Unit of competency Outline

Date retreived
22/07/2026 9:52 PM AWST

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Process complex superannuation benefit or insurance claim

Process complex superannuation benefit or insurance claim

Unit of competency
National Code
FNSSUP401A
State Code
D4336
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
24/11/2010
State Implementation and Classification
Approved Date
23/02/2012
Field of Education
081105 - Investment And Securities
Original Release Date
23/02/2012
Nominal Hours
40
Description
This unit describes the performance outcomes, skills and knowledge required to receive applications for complex superannuation benefit payment or insurance claims and ensuring correct funds are allocated to members. Conditions would include claims such as death or disability payment and situations of severe financial hardship. It encompasses the identification of types of benefits and their procedures for processing, knowledge of receiving processes for benefit payments, ability to identify and manage application claim errors, ability to assess and process applications for benefits, ability to process insurance claims and knowledge of claim correspondence required for member communications.This unit is applicable to individuals working within enterprises and job roles subject to licensing, legislative, regulatory or certification requirements including legislation administered by the Australian Securities and Investments Commission (ASIC).
Notes
Elements and Performance Criteria
1. Identify types of benefits and their processes
  • 1.1. Benefit types are identified
  • 1.2. Potential errors in processing benefit types are identified
2. Receive applications for benefit payment and/or insurance claims
  • 2.1. Applications for superannuation benefit payment and/or insurance claim are received via post or electronic means
  • 2.2. Receipt is documented according to organisation procedures
  • 2.3. Applications and/or claims and organisation documents are checked to ensure information is complete and correct
  • 2.4. Applications are checked for eligibility
  • 2.5. Signature on application is verified with original documents
3. Identify and manage application and/or claim errors
  • 3.1. Errors and non-completions in applications and/or claims are identified
  • 3.2. Incomplete or incorrect applications and/or claims are actioned according to organisation requirements
  • 3.3. Applications and/or claims are prepared for processing when required information is obtained
4. Assess and process applications for benefits
  • 4.1. Features and differences of payment types are identified
  • 4.2. Applications are checked against conditions identified in trust deed rules
  • 4.3. Additional information is sourced as required (e.g. from member, doctors, employers etc.)
  • 4.4. Benefit is calculated to include additional fees, charges and/or other factors, using computer system
  • 4.5. Special circumstances are managed according to organisation guidelines
  • 4.6. Taxation issues are managed according to legislation
  • 4.7. Pensions and annuities where relevant to the fund are processed according to organisation guidelines
  • 4.8. Information and calculation results are checked for integrity
  • 4.9. Eligible Termination Payments (ETP) and rollover documentation is issued to members, Australian Taxation Office (ATO) and rollover funds, as required
  • 4.10. Application is processed in accordance with the conditions identified in the trust deed and organisation procedures.
5. Process insurance claims
  • 5.1. Claim applications are checked against conditions identified in trust deed and in accordance with relevant group policies
  • 5.2. Additional information is sourced as required (e.g. from member, doctors, employers, insurers, etc.)
  • 5.3. Trust deed is checked for defined beneficiaries
  • 5.4. Beneficiaries are communicated with as necessary
  • 5.5. Benefit is calculated to include additional fees, charges, taxes and/or other factors
  • 5.6. Results of calculation are checked
  • 5.7. Claim is processed in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures
6. Provide member communications
  • 6.1. Statements and claim correspondence are provided according to organisation guidelines and compliance requirements
  • 6.2. Processes and outcomes of application/claim are documented in member files
  • 6.3. Instruction for complaints is provided to members as required
  • 6.4. Positive relations are maintained with clients
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.
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
Replaces
State Code National Code Title Type
C9935 FNSSUPR401B Process complex superannuation benefit and/or insurance claim Unit of competency
Replaced By
State Code National Code Title Type
AUT27 FNSSUP401 Process complex superannuation benefit or insurance claim Unit of competency
State Code National Code Title Type
D709 FNS40911 Certificate IV in Superannuation Qualification