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996 Assignment 03

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262 views2 pages

996 Assignment 03

CII uk

Uploaded by

Tabiri kojo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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996: Strategic claims

management
Coursework – assignment 3
Coursework submission rules and important notes
Before you start your assignment, it is essential that you familiarise yourself with the information in the
Coursework Support Centre.
Please note the following information:
• This assignment must not be provided to, or discussed with, any other person regardless of whether they
are another candidate or not. If you are found to have breached this rule, disciplinary action may be taken
against you.
• Important rules relating to referencing all sources including the study text, regulations and citing statute
and case law.
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and submit it as if it was your own work.
• Coursework marking criteria applied by markers to submitted answers.
• Deadlines for submission of coursework answers.
• You must not include your name or CII PIN anywhere in your answer.
• There are 80 marks available per coursework assignment. You must obtain a minimum of 40 marks (50%)
per coursework assignment to achieve a pass.
• Your answer must be submitted on the correct answer template in Arial font, size 11.
• Each assignment answer should be a maximum of 3,200 words. The word count does not include labels
and headings however, it does include text and numbers contained within any tables or diagrams you
choose to use. The word count does not include referencing or supplementary material in appendices.
Please be aware that at the point an assignment answer exceeds the word count by more than 10%
the examiner will stop marking.

Top tips for answering coursework assignments


• Read the Specimen coursework assignment and answer, available on the unit webpage.
• Read the assignments carefully and ensure you answer all parts of the assignments.
• For assignments relating to regulation and law, knowledge of the UK regulatory framework is appropriate.
• There is no minimum word requirement, but an answer with fewer than 2,800 words may be insufficiently
comprehensive.

Copyright © 2024 The Chartered Insurance Institute. All rights reserved.


996/2024 996: Strategic claims management 2
Assignment 3
You are the newly appointed Claims Director for PEL Ltd, an insurer that transacts a wide range of personal
and commercial lines insurances. The commercial lines insurances are primarily aimed at small to medium
size enterprises (SMEs).
The current claims strategy, based on an insource model, was devised and implemented five years ago. The
insource model has failed to deal adequately with the volume and complexity of claims received. As a result,
PEL Ltd has been subject to regulatory scrutiny.
After a closed-case claims review, the regulator has identified the following failings:
• Policyholders experiencing obstacles and delays when reporting insurance claims.
• Frequent delays in responding to policyholders' correspondence during the claims process.
• Late payments in 20% of valid claims.
• Incidents of claim declinatures where cover existed for the policyholders and the claims should have been
assessed and paid.
• A claims handling and resource model that does not respond appropriately to the differing needs of
policyholders.

The Board of PEL Ltd has asked you to urgently devise and implement a new strategy for the claims function
to address these failings.

Question
• Identify, with justification, four significant strategic claims priorities for PEL Ltd.
• Devise a new strategy for the claims function to address these strategic priorities, whilst also ensuring the
claims function is fit for purpose.
• Recommend how you will successfully implement the claims strategy you have devised, including key
milestones.

Copyright © 2024 The Chartered Insurance Institute. All rights reserved.

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