Insurance Claims Administrator

The purpose of this qualification is to prepare a student to operate as an Insurance Claims Administrator (Insurance Claims Assessor). The responsibilities of this role include assessing the validity of a claim against the relevant contract, in order to make a sound recommendation about whether a claim should be settled or rejected. In addition, an Insurance Claims Administrator provides comment on risk improvements, as well as moral risks.
EISA (External Integrated Summative Assessment) exam to be booked directly with Inseta once NVO programme is completed.

Exam fee payable directly to Inseta (exam fees to be found on Inseta website). The Novia One mock examination will be venue based to simulate exam conditions as applied by the EISA exam.

Module 1: Business Communications
Module 2: Financial Literacy
Module 3: Introduction to the Insurance Industry
Module 4: The Regulatory Environment
Module 5: Claims Handling Procedures: Short-Term Insurance
Module 6: Claims Handling Procedures: Statutory Claims
Module 7: Claims Handling Procedures: Health Care Claims
Module 8: Claims Handling Procedures: Long-Term Insurance

Prescribed work experience must be endorsed by the student’s mentor/supervisor and submitted to NVO for final assessment.

1. Review the insurance industry, the role players in a claims environment and the principles of insurance.
2. Gain a legal understanding of contracts and the regulatory environment.
3. Make credible recommendations to settle, conditionally settle or reject a claim.
4. Become an expert in the verification, assessment and finalisation processes of short-term, statutory and healthcare claims.
5. Make sounds decisions regarding payments to relevant stakeholders.