Claim Handling Fundamentals

Insurance Institute of East Africa
Online study mode
Brunei House, 3rd Floor I Witu Road off Lusaka Road P.O. Box 16481 - 00100 Nairobi, Kenya
6 weeks
Jun 17 - Jun 17 2020

Course Description

This course enables you to understand and apply principles relating to the investigation and the loss adjustment process for auto claims. Topics include an overview of the various types of claims that are covered under an auto policy, how to analyze liability in auto claims, the investigation and valuation of auto physical damage claims, and resolving disputes with alternative dispute resolution mechanisms. Insurance fraud is also comprehensively covered.

Course Intake: Ongoing!

Course Outline

Module 1:   Goals of the Claims Function 
Module 2:   Claims Department Structure, Personnel, and Performance 
Module 3:   Importance of Ethics and Professionalism for Claim Reps 
Module 4:   Recognizing the Ethical and Professional Concerns Claim Reps 
Module 5:   Codes of Ethics and Quality Claim Practices 
Module 6:   Case Study - Ethical and Professional Dilemmas of Claim Reps 
Module 7:   Overview of the Claim Handling Process 
Module 8:   Acknowledging the Claim and Identifying the Policy 
Module 9:   Claim Handling Process-Contacting the Insured 
Module 10:   Investigating and Documenting the Claim 
Module 11:   Bases for Legal Liability 
Module 12:   Claims Department Structure, Personnel, and Performance 
Module 13:   Claim Handling Process-Concluding the Claim 
Module 14:   Establishing a Case Reserve 
Module 15:   Reserving Case Study 
Module 16:   Negotiating Claims- Styles of Negotiation 
Module 17:   Claim Negotiation Process 
Module 18:   Claim Negotiation Variables 
Module 19:   Overview of Claim Negotiation Techniques 
Module 20:   Claim Negotiation Techniques to be Avoided 
Module 21:   Common Pitfalls in Claim Negotiation 

Career Outcomes

At the end of the course,you will be able to:
  • Effectively apply claim principles to your everyday work.
  • Enhance your effectiveness.
  • Demonstrate your value to your organization.

Price: USD 335

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