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Evidence Guide: FNSSUP502A - Supervise insurer liaison

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

FNSSUP502A - Supervise insurer liaison

What evidence can you provide to prove your understanding of each of the following citeria?

Establish insurer liaison

  1. Organisation guidelines for insurance arrangements are identified
  2. Insurance performance measures are established
  3. Tendering process is facilitated when necessary
  4. Contact is established with insurer and regular liaison maintained
  5. Insurance premiums payment details are established
  6. Procedures for processing claims are established
  7. Required paperwork is obtained
  8. Insurer is provided with information to maintain accurate member records
Organisation guidelines for insurance arrangements are identified

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insurance performance measures are established

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Tendering process is facilitated when necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contact is established with insurer and regular liaison maintained

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insurance premiums payment details are established

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Procedures for processing claims are established

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Required paperwork is obtained

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insurer is provided with information to maintain accurate member records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage risk

  1. Risk of member profile is assessed with insurer
  2. Procedures are undertaken to reduce risk in line with organisation guidelines
  3. Claims documentation is assessed and reports generated for trustee
  4. Trustee decisions on claims and risk management procedures are implemented
Risk of member profile is assessed with insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Procedures are undertaken to reduce risk in line with organisation guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claims documentation is assessed and reports generated for trustee

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Trustee decisions on claims and risk management procedures are implemented

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Supervise claim procedures

  1. Paperwork for claim applications is prepared
  2. Personal statements and medical reports are obtained as required
  3. Performance requirements for insurer are monitored
  4. Insurer is provided with information as required in order to process claim
  5. Disputed claims are referred to complaints procedure
Paperwork for claim applications is prepared

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Personal statements and medical reports are obtained as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Performance requirements for insurer are monitored

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insurer is provided with information as required in order to process claim

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Disputed claims are referred to complaints procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage complex claims

  1. Documentation for complex claims is gathered and prepared for insurer
  2. Claim applications are checked against conditions identified in trust deed
  3. Claim beneficiaries are incorporated into claims processing procedure
  4. Claim correspondence is complied in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures
  5. Claim correspondence is forwarded to insurer
Documentation for complex claims is gathered and prepared for insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claim applications are checked against conditions identified in trust deed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claim beneficiaries are incorporated into claims processing procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claim correspondence is complied in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Claim correspondence is forwarded to insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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:

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

assess and determine benefit entitlements for ETPs, death and disablement claims.

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

Required Skills and Knowledge

Required skills

well-developed communication and negotiation 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

negotiate suitable outcomes to disputes

numeracy and IT skills to:

perform calculations related to funds

access and update account records electronically

use internet information

well-developed literacy skills to read and interpret documentation from a variety of sources and record and consolidate related information

data analysis and interpretation skills

interpersonal skills to relate effectively within a team environment

organisation skills, including the ability to plan and sequence work

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

judgement skills for forming recommendations in operational situations

management skills for working effectively in a constantly changing environment

Required knowledge

organisation policies, objectives and guidelines

Government Member Protection Rules

Preservation Rules (before and after July 1999)

taxation requirements for Eligible Termination Payments (ETPs) under the Income Tax Assessment Act

components of a superannuation ETP

documentation requirements of a superannuation ETP

taxation requirements for:

total and permanent disablement benefits

salary continuance insurance payments

Reasonable Benefit Limits (RBL) regulations and impacts on taxation

procedures for:

calculating and processing benefits

assessing insurance claims and calculating and processing benefit payments

documentation requirements for processing death and disability payments

regulations and legislation applying to payments

internal and Superannuation Complaints Tribunal (SCT) complaints procedures

organisation guidelines for insurance arrangements

performance goals for insurers

compliance responsibilities for claims processing

tendering processes

insurance procedures

risk management strategies

Range Statement

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.

Performance measures may include:

claim processing times

cost of premiums

disability definition

implementation of follow-up

profit sharing arrangements

response times to correspondence

standard of service.

Information may include:

claims experience of members

details for underwriting process

details of claims

new member details

occupation of members

sums insured per member.