guidelines

identify appropriate payment criteria according to relevant trust deed, legislation or organisational procedure

explain the application of fund policies and procedures on the assessment of superannuation benefit or insurance claims

outline recent changes to products and services, and implications for assessments.

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
Review validity of request for payment against fund entitlements within operating guidelines, operational authorities and legislative guidelines 
Undertake review in methodical manner, using suitable checklist or similar instruments to ensure accuracy 
Establish payment criteria to enable compliance to be determined within terms and conditions of trust, relevant legislation and operating guidelines 
Obtain additional evidence where required from appropriate parties to confirm that request complies with fund’s conditions of entitlement 
Determine level of entitlement based on accurate and complete information 
Determine entitlements within authority levels and obtain sign-off where required 
Make decision on payment in accordance with trustee instruction, operating guidelines and relevant legislation 
Communicate decision according to organisational policy and procedures to relevant parties 

Forms

Assessment Cover Sheet

FNSSUP407 - Assess complex superannuation benefit or insurance claims
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

FNSSUP407 - Assess complex superannuation benefit or insurance claims

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: