Insurance Claims Administrator – 99668

Description

QCTO Occupational Qualification, Form 4, Matrix Framework for Insurance Claims Administrator – 99668

The purpose of this qualification is to prepare a learner to operate as an Insurance Claims Administrator (Insurance Claims Assessor). An Insurance Claims Administrator (Insurance Claims Assessor) assesses the validity of the claim against the contract in order to determine or recommend whether to settle or reject a claim and provide comments on risk improvements and moral risks.

A qualified learner will be able to:

• Receive notification of a claim and investigate the validity thereof.
• Assess a claim to determine the outcome of claims.
• Mitigate and finalise the claims process.

Note: The framework consists of the Knowledge Module Titles, Practical Module Titles, Workplace Experience Module Titles (if applicable to curriculum), Topics and elements – the developer is required to slot in the page numbers against each topic, topic element and codes which is provided in the framework.