Occupational Certificate: Statutory Insurance Claims Administrator (NQF 4)

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About The Course

Statutory Claims Assessor

Build specialist knowledge in Statutory Claims

The Occupational Certificate: Insurance Claims Administrator (Insurance Claims Assessor) — Statutory Claims prepares learners to verify, assess and finalise claims arising within a statutory insurance or compensation environment.

Learners develop the knowledge, practical skills and workplace competence needed to evaluate claims against applicable requirements and support accurate, responsible claims decisions.

  • SAQA ID: 99668

  • Curriculum code: 431204001

  • NQF Level: 4

  • Credits: 131

  • Duration: Approximately 12 months

  • Entry requirement: NQF Level 4 qualification or three years of insurance experience

  • Last date for enrolment: 30 December 2026

  • Last date for achievement: 30 December 2029

You will develop the ability to:

  • Receive and verify statutory claims

  • Confirm claimant and stakeholder information

  • Verify the event giving rise to a claim

  • Review supporting documentation

  • Apply relevant claim requirements

  • Assess the validity and extent of a claim

  • Calculate or confirm the value of a claim

  • Make responsible claims recommendations

  • Support payment or rejection decisions

  • Finalise statutory claims accurately and professionally

This specialisation is ideal for:

  • Statutory claims administrators

  • Compensation claims officers

  • Claims assessors and negotiators

  • Employees of statutory insurance or compensation bodies

  • Claims-processing and benefit-administration employees

  • Employees entering a statutory claims environment

  • Experienced statutory claims employees seeking formal recognition

Knowledge modules — 41 credits

  • Basics of insurance

  • Claims-handling procedures

  • Professional behaviour and financial literacy

Practical skills modules — 40 credits

  • Receiving a claim and verifying its validity

  • Assessing a claim

  • Recommending settlement, conditional settlement or rejection

  • Commenting on risk improvements where applicable

Statutory work-experience modules — 50 credits

  • Verification processes for statutory claims — 10 credits

  • Assessment processes for statutory claims — 15 credits

  • Finalisation processes for statutory claims — 25 credits

The workplace component must be completed in a suitable statutory claims or compensation environment.