
About this course
Overview
Leakage rarely comes from the claims you turn down. This covers reserving, investigation and settlement for short-term teams, with a hard look at fraud indicators and at negotiating quantum without either overpaying or ending up in front of the ombudsman.
What you will be able to do
Learning outcomes
- Run a claim from notification to settlement
- Set appropriate case reserves
- Recognise common fraud indicators
- Negotiate settlement quantum
- Reduce leakage in claims handling
What the course sets out to do
Course objectives
- Manage the end-to-end claims process
- Set and maintain accurate reserves
- Investigate claims and detect fraud
- Assess and negotiate quantum
- Control claims leakage
Course content
Modules
01Claims process
The claims lifecycle from notification through to settlement and closure.
02Reserving
Setting and adjusting case reserves accurately and consistently.
03Investigation
Gathering evidence and validating claims and coverage.
04Fraud detection
Recognising fraud indicators and managing suspicious claims.
05Quantum and negotiation
Assessing loss value and negotiating fair settlement.
06Leakage control
Identifying and reducing avoidable claims cost.
Who it is for
Target audience
Claims handlers, claims assessors, and claims team leaders in short-term insurance.
Before you start
Prerequisites
Claims handling or short-term insurance experience.