CourseInsurance, Risk & Actuarial Data Applications open

Claims Management Processes Course

Online 300-hour course in claims management processes. 6 modules covering Law 50/1980 (Insurance Contract, arts. 16 to 20), Order ECO/734/2004 (customer service) and Guidewire ClaimCenter. Assigned tutor and open enrolment.

Duration300 h
ModeOnline
LanguageEnglish
Start datesSet by the faculty
AwardSEIUM Institute certificate

Claims Management Processes Course — studying from Canada

Canada has a major insurance and financial services sector, with headquarters and operations concentrated in Toronto and Montréal. Insurers and reinsurers rely on actuarial science, risk modelling and data analytics for pricing, reserving and capital management. Federal and provincial regulators oversee solvency, conduct and consumer protection. Engineers and data specialists with risk and modelling skills find roles at insurers, brokers, consultancies and regulatory bodies.

Fees for Canada: C$1,240 (Canadian dollar), with instalments and employer sponsorship available.

Relevant bodies in Canada

  • Office of the Superintendent of Financial Institutions (OSFI)
  • Canadian Institute of Actuaries (CIA)
  • Financial Services Regulatory Authority of Ontario (FSRA)
  • Insurance Bureau of Canada (IBC)

Typical roles

  • Actuarial Analyst
  • Risk Analyst
  • Data Scientist – Insurance
  • Reserving Analyst

Questions from Canada

Is this programme recognised by professional bodies in Canada for insurance and actuarial data work?

SEIUM's qualifications are private, not official state degrees, and are not accredited by a national body in Canada. Actuarial credentials in Canada are governed by the Canadian Institute of Actuaries, and actuarial practice is regulated under provincial and federal rules. A private engineering qualification does not confer these credentials, so confirm recognition with employers or the relevant body yourself.

How might this qualification be used by employers in Canada in insurance or risk roles?

Insurers, banks and risk teams in Canada may value engineering-based data analysis and risk modelling skills, but how they regard a private qualification is their decision. Hiring in these sectors often depends on experience, professional exams and specific credentials. Your final project can serve as evidence of applied skills, though it does not guarantee any role or salary outcome.

What are the practical demands of studying this online from Canada?

Study is fully online and in English, and no student visa is required if you study from home. Programme lengths range from 300 to 1,900 hours, so consider how many hours a week you can commit alongside work. You are assigned a technical tutor for support. Fees can be paid in instalments, and some students receive employer sponsorship, which is possible but not guaranteed.

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Learning outcomes

What you will be able to do

01

Describe the phases of the claims management process.

02

Carry out the opening and initial coverage analysis.

03

Build the claim file with the necessary documentation and evidence.

04

Settle and pay the claim in compliance with legal deadlines.

05

Apply quality controls and complaints management.

06

Propose process improvements based on indicators.

07

Develop an integrative project redesigning the claims process.

Profile

Who it's for

  • Claims handler looking to specialise in Claims Management Processes.
  • Claims team leader looking to specialise in Claims Management Processes.
  • Process quality analyst looking to specialise in Claims Management Processes.
  • Customer service manager in insurance looking to specialise in Claims Management Processes.
  • Property claims manager looking to specialise in Claims Management Processes.
  • Continuous improvement manager looking to specialise in Claims Management Processes.
  • Engineering or science graduates seeking to enter insurance companies.
Standards & tools

What you'll work with

  • Law 50/1980 (Insurance Contract, arts. 16 to 20)
  • Order ECO/734/2004 (customer service)
  • Royal Decree 1060/2015 (ROSSEAR)
  • ISO 9001 (quality management)
  • ISO 10002 (complaints handling)
  • Law 35/2015 (traffic compensation scale)
Syllabus

