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. Establish insurer liaison | 1.1 Identify organisational procedures for insurance arrangements 1.2 Determine insurance performance measures 1.3 Establish contact with insurer and maintain regular liaison 1.4 Determine insurance premiums payment details 1.5 Establish procedures for processing claims 1.6 Obtain paperwork required to undertake activities 1.7 Provide insurer with information to maintain accurate member records |
2. Manage risk | 2.1 Assess risk of member profile with insurer 2.2 Undertake procedures to reduce risk in line with organisational procedures 2.3 Assess claims documentation and generate reports for trustee 2.4 Implement trustee decisions on claims and risk management procedures |
3. Supervise claim procedures | 3.1 Monitor performance requirements for insurer 3.2 Provide insurer with information as required to process claim 3.3 Refer disputed claims to complaints procedure |
4. Manage complex claims | 4.1 Gather documentation for complex claims and prepare for insurer 4.2 Check claim applications against conditions identified in trust deed 4.3 Incorporate claim beneficiaries into claims processing procedure 4.4 Compile claim correspondence in accordance with conditions identified in trust deed, relevant legislation and organisational procedures 4.5 Forward claim correspondence to insurer |
Evidence of the ability to:
use risk profiling techniques
implement trustee instructions
develop and maintain documentation systems for insurance claims
identify, source and interpret required information to process benefits for lump sum payments, death claims and disablement claims.
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 guidelines relating to insurance arrangements and performance measures
describe procedures for:
calculating and processing benefits
assessing insurance claims, and calculating and processing benefit payments
outline documentation requirements for processing death and disability payments
explain how regulations and legislation apply to payments
describe the key steps in the internal, Superannuation Complaints Tribunal (SCT) and other external complaints processes
identify compliance responsibilities for claims processing
outline the key steps in tendering processes
describe the organisation’s risk management strategies.
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