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Evidence Guide: FNSSUP401A - Process complex superannuation benefit or insurance claim

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

 

FNSSUP401A - Process complex superannuation benefit or insurance claim

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

Identify types of benefits and their processes

  1. Benefit types are identified
  2. Potential errors in processing benefit types are identified
Benefit types are identified

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Potential errors in processing benefit types are identified

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Receive applications for benefit payment and/or insurance claims

  1. Applications for superannuation benefit payment and/or insurance claim are received via post or electronic means
  2. Receipt is documented according to organisation procedures
  3. Applications and/or claims and organisation documents are checked to ensure information is complete and correct
  4. Applications are checked for eligibility
  5. Signature on application is verified with original documents
Applications for superannuation benefit payment and/or insurance claim are received via post or electronic means

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Receipt is documented according to organisation procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Applications and/or claims and organisation documents are checked to ensure information is complete and correct

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Applications are checked for eligibility

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Signature on application is verified with original documents

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and manage application and/or claim errors

  1. Errors and non-completions in applications and/or claims are identified
  2. Incomplete or incorrect applications and/or claims are actioned according to organisation requirements
  3. Applications and/or claims are prepared for processing when required information is obtained
Errors and non-completions in applications and/or claims are identified

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Incomplete or incorrect applications and/or claims are actioned according to organisation requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Applications and/or claims are prepared for processing when required information is obtained

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assess and process applications for benefits

  1. Features and differences of payment types are identified
  2. Applications are checked against conditions identified in trust deed rules
  3. Additional information is sourced as required (e.g. from member, doctors, employers etc.)
  4. Benefit is calculated to include additional fees, charges and/or other factors, using computer system
  5. Special circumstances are managed according to organisation guidelines
  6. Taxation issues are managed according to legislation
  7. Pensions and annuities where relevant to the fund are processed according to organisation guidelines
  8. Information and calculation results are checked for integrity
  9. Eligible Termination Payments (ETP) and rollover documentation is issued to members, Australian Taxation Office (ATO) and rollover funds, as required
  10. Application is processed in accordance with the conditions identified in the trust deed and organisation procedures.
Features and differences of payment types are identified

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Applications are checked against conditions identified in trust deed rules

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Additional information is sourced as required (e.g. from member, doctors, employers etc.)

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Benefit is calculated to include additional fees, charges and/or other factors, using computer system

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Special circumstances are managed according to organisation guidelines

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Taxation issues are managed according to legislation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Pensions and annuities where relevant to the fund are processed according to organisation guidelines

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Information and calculation results are checked for integrity

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Eligible Termination Payments (ETP) and rollover documentation is issued to members, Australian Taxation Office (ATO) and rollover funds, as required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Application is processed in accordance with the conditions identified in the trust deed and organisation procedures.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Process insurance claims

  1. Claim applications are checked against conditions identified in trust deed and in accordance with relevant group policies
  2. Additional information is sourced as required (e.g. from member, doctors, employers, insurers, etc.)
  3. Trust deed is checked for defined beneficiaries
  4. Beneficiaries are communicated with as necessary
  5. Benefit is calculated to include additional fees, charges, taxes and/or other factors
  6. Results of calculation are checked
  7. Claim is processed in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures
Claim applications are checked against conditions identified in trust deed and in accordance with relevant group policies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Additional information is sourced as required (e.g. from member, doctors, employers, insurers, etc.)

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Trust deed is checked for defined beneficiaries

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Beneficiaries are communicated with as necessary

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Benefit is calculated to include additional fees, charges, taxes and/or other factors

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Results of calculation are checked

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide member communications

  1. Statements and claim correspondence are provided according to organisation guidelines and compliance requirements
  2. Processes and outcomes of application/claim are documented in member files
  3. Instruction for complaints is provided to members as required
  4. Positive relations are maintained with clients
Statements and claim correspondence are provided according to organisation guidelines and compliance requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Processes and outcomes of application/claim are documented in member files

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Instruction for complaints is provided to members as required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Positive relations are maintained with clients

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:

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

Required Skills and Knowledge

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

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.

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.