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Evidence Guide: FNSSUP512 - Manage insurer liaison within a superannuation organisation

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

 

FNSSUP512 - Manage insurer liaison within a superannuation organisation

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

Establish insurer liaison

  1. Identify organisational procedures for insurance arrangements
  2. Determine insurance performance measures
  3. Establish contact with insurer and maintain liaison
  4. Determine insurance premium payment details
  5. Establish procedures for processing claims
  6. Obtain paperwork required to undertake insurer liaison activities
  7. Provide insurer with information to maintain member records
  8. Assess risk profile of member with insurer
  9. Undertake procedures to reduce risk according to organisational policies and procedures
  10. Assess claims documentation and generate reports for trustee
  11. Implement trustee decisions on claims and risk management procedures
Identify organisational procedures for insurance arrangements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine insurance performance measures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish contact with insurer and maintain liaison

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine insurance premium payment details

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish procedures for processing claims

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain paperwork required to undertake insurer liaison activities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide insurer with information to maintain member records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess risk profile of member with insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake procedures to reduce risk according to organisational policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess claims documentation and generate reports for trustee

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement trustee decisions on claims and risk management procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Supervise claim procedures

  1. Monitor performance requirements for insurer
  2. Provide insurer with information as required to process claims
  3. Refer disputed claims to complaints procedure
Monitor performance requirements for insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide insurer with information as required to process claims

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer disputed claims to complaints procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage complex insurance claims

  1. Gather documentation for complex claims and prepare for insurer
  2. Check claim applications against relevant terms in trust deed
  3. Incorporate claim beneficiaries into claims processing procedure
  4. Compile claim correspondence according to conditions identified in trust deed, relevant legislation and organisational policies and procedures
  5. Forward claim correspondence to insurer
Gather documentation for complex claims and prepare for insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check claim applications against relevant terms in trust deed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Incorporate claim beneficiaries into claims processing procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Compile claim correspondence according to conditions identified in trust deed, relevant legislation and organisational policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Forward claim correspondence to insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Required Skills and Knowledge

The candidate must demonstrate the ability to complete the tasks outlined in the elements, performance criteria and foundation skills of this unit, including evidence of the ability to:

manage insurer liaison on at least three occasions.

In the course of the above, the candidate must:

maintain documentation systems for insurance claims

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

The candidate must be able to demonstrate knowledge to complete the tasks outlined in the elements, performance criteria and foundation skills of this unit, including knowledge of:

organisational policies, procedures, objectives and guidelines relating to insurance arrangements and performance measures, including for:

calculating and processing benefits

assessing insurance claims, and calculating and processing benefit payments

documentation requirements for processing death and disability payments

applying regulations and legislation to payments

key steps in internal and external complaints processes in superannuation

compliance responsibilities for claims processing

tendering processes

organisation’s risk management strategies.