6 modules · 300 h

  1. 1.1Phases of the process from start to finish
  2. 1.2Internal and external stakeholders
  3. 1.3Claim types and differentiated routes
  4. 1.4Department objectives and the tensions between them
  5. 1.5Main process indicators
  6. 1.6Support systems and documentation
  7. 1.7Legal framework for claims handling
  8. 1.8Sector vocabulary and acronyms
  9. 1.9Most common critical points
  10. 1.10Exercise: process map for a line of business
  1. 2.1Notification channels and their design
  2. 2.2Minimum data for first notification
  3. 2.3Policy and validity verification
  4. 2.4Preliminary coverage check
  5. 2.5Claim file opening and initial reserve
  6. 2.6Triage and file assignment
  7. 2.7Initial communication to the policyholder
  8. 2.8Activation of assistance services
  9. 2.9Documentation to request
  10. 2.10Practice: claim opening protocol
  1. 3.1Appointment and monitoring of loss adjusters
  2. 3.2Damage assessment and estimates
  3. 3.3Detailed coverage analysis
  4. 3.4Determination of liability
  5. 3.5Third-party management and agreements
  6. 3.6Reserve updates
  7. 3.7Claim file document management
  8. 3.8Legal deadlines and their control
  9. 3.9Periodic communication with the policyholder
  10. 3.10Practice: investigation of a typical claim file
  1. 4.1Coverage decision and its justification
  2. 4.2Reasoned offer and reasoned response
  3. 4.3Calculation of compensation
  4. 4.4Repair in kind and service provision
  5. 4.5Payment, receipts and final release
  6. 4.6Rejection and communication to the policyholder
  7. 4.7Reopening and its causes
  8. 4.8Recovery and subrogation
  9. 4.9Claim closure and release of reserves
  10. 4.10Practice: settlement and communication of a case
  1. 5.1Sample-based claim file review
  2. 5.2Indicators for timescale, cost and quality
  3. 5.3Queue and aged file management
  4. 5.4Complaints management
  5. 5.5Team training and calibration
  6. 5.6Automation of repetitive tasks
  7. 5.7Coordination with underwriting and product
  8. 5.8Reporting to management
  9. 5.9Continuous process improvement
  10. 5.10Practice: process dashboard
  1. 6.1Choice of line of business and scope
  2. 6.2Detailed map of the current process
  3. 6.3Diagnosis of critical points
  4. 6.4Redesign of the proposed process
  5. 6.5Protocols for each phase
  6. 6.6Indicator and control system
  7. 6.7Team training plan
  8. 6.8Implementation plan
  9. 6.9Project report
  10. 6.10Project defence
Methodology, software & labs

How you'll learn

100 % online training on the SEIUM campus, with downloadable material, recorded classes and an assigned technical tutor. No fixed timetables: students progress at their own pace within the intake, making it possible to combine with work.

Each module combines theory, guided reading of the original standard and applied exercises. The working software is Guidewire ClaimCenter, Microsoft Excel, Bizagi Modeler, Power BI, in free, academic or evaluation versions. Tests are studied through real claim-file simulation procedures, BPMN process mapping and claims-handling quality audits. Assessment is continuous by module, plus the final integrative project.

Accreditable laboratories(EN ISO/IEC 17025) with rotor test rig, EMC/Lightning pre-compliance, HIL/SIL, vibration/acoustics.
Evidence-focused final project:safety case, test plan, compliance dossier and operational limits.
Industry-mentored:lecturers with experience in training, , eVTOL/UAM and flight test.
Flexible format(hybrid/online), international cohorts and support from SEIUM Career Services.
Ethics and safety:safety-by-design approach, ciber-OT, DIH and compliance as pillars.
Capstone project

Build it end to end

Your final project follows the real engineering workflow, step by step, reviewed by your tutor.

Choice of line of business and scope

Describe the phases of the claims management process.

Detailed map of the current process

Carry out the opening and initial coverage analysis.

Diagnosis of critical points

Build the claim file with the necessary documentation and evidence.

Redesign of the proposed process

Settle and pay the claim in compliance with legal deadlines.

Protocols for each phase

Apply quality controls and complaints management.

Career opportunities

Where this takes you

Claims handlerClaims team leaderProcess quality analystCustomer service manager in insuranceProperty claims managerContinuous improvement manager
Admissions & scholarships

Requirements

  • No prior qualification required.
  • Internet connection and a computer capable of running the programme's software.
  • Sufficient level of Spanish to follow technical regulatory texts.

Ready to start?

Send your application today. Our admissions team replies within 72 hours with your study plan and funding options.

FAQ

Frequently asked questions

The programme totals 300 hours spread over 3 to 5 months. That is an average of 10 to 15 hours a week, compatible with a full-time job.

You work with Guidewire ClaimCenter, Microsoft Excel, Bizagi Modeler, Power BI. Free, academic or evaluation versions are used, and the tutor indicates the free alternative where one exists.

SEIUM's own diploma upon passing the continuous assessment and the integrative project. It is in-house training, not an official Ministry qualification.

Yes. Modules passed in a Course or Postgraduate Diploma in the same area count towards the advanced programme. Check the recognition policy when you enrol.

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