This subject provides the student with the knowledge and skills to manage and resolve claims in Statutory Classes
No offerings have been identified for this subject in 2019.
HD/FL
One session
School of Accounting and Finance
Bachelor of Business (Insurance) students only
Definition of Statutory Classes and the distinguishing features of these policies, including the role and function of rehabilitation, conciliation and the importance of Early Injury Management
Application of legal terms and concepts to Statutory Classes claims
Evaluation of non-routine claims and implementation of the assessment / investigation required to determine acceptance or declinature of liability
Interpretation of policy coverage and analysis of the legitimacy of the claim
Determination of settlement terms in relation to policy terms and type, company policy, Codes of Practice and legislative requirements
Implementation of the negotiation process, document preparation and reporting arrangements with client and relevant parties concerning the settlement of the claim or denial of liability in accordance with legislative and regulatory requirements
Investigation process to support internal dispute resolution and preparation of documentation for external dispute resolution
Communication process with relevant stakeholders in the dispute resolution process to support dispute resolution in a timely, considerate and, where possible, non-litigious manner without resorting to formal conciliation services
Settlement documentation, file preparation
Claims reserving and reporting processes, including database management for statutory returns
Reinsurance process claims including excess of loss treaty claims and reporting processes for settlement with reinsurers
Portfolio data collection, review and reporting.
Content
Statutory Classes may include:
Workers Compensation
Compulsory Third Party (CTP)
Principles of insurance and legislation may include:
Duty of utmost good faith
For further information about courses and subjects outlined in the CSU handbook please contact:
The information contained in the CSU Handbook was accurate at the date of publication: May 2019. The University reserves the right to vary the information at any time without notice.