INS311 Liability Claims Management (8)

This subject provides the knowledge and skills to manage and resolve complex insurance claims in liability.

No offerings have been identified for this subject in 2021.

Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject Information

Grading System

HD/FL

Duration

One session

School

School of Accounting and Finance

Enrolment Restrictions

Bachelor of Business (Insurance) students only

Assumed Knowledge
INS201

Learning Outcomes

Upon successful completion of this subject, students should:
  • be able to discuss the legal concepts relating to liability
  • be able to evaluate nonroutine claims to accept or deny liability
  • be able to resolve claims disputes
  • be able to participate in negotiations related to claims
  • be able to finalise settlements
  • be able to process facultative and treaty claims
  • be able to settle claims
  • be able to review claims settlement policy and procedures

Syllabus

This subject will cover the following topics:

Legal liability definition
Identification of law affecting liability insurance
Category identification
Liability explanations
Plaintiff legal rights and remedies
Claim defence explanations
Claim receipt
Policy wording interpretation
Claims analysis
Claim legitimacy
Proposed investigations
Investigation and research of claim
Settlement terms determination
Advising settlement terms to clients
Analysis responses
Information identification
Establishment of dispute grounds
Instructions to relevant parties for information
Explanation of insurer's obligations
Dispute investigation
Relating communication to personnel
Justification of decisions
Dispute resolution
Document preparation
Document completion
Negotiation planning
Compilation of information
Conduct negotiations
Confirming agreement
Documentation review
Specification of terms and conditions of offer
Documentation preparation
Arranging of final payments
Obtaining settlement release
Maintenance of finalised claims files
Facultative and treaty reinsurance discussion
Collecting information
Claim coverage
Payment calculation
Claims settlement
Claims data analysis
Identification of trends
Report preparation and procedures

The information contained in the CSU Handbook was accurate at the date of publication: May 2021. The University reserves the right to vary the information at any time without notice.

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