Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

FNSSUP401A Mapping and Delivery Guide
Process complex superannuation benefit or insurance claim

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency FNSSUP401A - Process complex superannuation benefit or insurance claim
Description This unit describes the performance outcomes, skills and knowledge required to receive applications for complex superannuation benefit payment or insurance claims and ensuring correct funds are allocated to members. Conditions would include claims such as death or disability payment and situations of severe financial hardship. It encompasses the identification of types of benefits and their procedures for processing, knowledge of receiving processes for benefit payments, ability to identify and manage application claim errors, ability to assess and process applications for benefits, ability to process insurance claims and knowledge of claim correspondence required for member communications.This unit is applicable to individuals working within enterprises and job roles subject to licensing, legislative, regulatory or certification requirements including legislation administered by the Australian Securities and Investments Commission (ASIC).
Employability Skills This unit contains employability skills.
Learning Outcomes and Application This unit applies where receiving and processing benefit applications and/or insurance claims is a primary function of the work role or one element of a varied work role.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Identify types of benefits and their processes
  • Benefit types are identified
  • Potential errors in processing benefit types are identified
       
Element: Receive applications for benefit payment and/or insurance claims
  • Applications for superannuation benefit payment and/or insurance claim are received via post or electronic means
  • Receipt is documented according to organisation procedures
  • Applications and/or claims and organisation documents are checked to ensure information is complete and correct
  • Applications are checked for eligibility
  • Signature on application is verified with original documents
       
Element: Identify and manage application and/or claim errors
  • Errors and non-completions in applications and/or claims are identified
  • Incomplete or incorrect applications and/or claims are actioned according to organisation requirements
  • Applications and/or claims are prepared for processing when required information is obtained
       
Element: Assess and process applications for benefits
  • Features and differences of payment types are identified
  • Applications are checked against conditions identified in trust deed rules
  • Additional information is sourced as required (e.g. from member, doctors, employers etc.)
  • Benefit is calculated to include additional fees, charges and/or other factors, using computer system
  • Special circumstances are managed according to organisation guidelines
  • Taxation issues are managed according to legislation
  • Pensions and annuities where relevant to the fund are processed according to organisation guidelines
  • Information and calculation results are checked for integrity
  • Eligible Termination Payments (ETP) and rollover documentation is issued to members, Australian Taxation Office (ATO) and rollover funds, as required
  • Application is processed in accordance with the conditions identified in the trust deed and organisation procedures.
       
Element: Process insurance claims
  • Claim applications are checked against conditions identified in trust deed and in accordance with relevant group policies
  • Additional information is sourced as required (e.g. from member, doctors, employers, insurers, etc.)
  • Trust deed is checked for defined beneficiaries
  • Beneficiaries are communicated with as necessary
  • Benefit is calculated to include additional fees, charges, taxes and/or other factors
  • Results of calculation are checked
  • Claim is processed in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures
       
Element: Provide member communications
  • Statements and claim correspondence are provided according to organisation guidelines and compliance requirements
  • Processes and outcomes of application/claim are documented in member files
  • Instruction for complaints is provided to members as required
  • Positive relations are maintained with clients
       


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.

The Evidence Guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the ability to:

identify types of benefits and manage application and claim errors

process insurance claims in accordance with conditions, trust and organisation requirements

establish special circumstances and make informed recommendations about benefit payments

calculate taxation requirements for benefit payments

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

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

Context of and specific resources for assessment

Assessment must ensure:

competency is demonstrated in the context of the work environment and conditions specified in the range statement either in a relevant workplace or a closely simulated work environment

access to and the use of a range of common office equipment, technology, software and consumables

access to organisation financial records

access to organisation policies and procedures.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples, in combination, are appropriate for this unit:

evaluating an integrated activity, which combines the elements of competency for the unit, or a cluster of related units of competency

observing processes and procedures in workplaces

verbal or written questioning on underpinning knowledge and skills

evaluating samples of work

accessing and validating third party reports

setting and reviewing workplace business simulations or scenarios.

Guidance information for assessment

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, 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.

