Unit of competency Outline

Date retreived
22/07/2026 8:21 PM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Supervise insurer liaison

Supervise insurer liaison

Unit of competency
National Code
FNSSUP502A
State Code
D4344
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
24/11/2010
State Implementation and Classification
Approved Date
29/07/2014
Field of Education
081105 - Investment And Securities
Original Release Date
29/07/2014
Nominal Hours
50
Description
This unit describes the performance outcomes, skills and knowledge required to implement and supervise liaison with insurance bodies. It encompasses establishing insurer liaison, supervising the claim procedures, managing complex claims and managing risk.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. Establish insurer liaison
  • 1.1. Organisation guidelines for insurance arrangements are identified
  • 1.2. Insurance performance measures are established
  • 1.3. Tendering process is facilitated when necessary
  • 1.4. Contact is established with insurer and regular liaison maintained
  • 1.5. Insurance premiums payment details are established
  • 1.6. Procedures for processing claims are established
  • 1.7. Required paperwork is obtained
  • 1.8. Insurer is provided with information to maintain accurate member records
2. Manage risk
  • 2.1. Risk of member profile is assessed with insurer
  • 2.2. Procedures are undertaken to reduce risk in line with organisation guidelines
  • 2.3. Claims documentation is assessed and reports generated for trustee
  • 2.4. Trustee decisions on claims and risk management procedures are implemented
3. Supervise claim procedures
  • 3.1. Paperwork for claim applications is prepared
  • 3.2. Personal statements and medical reports are obtained as required
  • 3.3. Performance requirements for insurer are monitored
  • 3.4. Insurer is provided with information as required in order to process claim
  • 3.5. Disputed claims are referred to complaints procedure
4. Manage complex claims
  • 4.1. Documentation for complex claims is gathered and prepared for insurer
  • 4.2. Claim applications are checked against conditions identified in trust deed
  • 4.3. Claim beneficiaries are incorporated into claims processing procedure
  • 4.4. Claim correspondence is complied in accordance with the conditions identified in the trust deed, relevant legislation and organisation procedures
  • 4.5. Claim correspondence is forwarded to insurer
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.
Performance measures may include:
claim processing times
cost of premiums
disability definition
implementation of follow-up
profit sharing arrangements
response times to correspondence
standard of service.
Information may include:
claims experience of members
details for underwriting process
details of claims
new member details
occupation of members
sums insured per member.
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:
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
assess and determine benefit entitlements for ETPs, death and disablement claims.

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
Replaced By
State Code National Code Title Type
AUT51 FNSSUP510 Supervise insurance tender process Unit of competency
AUP55 FNSSUP502 Supervise insurer liaison Unit of competency
State Code National Code Title Type
D720 FNS50711 Diploma of Superannuation Qualification