IF4 — Insurance Claims Handling Process

IF4 — Insurance Claims Handling Process

This unit covers the claims handling process from notification to settlement, including fraud detection and litigation management.

Syllabus

• Claims notification — reporting procedures, documentation requirements
• Claims investigation — loss adjusters, experts, forensic analysis
• Claims settlement — indemnity basis, reinstatement, cash settlement
• Fraud detection — indicators, investigation techniques, sanctions
• Complaints & disputes — Financial Ombudsman Service (FOS), litigation