This subject provides the student with the knowledge and skills to manage and resolve claims in Personal Lines classes of insurance.
No offerings have been identified for this subject in 2021.
School of Accounting and Finance
Bachelor of Business (Insurance) students only
Definition of Personal Lines and the distinguishing features of Personal Lines policies
Application of legal terms and concepts to Personal Lines 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 and recovery procedures
Claims reserving and reporting processes
Reinsurance - facultative and treaty claims and reporting processes for settlement with reinsurers
Portfolio data collection, review and reporting including audits of field operations, settlement campaigns and special loss studies
Personal lines may include:
Personal Accident And Sickness
Principles of insurance may include:
Duty of utmost good faith
Duty of disclosure
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.