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CourseInsurance, Risk & Actuarial Data Applications open

Course in Digital Platforms in Claims Management

Online course of 300 h in digital platforms in claims management. 6 modules with Regulation (EU) 2022/2554 (DORA), Regulation (EU) 2024/1689 (AI Act) and Guidewire ClaimCenter. Assigned tutor and open enrolment.

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

What you will be able to do

01

Compare the main claims management platforms.

02

Automate stages of the claims process using rules and robotic process automation.

03

Integrate data and services from external suppliers into the platform.

04

Apply operational resilience and data protection requirements.

05

Define controls and quality metrics for the automated process.

06

Plan the implementation and adoption by claims handling teams.

07

Develop an implementation project for a claims platform.

Profile

Who it's for

  • Claims platform manager who wants to specialise in Digital Platforms in Claims Management.
  • Process automation analyst who wants to specialise in Digital Platforms in Claims Management.
  • Integration architect in insurance who wants to specialise in Digital Platforms in Claims Management.
  • Claims supplier manager who wants to specialise in Digital Platforms in Claims Management.
  • Claims project manager who wants to specialise in Digital Platforms in Claims Management.
  • Operational control manager who wants to specialise in Digital Platforms in Claims Management.
  • Engineering or science graduates looking to enter insurers.
Standards & tools

What you'll work with

  • Regulation (EU) 2022/2554 (DORA)
  • Regulation (EU) 2024/1689 (AI Act)
  • Regulation (EU) 2016/679 (GDPR)
  • ISO 22301 (business continuity)
  • EIOPA Guidelines on ICT security and governance
  • ISO/IEC 27001 (information security)
Syllabus

6 modules · 300 h

  1. 1.1What a claims management platform covers
  2. 1.2Limitations of legacy systems
  3. 1.3Components: claim file, reserves, payments and documents
  4. 1.4Integration with loss adjusters, workshops and suppliers
  5. 1.5Policyholder and broker portals
  6. 1.6Buy, build or integrate
  7. 1.7Cloud deployment and its implications
  8. 1.8Sector vocabulary and acronyms
  9. 1.9Common implementation mistakes
  10. 1.10Exercise: functional inventory of a platform
  1. 2.1Automatic opening from digital channels
  2. 2.2Automatic triage and business rules
  3. 2.3Decision-support models
  4. 2.4Automatic settlement of simple claims
  5. 2.5Document management and data extraction
  6. 2.6Automatic payments and their control
  7. 2.7Authorisation and exception workflows
  8. 2.8Traceability of automated decisions
  9. 2.9Limits of automation
  10. 2.10Practice: designing an automated workflow
  1. 3.1Claim file data model
  2. 3.2Integration with loss adjusters and external platforms
  3. 3.3Integration with the repair network
  4. 3.4Exchange with other entities and agreements
  5. 3.5Data quality and governance
  6. 3.6Operational analytics and dashboards
  7. 3.7Technical service level agreements
  8. 3.8Supplier dependency and exit
  9. 3.9Total cost of ownership
  10. 3.10Practice: specification of an integration
  1. 4.1Data protection and minimisation
  2. 4.2Access control and segregation of duties
  3. 4.3Audit trail and retention
  4. 4.4Applicable artificial intelligence regulation
  5. 4.5Transparency of automated decisions
  6. 4.6Prevention of internal fraud
  7. 4.7Operational resilience and continuity
  8. 4.8Periodic security testing
  9. 4.9Regulatory reporting from the platform
  10. 4.10Practice: control matrix for the platform
  1. 5.1Migration and data strategy
  2. 5.2Coexistence with the previous system
  3. 5.3Functional and acceptance testing
  4. 5.4Training of claims handlers and the network
  5. 5.5Phased go-live
  6. 5.6Stabilisation and support
  7. 5.7Measuring impact on cost and timescale
  8. 5.8Managing resistance to change
  9. 5.9Continuous evolution of the platform
  10. 5.10Practice: phased implementation plan
  1. 6.1Choice of organisation and scope
  2. 6.2Diagnosis of the process and systems
  3. 6.3Decision to buy, build or integrate
  4. 6.4Functional and automation design
  5. 6.5Integration plan
  6. 6.6Compliance and security matrix
  7. 6.7Implementation and training plan
  8. 6.8Cost model and indicators
  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 assigned technical tutor. No fixed timetable: the student progresses at their own pace within the intake, which makes it possible to combine it with work.

Each module combines theory, guided reading of the original standard and applied exercises. The working software is Guidewire ClaimCenter, Duck Creek Claims, UiPath, Camunda (BPMN), Power BI, in free, academic or evaluation versions. Tests are studied on real claims-flow automation procedures, supplier integration tests and performance dashboards. Assessment is continuous per module plus the final integrative project.

Accredited laboratories(EN ISO/IEC 17025) with rotor test rig, EMC/Lightning pre-compliance, HIL/SIL, vibration/acoustics.
Evidence-oriented thesis:safety case, test plan, compliance dossier and operational limits.
Industry mentoring: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, cyber-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 organisation and scope

Compare the main claims management platforms.

Diagnosis of the process and systems

Automate stages of the claims process using rules and robotic process automation.

Decision to buy, build or integrate

Integrate data and services from external suppliers into the platform.

Functional and automation design

Apply operational resilience and data protection requirements.

Integration plan

Define controls and quality metrics for the automated process.

Career opportunities

Where this takes you

Claims platform managerProcess automation analystInsurance integration architectClaims supplier managerClaims project managerOperational control 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 reading.

Ready to start?

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

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FAQ

Frequently asked questions

The programme is 300 hours in total, spread over 3 to 5 months. That is between 10 and 15 hours a week on average, compatible with full-time work.

You work with Guidewire ClaimCenter, Duck Creek Claims, UiPath, Camunda (BPMN), 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 qualification from the Ministry.

Yes. Modules passed in a course or postgraduate diploma in the same area are credited towards the advanced programme. Check the credit transfer policy when you enrol.

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