Overview
Life insurance claim settlement is a critical stage in the insurance process, where insurers fulfil their contractual obligations to beneficiaries. Efficient and transparent claims settlement strengthens public confidence in life insurance and ensures that policyholders’ families receive the financial protection intended under the policy.
This course provides practical knowledge of the principles and procedures involved in life insurance claims settlement. Participants will develop an understanding of the documentation, verification processes, and policy interpretation required to assess and process life insurance claims accurately.
The programme also highlights the importance of professionalism, fairness, and sensitivity when managing claims involving bereaved families and beneficiaries.
Who Should Enrol
This course is designed for professionals involved in life insurance operations and claims management, including:
- Life insurance claims officers and administrators
- Insurance underwriters seeking understanding of claims settlement processes
- Insurance agents and financial advisers assisting clients during claims
- Insurance brokers and intermediaries
- Customer service teams supporting life insurance policyholders
- Professionals seeking to strengthen their knowledge of life insurance claims handling
What You Will Learn
Participants will gain practical knowledge and understanding of:
- The role of claims settlement in life insurance operations
- Documentation and verification requirements for life insurance claims
- Policy interpretation and benefit determination
- Claims investigation procedures in life insurance
- Managing disputes and handling sensitive claims situations
- Best practices for delivering efficient and professional claims service
Learning Pathway
This course forms part of the IIEA E-Academy Learning Pathway Framework™ for Advanced Insurance Professionals, designed to strengthen technical expertise across key areas of insurance practice.
Certification
Participants who successfully complete the course requirements will receive a Certificate of Achievement recognising their successful completion of the programme.
This course complements other life insurance and claims-related programmes such as:
- Understand Life Insurance
- Underwrite Complex Life Insurance Risks
- Claims Handling Fundamentals
and helps develop strong operational capability in managing life insurance claims settlement processes.
Learning Outcomes
On completion of this course, you should be able to:
- Review settlement advice for claims against life insurance policies
- Calculate settlement details
- Finalise claims payment.
Course Outline
- 1.1: Learning Objectives
- 1.2: Learning Aids Contained in this Course
- 2.1: Life insurance claims
- 2.2: Organisational processes and procedures
- 2.3: Law and regulation in life insurance
- 2.4: Summary
- 3.1: Identifying liability
- 3.2: The claim settlement evidence
- 3.3: Finalising a claim
- 4.1: Notification and discharge
- 4.2: Making payment
- 4.3: Case studies: Life insurance risk products
- 4.4: Summary
- 5.1: Finalisation of the claims process
- 5.2: Ex gratia payments
- 5.3: Declining a claim
- 5.4: Claims records and reviews
- 5.5: Summary
