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DGI02 Insurance Company Operations - Singapore College of ...

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the main considerations in underwriting policy<br />

the rules for constructing an insurance policy<br />

the key elements <strong>of</strong> an insurance policy<br />

the concept <strong>of</strong> underwriting authority and making referrals<br />

7.4 Pricing<br />

the key considerations in determining the pricing <strong>of</strong> insurance products<br />

7.5 Management <strong>of</strong> exposures<br />

the implications <strong>of</strong> risk accumulation<br />

how reinsurance can help an insurance company manage its risk exposure<br />

the basic forms <strong>of</strong> reinsurance<br />

the authority to place reinsurance<br />

7.6 Budgeting and monitoring results<br />

budget and cash flow forecast<br />

the key measures <strong>of</strong> an insurance company’s performance<br />

Understand the role <strong>of</strong> claims in insurance company operations.<br />

Chapter 8 Claims<br />

8.1 Goals <strong>of</strong> the claims function<br />

8.2 Organisation <strong>of</strong> the claims department<br />

8.3 Claims handling process<br />

the claims handling process and the key requirements<br />

the specific claims information required for the different classes <strong>of</strong> insurance<br />

the claims evaluation and investigation approaches and processes<br />

the difference between claims adjudicators and claims adjusters<br />

the purpose <strong>of</strong> engaging external adjustors<br />

8.4 Key claims management considerations<br />

the key claims management considerations in terms <strong>of</strong>:<br />

- managing the claims experience<br />

- managing the claims cost<br />

- leveraging the learning experience across the entire organisation<br />

8.5 Claims cost management<br />

the concept <strong>of</strong> ‘claims reserve’<br />

the principles <strong>of</strong> setting case reserve<br />

the purpose <strong>of</strong> Reserve Adequacy and Reserve Reconciliation Reviews<br />

ex‐gratia payments and the method used in lieu <strong>of</strong> ex‐gratia payments<br />

punitive or exemplary damages<br />

claims fraud and the reasons for fighting fraud<br />

how might claims fraud be identified<br />

the functions <strong>of</strong> a Third‐Party Administrator<br />

8.6 Quality assurance and review<br />

the importance <strong>of</strong> having a strong claims review programme<br />

Understand the marketing function within insurance organizations.<br />

Chapter 9 <strong>Insurance</strong> marketing<br />

9.1 Definition <strong>of</strong> marketing<br />

what marketing is<br />

the marketing concept<br />

the needs and wants <strong>of</strong> customers<br />

the role and benefits <strong>of</strong> marketing<br />

<strong>DGI02</strong>‐Updated as at 11 May 2011 5

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