• 2.2.1 Life insurance


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    Description of role

    Responsible for life insurance claims handling including claims assessment, investigation and management of customers and intermediaries

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    Core skills

    • Knowledge of claims process
    • Knowledge of key investigation techniques and documentation requirements when assessing a claim.
    • Ability to perform the claims handling and decision making process for routine/non-complex claims involving basic life insurance products.
    • Knowledge of medical business
    • Ability to recognise factors that indicate fraud
    • Understanding of legal implications, inheritance etc.
    • Understanding of tools to detect and investigate frauds
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    Qualification and/ or certification

    • QFSQF Level 3
    • Relevant experience

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    Industry knowledge

    • Knowledge of the insurance market, industry trends and developments.
    • Knowledge of key insurance principles and terms

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    Regulatory compliance of role

    • Knowledge of insurance regulatory framework
    • Knowledge of laws and regulations impacting underwriting