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SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE: 

Demonstrate knowledge and skill in order to assess a fire or accident claim 
SAQA US ID UNIT STANDARD TITLE
14974  Demonstrate knowledge and skill in order to assess a fire or accident 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 
REGISTRATION STATUS REGISTRATION START DATE REGISTRATION END DATE SAQA DECISION NUMBER
Passed the End Date -
Status was "Registered" 
2003-10-08  2006-02-09  SAQA 0150/03 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2007-02-09   2010-02-09  

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
120137  Demonstrate knowledge and skill in order to assess a non-motor claim  Level 4  NQF Level 04  Complete 

PURPOSE OF THE UNIT STANDARD 
This Unit Standard is intended for claims assessors, negotiators and other learners who assess the damage in a fire or accident claim.

The qualifying learner is capable of:
  • Preparing to conduct an assessment.
  • Investigating the merits of a claim.
  • Making a decision to settle a claim.
  • Concluding a settlement with a client. 

  • 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 and Mathematical and Financial Literacy at NQF Level 3. 

    UNIT STANDARD RANGE 
    The typical scope of this Unit Standard is:
  • Claims against the fire and accident sections of a Multimark (TM) policy.
  • Personal domestic, commercial, industrial and corporate claims. 

  • Specific Outcomes and Assessment Criteria: 

    SPECIFIC OUTCOME 1 
    Prepare to conduct an assessment. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    1. Information relating to the client is analysed in order to compile a profile. 

    ASSESSMENT CRITERION 2 
    2. The schedule of cover is analysed to establish the cover in terms of the policy. 

    ASSESSMENT CRITERION 3 
    3. A claim's history is analysed for information relevant to the current claim and risk management requirements. 

    SPECIFIC OUTCOME 2 
    Investigate the merits of a claim. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    1. Information about a loss is gathered in an on-site observation. 

    ASSESSMENT CRITERION 2 
    2. The observed situation is compared to the policy cover and a decision is made as to whether the claim is valid. 

    ASSESSMENT CRITERION 3 
    3. The loss is quantified with reference to item identification, estimation of damage or loss and the limitations of policy cover. 

    ASSESSMENT CRITERION 4 
    4. The rules of the insurer are applied to the claim with reference to existing service level agreements. 

    SPECIFIC OUTCOME 3 
    Make a decision to settle a claim. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    1. The quantum of the claim is used to determine the method of settlement. 

    ASSESSMENT CRITERION 2 
    2. Settlement options are established from the policy wording. 

    ASSESSMENT CRITERION 3 
    3. Service providers for the specific insurer/underwriter are named with reference to current service level agreements. 

    ASSESSMENT CRITERION 4 
    4. A proposal is made for the settlement of the claim. 

    SPECIFIC OUTCOME 4 
    Conclude a settlement with a client. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    1. A proposal for a settlement is presented o a client. 

    ASSESSMENT CRITERION 2 
    2. Techniques to manage potential conflict are demonstrated in real situations or in role-play. 

    ASSESSMENT CRITERION 3 
    3. Documents required by the underwriter are completed and an indication is given of the consequences of accepting the contract of settlement. 

    ASSESSMENT CRITERION 4 
    4. A written report is compiled for the insurer/underwriter according to organisation requirements. 


    UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS 
    Accreditation for this Unit Standard shall be obtained from the relevant Education and Training Quality Assurance Body, through summative and formative assessment by a registered assessor.
  • Assessors must be registered as an Assessor with the INSQA or with an ETQA that has a Memorandum of Understanding with the INSQA
  • Moderators must be registered as assessors with INSQA, or with an ETQA that has a Memorandum of Agreement with INSQA.
  • Training providers must be accredited by the relevant ETQA.

    Moderation should include both internal and external moderation where applicable. 

  • UNIT STANDARD DEVELOPMENTAL OUTCOME 
    N/A 

    UNIT STANDARD LINKAGES 
    N/A 


    Critical Cross-field Outcomes (CCFO): 

    UNIT STANDARD CCFO IDENTIFYING 
    Learners are capable of identifying and solving problems in which responses show that responsible decisions using critical thinking have been made in making a settlement decision. 

    UNIT STANDARD CCFO COLLECTING 
    Learners are capable of collecting, organising and critically evaluating information in gathering information on site and from documents. 

    UNIT STANDARD CCFO COMMUNICATING 
    Learners are capable of communicating effectively in explaining the proposed settlement and demonstrating techniques for managing potential conflict. 

    UNIT STANDARD CCFO DEMONSTRATING 
    Learners are capable of seeing the world as a set of related systems relating on site observations to a claim and reporting to underwriters after the settlement of a claim. 

    UNIT STANDARD ASSESSOR CRITERIA 
    N/A 

    UNIT STANDARD NOTES 
    This unit standard has been replaced by unit standard 120137, which is " Demonstrate knowledge and skill in order to assess a non-motor 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  24396   National Certificate: Risk Management  Level 4  NQF Level 04  Passed the End Date -
    Status was "Registered" 
    2006-10-08  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.
     
    NONE 



    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.