Finance and TreasuryInsurance Underwriting and Claims Operations
An insurer makes its money by pricing risk correctly and loses it by paying claims it should have declined or declining claims it should have paid, and both failures originate in the same place: an incomplete understanding of the risk written. This course covers both functions. Delegates work through risk assessment and rating factors, underwriting decision making including acceptance, loading, exclusion and declinature, and policy wording as the instrument that defines the exposure accepted. Reinsurance is covered at the level an underwriter needs. Claims handling follows: notification, reserving, investigation, settlement and recovery. Fraud indicators and investigation are addressed. The course closes on the feedback loop from claims experience back into underwriting, which is where most insurers underperform.
Course objectives
- Assess risk and apply rating factors to price it
- Decide on acceptance, loading, exclusion or declinature
- Use policy wording to define the exposure accepted
- Apply reinsurance arrangements at an underwriting level
- Handle claims from notification through reserving to settlement
- Recognise fraud indicators and investigate appropriately
- Feed claims experience back into underwriting decisions
Who should attend
- Underwriters and underwriting assistants
- Claims handlers and assessors
- Insurance brokers and intermediaries
- Actuarial and pricing support staff
- Managers overseeing insurance operations
Course outline
- 01Paying what should be declined and declining what should be paid
- 02Risk assessment and rating factors
- 03Underwriting decisions and terms
- 04Policy wording and defined exposure
- 05Reinsurance for underwriters
- 06Claims notification and reserving
- 07Investigation, settlement and recovery
- 08Fraud indicators and the claims to underwriting feedback loop
Scheduled sessions
| Dates | Venue | Format | Price | Register |
|---|---|---|---|---|
| 12 to 16 October 2026 | Online | Online | R8,500 per delegate | Register Now |
| 9 to 13 November 2026 | Maputo, Mozambique | Classroom | USD 1,325 per delegate | Register Now |
| 23 to 27 November 2026 | Casablanca, Morocco | Classroom | USD 1,325 per delegate | Register Now |
| 21 to 25 December 2026 | Mbabane, Eswatini | Classroom | R19,950 per delegate | Register Now |
| 11 to 15 January 2027 | Durban, South Africa | Classroom | R19,950 per delegate | Register Now |
| 22 to 26 February 2027 | Cape Town, South Africa | Classroom | R19,950 per delegate | Register Now |