• Qualification Title: Occupational Certificate: Insurance Claims Administrator (Insurance Claims Assessor)
• Originator: Development Quality Partner - INSETA
• Primary or Delegated Quality Assurance Functionary: NQF SUB-FRAMEWORK - OQSF - Occupational Qualifications Sub-framework
• Field: Business, Commerce, and Management Studies
• Subfield: Finance, Economics, and Accounting
• ABET Band: Not Applicable
• Minimum Credits: 131
• NQF Level: 4
• Purpose and Rationale:
  • Purpose: This qualification prepares learners to operate as Insurance Claims Administrators (Insurance Claims Assessors). They assess the validity of claims against contracts, recommend settlements, and provide comments on risk improvements and moral risks.
  • Rationale: The scarcity of skills in the insurance industry necessitates the development of qualified assessors. This qualification addresses that need by ensuring the training of skilled assessors

This qualification is designed to empower individuals with the knowledge and skill required by participants in short term insurance; who have had school at or below NQF Level 4. It is intended to empower learners to acquire the knowledge, skills, attitudes, and values required to operate confidently as individuals in the South African community and to respond to the challenges of the economic environment and changing world of work in the financial services industry.

The qualification is a holistic introduction to wealth management and wealth creation. It enables learners to build the introductory knowledge, skills, attitudes, and values required for learners to operate ethically and responsibly. The qualification covers structured, low risk, cash-backed investment or guaranteed products for conservative portfolios including life, disability, health events (dread disease and personal accident), and funeral cover. The qualification develops individuals to have a basic understanding of economics, asset management, investment principles, financial markets, risk (personal and financial), and the need to provide financially for retirement.

It should add value to the qualifying learner in terms of enrichment of the person, status, licensing, and recognition. The qualification deals with generic competencies required in the management and creation of wealth including Long-Term Insurance (Life, Medical Scheme Administration, and Retirement Funds), Short Term Insurance and Collective Investments.

The qualification enables learners selling insurance in the retail environment to build knowledge and skill required for licensing. Retail insurance covers both Long-Term and Short-Term insurance-related learning. It introduces a fundamental understanding of the key terms, rules, concepts, and principles of insurance that will enable learners to be informed workers in the retail Insurance Industry. The qualification focuses on basic information gathering, analysis, evaluation, presentation, and the ability to apply knowledge. The qualification enables learners to solve common problems within given a familiar context. It enables learners who sell insurance policies in the Retail Sector to be more informed, efficient, and cost-effective workers who meet the Fit and Proper Qualification requirements.

This qualification empowers learners with the knowledge and skills required by participants in Long Term Insurance who have had schooling at or below NQF level 4. The qualification bridges the gap since learners will not have any knowledge in school. It is intended to empower learners to acquire knowledge, skills attitudes, and values required to operate confidentially as individuals in the South African community and to respond to the challenges of the economic environment and changing world of work in the financial services industry.

This qualification empowers learners to acquire knowledge, skills, attitudes, and values required to operate ethically and responsibly in the highly regulated financial services environment and to respond to the challenges posed by the changing nature of the financial services.

Business analysis is the process of examining an organization's structure, operations, and processes to identify challenges, opportunities, and solutions that enhance efficiency, effectiveness, and overall performance. It involves gathering and analyzing data, identifying needs, and proposing actionable recommendations that align with the organization's strategic objectives.