This group focuses on the key technical competencies required for claims handlers and claims adjusters.
- Claims staff should know the key information needed to notify claims for own area of business and initiate the claims handling process.
- Claims staff should know the claimant’s rights to fair treatment and be able to advise on their duties when making claims.
- They should understand the goals of, and apply organizational procedures and processes in relation to customer service, reserving and information management.
- They should know the risks of claimant’s moral hazard and the risks of fraud.
- Claims handlers should be able to identify when loss adjusters and other experts should be appointed and the service level standards to expect from them.
- Claims adjusters should be able to apply policy, coverage, terms and conditions and how to adjust the amount to settle.
- Claims staff should know the process and procedure for recovery of claim payments where possible.
Recommended for:
Claims Technicians and claims adjusters.
Welcome to Insurance Claims Competency Courses!
This group focuses on the following areas of competencies:
This course is recommended for: