Overview
Claims management represents the moment when the promise of insurance is fulfilled. While underwriting, product development, sales, and risk management are critical insurance functions, the true value of an insurance contract is demonstrated when a valid claim is investigated, evaluated, and settled fairly and efficiently.
This programme provides a comprehensive introduction to the principles and practices of insurance claims management. Participants will gain an understanding of the role of claims within the insurance value chain, the responsibilities of claim professionals, the claims handling process, investigation techniques, claim evaluation methodologies, settlement procedures, customer service requirements, ethical obligations, and regulatory expectations.
The programme explores the complete claims lifecycle, from first notification of loss through investigation, evaluation, negotiation, settlement, and closure. Participants will also examine the importance of professionalism, communication skills, customer service, claims ethics, fraud awareness, reserving practices, and compliance with claims handling regulations.
Learning Outcomes
Upon successful completion of this programme, you will be able to:
- Explain the role, structure, and importance of the claims function within insurance operations;
- Describe the responsibilities, competencies, and professional obligations of claims personnel;
- Apply the principles and stages of the claims handling process from notification to settlement;
- Conduct effective claims investigations and evaluate property and liability claims using established claims management practices;
- Explain the role of claims reserving, claims costs, and claims management in supporting insurer financial performance;
- Demonstrate ethical decision-making, good faith claims handling, fraud awareness, and regulatory compliance in claims operations; and
- Evaluate how effective claims management contributes to customer service, insurer reputation, operational performance, and business success.
Course Outline
Price: US$195
Course Features
- Modules 5
- Duration 4 Weeks
- Content Type Text & media
- Assessment Yes
- Pass Percentage 70%
- Certificate Yes
