Treaty claims

2.3.3 Treaty claims

Description of role

Responsible for treaty reinsurance claims handling including claims assessment and investigation, and management of customers and intermediaries.

Core skills

Knowledge of types of treaty reinsurance and claims process
Ability to communicate with customers and intermediaries on regular and non-complex matters.
Knowledge of the characteristics and processes of proportional reinsurance treaties (surplus, quota share)
Knowledge of the characteristics and processes of non-proportional reinsurance treaties (aggregate excess of loss, stop loss, excess of loss).
Understanding the aim of reinsurance programmes, legality, and market practice
Ability to identify key investigation techniques and documentation requirements when assessing a claim.
Ability to perform analysis of claims facts/treaty terms and conditions to determine coverage position.
Ability to identify external factors that affect claims frequency and severity.

Qualification and/ or certification

QFSQF Level 3
Relevant experience

Industry knowledge

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

Regulatory compliance of role

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

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