SAQA

All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.

SOUTH AFRICAN QUALIFICATIONS AUTHORITY

REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE:

Process a short term personal/ domestic insurance claim

SAQA US ID	UNIT STANDARD TITLE
10370	Process a short term personal/ domestic insurance claim
ORIGINATOR
SGB Financial Services
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-
FIELD			SUBFIELD
Field 03 - Business, Commerce and Management Studies			Finance, Economics and Accounting
ABET BAND	UNIT STANDARD TYPE	PRE-2009 NQF LEVEL	NQF LEVEL	CREDITS
Undefined	Regular	Level 4	NQF Level 04	3
REGISTRATION STATUS		REGISTRATION START DATE	REGISTRATION END DATE	SAQA DECISION NUMBER
Passed the End Date - Status was "Registered"		2002-06-12	2005-06-12	SAQA 0742/02
LAST DATE FOR ENROLMENT		LAST DATE FOR ACHIEVEMENT
2006-06-12		2009-06-12

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.

This unit standard is replaced by:

US ID	Unit Standard Title	Pre-2009 NQF Level	NQF Level	Credits	Replacement Status
120123	Process a short term insurance claim	Level 4	NQF Level 04	3

PURPOSE OF THE UNIT STANDARD

This unit standard is intended for learners who wish to follow a career path in short term personal/domestic insurance.

The qualifying learner is capable of:

Understanding the process of registering a short-term personal/domestic insurance claim.

Gathering information required processing a short-term personal/domestic insurance claim.

Calculating the settlement of a short-term personal/domestic insurance claim.

Assessing the facts to finalise a short-term personal/domestic insurance claim.

LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING

There is open access to this Unit Standard. Learners should be competent in Communication, Mathematical Literacy and Financial Literacy at NQF Level 3.

UNIT STANDARD RANGE

The typical scope of this unit standard is:
1. Classes of short-term personal/domestic insurance are buildings, building contents all risks, motor, personal liability, personal accident, small craft, watercraft, travel.

Specific Outcomes and Assessment Criteria:

SPECIFIC OUTCOME 1

Demonstrate knowledge and understanding the process.

OUTCOME NOTES

Demonstrate knowledge and understanding of the process of registering a short-term personal/domestic insurance claim.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. The information on a short-term personal/domestic insurance policy schedule and policy wording are interpreted and a decision is made against which section of a short-term personal/domestic insurance policy to register the claim.

ASSESSMENT CRITERION 2

2. The concept of quantum is explained with examples from short-term personal/domestic insurance.

ASSESSMENT CRITERION 3

3. The status of a short-term personal/domestic insurance claim is checked for validity for five different scenarios.

ASSESSMENT CRITERION 4

4. Reasons why excess applies on a short-term personal/domestic insurance policy are explained for five different types of claim.

ASSESSMENT CRITERION 5

5. A short-term personal/domestic insurance claim is checked against the claim's history of the policy-holder.

ASSESSMENT CRITERION 6

6. The effect of multiple short-term personal/domestic insurance claims is explained in terms of excess, validity and future underwriting criteria.

ASSESSMENT CRITERION 7

7. Reasons why a short-term personal/domestic insurance claim should be referred to the legal/recovery department are explained in terms of recovery of company costs and the insured's excess.

SPECIFIC OUTCOME 2

Gather information to substantiate a short-term personal/domestic insurance claim.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. Supporting documents required to process a short-term personal/domestic insurance claim are listed for five different claims.

ASSESSMENT CRITERION 2

2. The role of an assessor or investigator in short-term personal/domestic insurance is explained and three examples of are given of the circumstances under which one would make a decision to appoint an assessor or investigator.

ASSESSMENT CRITERION 3

3. Possible sources of information in short term personal/domestic insurance is named for five different scenarios.

SPECIFIC OUTCOME 3

Assess the facts and make a decision to finalise a short-term personal/domestic insurance claim.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. The standards and procedures of a specific short-term personal/domestic insurance organisation are explained and evidence is provided to indicate compliance.

ASSESSMENT CRITERION 2

2. A decision is made to accept a short-term personal/domestic insurance claim or deny liability based on the relevant documentation.

ASSESSMENT CRITERION 3

3. The risk associated with a particular short-term personal/domestic insurance claim is assessed and communicated to the underwriting department.

ASSESSMENT CRITERION 4

4. Reasons why it is important to communicate the risk to the underwriting department are explained in terms of minimising future losses.

ASSESSMENT CRITERION 5

5. Payment is effected as per company policy.

ASSESSMENT CRITERION 6

6. Specific calculations required to process a short-term personal/domestic insurance claim are identified for five different scenarios.

ASSESSMENT CRITERION 7

7. An agreement of loss/release form is completed for three different types of short-term personal/domestic insurance claims.

SPECIFIC OUTCOME 4

Calculate the settlement of a short-term personal/domestic insurance claim.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. Average is correctly calculated for three examples of short-term personal/domestic insurance claims.

ASSESSMENT CRITERION 2

2. Dual insurance is correctly calculated for three examples of short-term personal/domestic insurance claims.

ASSESSMENT CRITERION 3

3. Reinsurance is correctly calculated for three examples of short-term personal/domestic insurance claims.

ASSESSMENT CRITERION 4

4. Co insurance is correctly calculated for three examples of short-term personal/domestic insurance claims.

UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS

This Unit Standard will be internally assessed by the provider and moderated by a moderator registered by INSQA. The mechanisms and requirements for moderation are contained in the document obtainable from INSQA,
INSQA framework for assessment and moderation.

Critical Cross-field Outcomes (CCFO):

UNIT STANDARD CCFO IDENTIFYING

Learners are able to identify and solve problems in which responses show that responsible decisions using critical have been made in deciding against which section of a policy to register a claim and making a decision to finalise a claim.

UNIT STANDARD CCFO WORKING

Learners are able to work effectively with others as a member of a team, group or organisation in following the standards and procedures of a specific organisation and communicating with the underwriting department.

UNIT STANDARD CCFO COLLECTING

Learners are able to collect, organise and critically evaluate information in making a decision to finalise a claim.

UNIT STANDARD CCFO COMMUNICATING

Learners are able to communicate effectively using visual, mathematics and language skills in the modes of oral and/or written presentations in communicating with the underwriting department and calculating the settlement of a claim.

UNIT STANDARD CCFO SCIENCE

Learners are able to use science and technology effectively and critically showing responsibility towards the environment and the health of others in using a computer to process a claim.

UNIT STANDARD CCFO DEMONSTRATING

Learners are able to demonstrate an understanding of the world as a set of related systems by knowing why it is important to communicate with the underwriting department and understanding the effect of multiple claims on excess, validity and future underwriting criteria.

UNIT STANDARD NOTES

This unit standard has been replaced by unit standard 120123, which is " Process a short term insurance claim", Level 4, 3 credits.

QUALIFICATIONS UTILISING THIS UNIT STANDARD:

	ID	QUALIFICATION TITLE	PRE-2009 NQF LEVEL	NQF LEVEL	STATUS	END DATE	PRIMARY OR DELEGATED QA FUNCTIONARY
Elective	21796	National Certificate: Short Term Insurance	Level 4	NQF Level 04	Passed the End Date - Status was "Registered"	2005-06-12	Was INSETA until Last Date for Achievement

PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD:

This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.

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