Required skills

communication skills to:

liaise with others, share information, confirm work requirements, using questioning and active listening as required

use language and concepts appropriate to cultural differences

numeracy and IT skills for:

making financial calculations

accessing and using appropriate software such as word processors, spreadsheets and databases

using internet information

literacy skills to read and interpret documentation from a variety of sources and recording, gathering and consolidating financial information

problem solving skills to address compliance and other issues

learning skills to maintain knowledge of changes to products and relevant legislation

organisation skills, including the ability to plan and sequence work

Required knowledge

organisation policies, objectives and guidelines

components of a superannuation ETP

documentation requirements for processing death and disability payments

documentation requirements of a superannuation ETP

Government Member Benefit Protection Rules

internal and Superannuation Complaints Tribunal (SCT) complaints procedures

preservation rules (before and after July 1999)

procedures for assessing insurance claims and calculating and processing benefit payments

procedures for calculating and processing benefits

procedures for monitoring pension and annuity payments

Reasonable Benefit Limits (RBL) regulations and impacts on taxation

regulations and legislation applying to payments

taxation requirements for:

death

deductions for payments

ETPs under the Income Tax Assessment Act

salary continuance payments

total and permanent disablement benefits

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Benefit types may include:

compassionate

death benefits

disablement benefits

divorce

ETP

income protection

pensions

resignation

retirement

rollover funds

severe financial hardship.

Errors and non-completions in documentation may include:

claim documentation is inconsistent or incomplete

insufficient detail given

member information does not correlate with fund records

member information is illegible or missing

signature is missing.

Actioned may include:

applications are returned

further information is sought.

Special circumstances may include:

compassionate grounds

permanent application/temporary residence

severe financial hardship.

Organisation procedures may include:

best practice standards

codes of practice

documentation and filing procedures

internal communications

legislative requirements

regulatory requirements

system/computer procedures.

Conditions identified in trust deed may include:

binding or non-binding nominations

conditions for benefit payment

details of policy taken by member

fund guidelines

relevant legislation.

Beneficiaries may include:

beneficiaries as identified by local state legislation

children who are minors

current or ex-spouse

custodial children

financial dependants

legal personal representative

non-custodial children.

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
Benefit types are identified 
Potential errors in processing benefit types are identified 
Applications for superannuation benefit payment and/or insurance claim are received via post or electronic means 
Receipt is documented according to organisation procedures 
Applications and/or claims and organisation documents are checked to ensure information is complete and correct 
Applications are checked for eligibility 
Signature on application is verified with original documents 
Errors and non-completions in applications and/or claims are identified 
Incomplete or incorrect applications and/or claims are actioned according to organisation requirements 
Applications and/or claims are prepared for processing when required information is obtained 
Features and differences of payment types are identified 
Applications are checked against conditions identified in trust deed rules 
Additional information is sourced as required (e.g. from member, doctors, employers etc.) 
Benefit is calculated to include additional fees, charges and/or other factors, using computer system 
Special circumstances are managed according to organisation guidelines 
Taxation issues are managed according to legislation 
Pensions and annuities where relevant to the fund are processed according to organisation guidelines 
Information and calculation results are checked for integrity 
Eligible Termination Payments (ETP) and rollover documentation is issued to members, Australian Taxation Office (ATO) and rollover funds, as required 
Application is processed in accordance with the conditions identified in the trust deed and organisation procedures. 
Claim applications are checked against conditions identified in trust deed and in accordance with relevant group policies 
Additional information is sourced as required (e.g. from member, doctors, employers, insurers, etc.) 
Trust deed is checked for defined beneficiaries 
Beneficiaries are communicated with as necessary 
Benefit is calculated to include additional fees, charges, taxes and/or other factors 
Results of calculation are checked 
Claim is processed in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures 
Statements and claim correspondence are provided according to organisation guidelines and compliance requirements 
Processes and outcomes of application/claim are documented in member files 
Instruction for complaints is provided to members as required 
Positive relations are maintained with clients 

Forms

Assessment Cover Sheet

FNSSUP401A - 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

FNSSUP401A - 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: