Preparation of Insurance Underwriting (WUA)

First Module: Understand the general principles in the claims handling process

• Describe legal requirements for a valid claim
• Describe different types of policy conditions relating to claims
• Explain how applying the policy conditions may affect claim payment
• Explain the insured's duties after the loss
• Describe what documentary and supporting evidence are required when notifying a claim
• Explain what is meant by proximate cause and how it is applied

Second Module: Understand insurance products and associated services

• Describe the key features and the typical coverage of health policies, vehicle policies, personal policies, property policies, financial policies, liability policies, and extended warranties
• Describe exceptions and extensions of available coverage in health, vehicle, personal, property, pecuniary, liability, and extended warranties

Third Module: Understand claims considerations and administration

• Describe the roles of the claims department and its employees
• Explain the importance of service standards and managing customer expectations
• Describe the difference between the first, second, and third parties to an insurance claim according to the insurer
• Explain how disputes can occur between the three parties
• Explain the importance of claims estimating and allocating reserves
• Describe the fraud common indicators and ways to deter individuals from engaging in any fraudulent claims
• Explain the fraud claims subsequences in the insurance industry and according to the insurance companies' customers
• Describe methods that might guarantee the claims department a fair customer treatment 
• Describe how disputes and complaints could be escalated or resolved

Fourth Module: Understand claims handling procedures and related claims services

• Explain claims handling processes, including typical legal and regulatory considerations
• Describe the different services that might be used in the process of claims handling and settlement including hotline, licensed maintenance companies, uninsured loss value recovery services, legal costs
• service, risk monitoring, and advisory services