Insurance Claims Administrator – NQF Level 4
QCTO Learnership
Course overview
The purpose of Insurance Claims Administrator NQF Level 4 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.
Entry Requirements
To enroll in the course, participants must have:
Learning Outcomes
Rationale:
According to the Insurance Sector Skills Plan (SSP), there are scarce skills identified within the industry. Whilst Insurance Claims Assessors were not explicitly named, it is one of the professional occupations in the sector where skills are scarce. This qualification is aimed at ensuring the development of qualified assessors to address this scarcity.
Wide consultation with professional bodies such as the Insurance Institute of South Africa (IISA) and the Financial Planning Institute (FPI) was undertaken by the Insurance Sector Education and Training Authority (INSETA) before the development of the qualification. As a result, this Insurance Claims Assessor’s occupational qualification in Short-term, Long-term, Health, and Statutory insurance sectors was proposed.
Learning Assumed To Be In Place And Recognition Of Prior Learning
Recognition of Prior Learning (RPL): RPL for access to the external integrated summative assessment: Accredited providers and approved workplaces must apply the internal assessment criteria specified in the related curriculum document to establish and confirm prior learning. Accredited providers and workplaces must confirm prior learning by issuing a statement of result or certifying a work experience record.
Insurance Claims Administrator Certification
Upon successful completion of the course, participants will be awarded an Occupational Certificate: Insurance Claims Administrator from the Quality Council for Trades and Occupations (QCTO). This certification validates the skills and knowledge acquired during the program.
International Comparability
A Certificate IV in General Insurance code FNS41411 offered in Australia was found to compare favourably to the Occupational Certificate: Insurance Claims Administrator (Insurance Claims Assessor). The Australian qualification is mainly designed for the Insurance Administrators and Claims Officers.
The purpose of the qualification is to capacitate qualified officers so that they can handle claims, issue domestic insurance contracts, deal with customer enquiries, appoint intermediaries to investigate standard claims and initiate claims recovery.
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Course Details:
