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Evidence Guide: FNSSUP502 - 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

 

FNSSUP502 - Supervise insurer liaison

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 regular liaison
  4. Determine insurance premiums payment details
  5. Establish procedures for processing claims
  6. Obtain paperwork required to undertake activities
  7. Provide insurer with information to maintain accurate member records
Identify organisational procedures for insurance arrangements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine insurance performance measures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish contact with insurer and maintain regular liaison

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine insurance premiums payment details

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish procedures for processing claims

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain paperwork required to undertake activities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide insurer with information to maintain accurate member records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage risk

  1. Assess risk of member profile with insurer
  2. Undertake procedures to reduce risk in line with organisational procedures
  3. Assess claims documentation and generate reports for trustee
  4. Implement trustee decisions on claims and risk management procedures
Assess risk of member profile with insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake procedures to reduce risk in line with organisational 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 claim
  3. Refer disputed claims to complaints procedure
Monitor performance requirements for insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide insurer with information as required to process claim

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer disputed claims to complaints procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage complex claims

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check claim applications against conditions identified in trust deed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Incorporate claim beneficiaries into claims processing procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Compile claim correspondence in accordance with conditions identified in trust deed, relevant legislation and organisational procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Forward claim correspondence to insurer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Establish insurer liaison

1.1 Identify organisational procedures for insurance arrangements

1.2 Determine insurance performance measures

1.3 Establish contact with insurer and maintain regular liaison

1.4 Determine insurance premiums payment details

1.5 Establish procedures for processing claims

1.6 Obtain paperwork required to undertake activities

1.7 Provide insurer with information to maintain accurate member records

2. Manage risk

2.1 Assess risk of member profile with insurer

2.2 Undertake procedures to reduce risk in line with organisational procedures

2.3 Assess claims documentation and generate reports for trustee

2.4 Implement trustee decisions on claims and risk management procedures

3. Supervise claim procedures

3.1 Monitor performance requirements for insurer

3.2 Provide insurer with information as required to process claim

3.3 Refer disputed claims to complaints procedure

4. Manage complex claims

4.1 Gather documentation for complex claims and prepare for insurer

4.2 Check claim applications against conditions identified in trust deed

4.3 Incorporate claim beneficiaries into claims processing procedure

4.4 Compile claim correspondence in accordance with conditions identified in trust deed, relevant legislation and organisational procedures

4.5 Forward claim correspondence to insurer

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Establish insurer liaison

1.1 Identify organisational procedures for insurance arrangements

1.2 Determine insurance performance measures

1.3 Establish contact with insurer and maintain regular liaison

1.4 Determine insurance premiums payment details

1.5 Establish procedures for processing claims

1.6 Obtain paperwork required to undertake activities

1.7 Provide insurer with information to maintain accurate member records

2. Manage risk

2.1 Assess risk of member profile with insurer

2.2 Undertake procedures to reduce risk in line with organisational procedures

2.3 Assess claims documentation and generate reports for trustee

2.4 Implement trustee decisions on claims and risk management procedures

3. Supervise claim procedures

3.1 Monitor performance requirements for insurer

3.2 Provide insurer with information as required to process claim

3.3 Refer disputed claims to complaints procedure

4. Manage complex claims

4.1 Gather documentation for complex claims and prepare for insurer

4.2 Check claim applications against conditions identified in trust deed

4.3 Incorporate claim beneficiaries into claims processing procedure

4.4 Compile claim correspondence in accordance with conditions identified in trust deed, relevant legislation and organisational procedures

4.5 Forward claim correspondence to insurer

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.

Note: If a specific volume or frequency is not stated, then evidence must be provided at least once

To complete the unit requirements safely and effectively, the individual must:

describe the key features of organisational policy, objectives and guidelines relating to insurance arrangements and performance measures

describe procedures for:

calculating and processing benefits

assessing insurance claims, and calculating and processing benefit payments

outline documentation requirements for processing death and disability payments

explain how regulations and legislation apply to payments

describe the key steps in the internal, Superannuation Complaints Tribunal (SCT) and other external complaints processes

identify compliance responsibilities for claims processing

outline the key steps in tendering processes

describe the organisation’s risk management strategies.