Motor Claims Investigation

Overview

Motor insurance claims investigations play a critical role in ensuring that claims are assessed accurately, fairly, and in accordance with policy terms and conditions. Effective investigation helps insurers verify claim circumstances, detect potential fraud, and ensure that claims are settled appropriately.

This course provides practical knowledge of the principles and practices involved in investigating motor insurance claims. Participants will develop an understanding of investigation procedures, evidence gathering, documentation requirements, and the analysis of claim information to support informed claims decisions.

The programme also highlights the importance of professionalism, objectivity, and ethical conduct when conducting claims investigations within motor insurance operations.

Who Should Enrol

This course is designed for professionals involved in motor insurance claims and investigations, including:

Motor claims officers and claims investigators
Insurance claims administrators
Insurance agents and intermediaries involved in motor insurance
Loss assessors and claims supervisors
Insurance brokers supporting clients in claims processes
Professionals seeking to strengthen their knowledge of claims investigation practices

What You Will Learn

Participants will gain practical knowledge and understanding of:

The role of investigations in motor insurance claims management
Techniques for gathering and analysing claims evidence
Documentation and reporting requirements in claims investigations
Identifying inconsistencies and potential fraud indicators
Interviewing and information verification techniques
Best practices for conducting professional motor claims investigations

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 motor claims programmes such as:

Motor Claims Fundamentals
Motor Claims Practices
Claims Handling Fundamentals

and helps build specialised expertise in motor insurance claims investigation and fraud detection.

Learning Outcomes

On completion of this course, "‹ you will be able to understand: -

Auto accident claims;
Claim Handling Process;
How to determine negligence in tort law;
Coverage and liability investigation;
Auto claim investigations.

Course Outline

Price: USD125

Course Features

Modules 33
Duration 4 Weeks
Content Type Text & media
Assessment Yes
Pass Percentage 70%
Certificate Yes

Overview

Learning Outcomes

Course Outline

Module 1: Course Overview

Module 2: Overview of Auto Accident Claims

Module 3: Claims Handling Activities

Module 4: Negligence in Tort Law

Module 5: Rules of the Road for Motorists

Module 6: Investigation of Coverage and Liability

Module 7: Setting the Scope of the Investigation

Module 8: Auto Claim Investigations

Module 9: Auto Liability Claim Investigations; Gathering Evidence

Module 10: Demonstrative, Documentary, and Real Evidence

Module 11: Taking Statements

Module 12: Obtaining Statements from Insureds, Claimants, and Witnesses

Module 13: Admissibility of Statements and Other Oral Testimony

Module 14: "� Critique of Auto Collision Recorded Statement

Module 15: Determining Proximate Cause

Module 16: Using Experts

Module 17: Subrogation Investigation

Module 18: An Overview of PIP and and MP Claims

Module 19: Investigation of PIP and MP Claims

Module 20: Overview of Uninsured and Underinsured Motorists Claims

Module 21: Investigating Uninsured and Underinsured Motorists Claims

Module 22: Identifying Bodily Injury Fraud Indicators

Module 23: Definitions, Liability Coverage Insuring Agreement.

Module 24: Determining Who Is an Employee

Module 25: Who Is a "Family Member"�?

Module 26: Determining Unauthorized Use of an Insured Vehicle

Module 27: Determining Business Use of a Personal Auto

Module 28: Types of Automobile Physical Damage Claims

Module 29: Investigating Auto Physical Damage Claims

Module 30: Structural Components

Module 31: Total Theft Loss

Module 32: Identifying Property Damage Fraud Indicators

Module 33: Insurance (Motor Vehicles Third Party Risks) Act Cap.405.

Price: USD125

Course Features

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