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Elements and Performance Criteria

  1. Determine validation criteria
  2. Compile necessary documentation
  3. Advise customer/client of the consequences of processing the settlement
  4. Assign validity of request
  5. Review evidence available in support of payment request
  6. Establish liability for payment under the policy
  7. Authorise payment where required and communicate decision

Required Skills

Required skills

welldeveloped communication skills to

determine and confirm information using questioning and active listening as required

liaise with others share information listen and understand

use language and concepts appropriate to cultural differences

numeracy and IT skills to

perform calculations related to achieving required outcomes

use computer applications word processing spreadsheet database specific purpose computer systems to assist in achieving required outcomes

access and update records electronically

access webbased information services

literacy skills for policy interpretation and application and to read and interpret documentation from a variety of sources and record and consolidate relevant related information

research and analysis skills for accessing and interpreting relevant information

organisational skills including the ability to plan and sequence work

Required knowledge

relevant common law legal systems and procedures

organisation policy procedures guidelines and authorities

industry sector compliance requirements including the Australian Securities and Investments Commission ASIC and the Australian Prudential Regulation Authority APRA

industry sector product terms and conditions

regulatory body requirements

relevant medical terminology

underwriting guidelines

Evidence Required

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

maintain awareness of situations requiring more extensive underwriting or assessment

apply clear understanding of superannuation beneficiary entitlements and conditions to be met and complied with

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 records

access to organisational 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 projects and business simulations or scenarios

Guidance information for assessment


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.

Product types may include:

allocated pensions

disability income

endowment

immediate/deferred annuities

personal superannuation

singular or regular premium investments

term life

trauma

whole of life.

Payment criteria may include:

cancellation

death

expiry

invalidity

lapse

maturity

past surrender

pension

roll over

surrender

Temporary and Permanent Disability (TPD)

trauma

withdrawal

withdrawal annuities.

Terms and conditions of the contract may be determined by:

legislation and/or policy provisions.

Appropriate parties may include:

accountants

administrators

assignees

Australian Securities and Investments Commission (ASIC)

Australian Taxation Office (ATO)

chief medical officers

claims tribunals

courts

doctors

employers

executors

forensic scientists

investigation agencies

life insured

liquidators

next of kin

other life companies

personnel officers

police

policy owners

reinsurers

solicitors

trustees

underwriters.

Documentation may include:

ASIC reports

cheques

final statement

group certificates

medical reports

payment statements

tax forms.

Consequences of processing the settlement may include:

additional costs/charges if transferring to an alternative contract/policy

cessation of life cover in the event of a TPD claim

possible difficulty in obtaining optimal cover at a later date in the event of a deterioration in health

recommencement of the suicide clause.

Validation criteria means:

criteria against which a claim/withdrawal may be measured for validity.

Termination may include:

automatic cancellation because of non-payment of premium.

Benefits payable could be affected by:

age at death

cause of death

contributions made to policy

date of death

length of policy

non-disclosure

policy maturity

preserved nature of the funds in the policy

previous withdrawals

reason for withdrawal

surrender conditions.

Payment methods may include:

cheques

direct credit.