CourseInsurance, Risk & Actuarial Data Applications open

Course in Measuring Claims Response Times

Online 300-hour course in measuring claims response times. 6 modules covering Ley 50/1980 de Contrato de Seguro (arts. 18, 20 and 38), ISO 13053-1 (Six Sigma, DMAIC methodology) and Celonis (process mining). Dedicated 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

Explain the impact of response time on cost and customer satisfaction.

02

Define precisely the measurable milestones and timeframes of a claim.

03

Calculate the insurer's legal payment deadlines and late-payment interest.

04

Analyse delays using process mining and statistics.

05

Apply the DMAIC methodology to reduce timeframes.

06

Design controls that sustain improvements over time.

07

Present a timeframe improvement case with quantified results.

Profile

Who it's for

  • Claims process analyst who wants to specialise in measuring claims response times.
  • Operational excellence manager who wants to specialise in measuring claims response times.
  • Six Sigma Black Belt in insurance who wants to specialise in measuring claims response times.
  • Customer service manager who wants to specialise in measuring claims response times.
  • Process mining analyst who wants to specialise in measuring claims response times.
  • Claims handling coordinator who wants to specialise in measuring claims response times.
  • Engineering or science graduates seeking to enter insurance companies.
Standards & tools

What you'll work with

  • Ley 50/1980 de Contrato de Seguro (arts. 18, 20 and 38)
  • ISO 13053-1 (Six Sigma, DMAIC methodology)
  • ISO 18295-1 (customer contact centres)
  • Orden ECO/734/2004 (customer service)
  • ISO 9001
  • EIOPA guidelines on claims handling
Syllabus

6 modules · 300 h

  1. 1.1Why the timeframe matters to the policyholder
  2. 1.2Legal deadlines for claims handling
  3. 1.3Process milestones and their timings
  4. 1.4Process time versus waiting time
  5. 1.5Common causes of delay
  6. 1.6Relationship between timeframe, cost and quality
  7. 1.7Sector vocabulary and acronyms
  8. 1.8Realistic expectations by claim type
  9. 1.9Effect of timeframe on complaints
  10. 1.10Exercise: timing map of a process
  1. 2.1Precise definition of each timeframe indicator
  2. 2.2Starting and stopping the clock at each milestone
  3. 2.3Calendar days versus working days
  4. 2.4Medians, percentiles and their usefulness
  5. 2.5Handling atypical claims
  6. 2.6Segmentation by line of business and complexity
  7. 2.7Quality of time data
  8. 2.8Visualisation and dashboards
  9. 2.9Comparison with the market
  10. 2.10Practical: defining the indicator dashboard
  1. 3.1Analysis of the claims queue
  2. 3.2Bottlenecks and how to identify them
  3. 3.3Waiting time due to documentation
  4. 3.4Delays from assessment and suppliers
  5. 3.5Delays from internal decisions
  6. 3.6Reopenings and their effect
  7. 3.7Variability between handlers
  8. 3.8Seasonality and peaks
  9. 3.9Root cause analysis
  10. 3.10Practical: diagnosing delays in a line of business
  1. 4.1Simplifying steps and documentation
  2. 4.2Automating waiting tasks
  3. 4.3Active queue management and prioritisation
  4. 4.4Service level agreements with assessors and suppliers
  5. 4.5Proactive communication with the policyholder
  6. 4.6Self-service and digital document submission
  7. 4.7Capacity and team sizing
  8. 4.8Managing peaks and surge support
  9. 4.9Preventing reopening
  10. 4.10Practical: timeframe reduction plan
  1. 5.1Timeframe targets and their realism
  2. 5.2Risk of sacrificing quality for speed
  3. 5.3Quality controls when accelerating
  4. 5.4Reporting and periodic monitoring
  5. 5.5Team incentives
  6. 5.6Communicating objectives
  7. 5.7Reviewing indicators
  8. 5.8Ongoing market comparison
  9. 5.9Sustainability of improvements
  10. 5.10Practical: dashboard with safeguards
  1. 6.1Choosing the line of business and process
  2. 6.2Rigorous definition of indicators
  3. 6.3Measuring the current situation
  4. 6.4Diagnosing bottlenecks
  5. 6.5Timeframe reduction plan
  6. 6.6Quality safeguards
  7. 6.7Monitoring system
  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 a dedicated technical tutor. No fixed timetables: students progress at their own pace within the intake, which makes it possible to combine study with work.

Each module combines theory, guided reading of the original standard and applied exercises. The working software is Celonis (process mining), Minitab, Power BI, advanced Excel, in free, academic or trial versions. Practicals are based on real process mining procedures applied to claims records, time studies and bottleneck analysis, and DMAIC projects to reduce timeframes. 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-driven Master's Thesis:safety case, test plan, compliance dossier and operational limits.
Industry mentoring:lecturers with careers in la formacion, , eVTOL/UAM and flight test.
Flexible format(hybrid/online), international cohorts and support from SEIUM Career Services.
Ethics and safety:a safety-by-design approach, with cyber-OT, DIH and compliance as its pillars.
Capstone project

Build it end to end

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

Choosing the line of business and process

Explain the impact of response time on cost and customer satisfaction.

Rigorous definition of indicators

Define precisely the measurable milestones and timeframes of a claim.

Measuring the current situation

Calculate the insurer's legal payment deadlines and late-payment interest.

Diagnosing bottlenecks

Analyse delays using process mining and statistics.

Timeframe reduction plan

Apply the DMAIC methodology to reduce timeframes.

Career opportunities

Where this takes you

Claims process analystOperational excellence managerSix Sigma Black Belt in insuranceCustomer service managerProcess mining analystClaims handling coordinator
Admissions & scholarships

Requirements

  • No prior qualification required.
  • Internet connection and a computer capable of running the programme's software.
  • Sufficient 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 between 10 and 15 hours a week on average, compatible with a full-time job.

Work is carried out in Celonis (process mining), Minitab, Power BI and advanced Excel. Free, academic or trial versions are used, and the tutor indicates the open-source alternative where one exists.

An own diploma from SEIUM upon passing the continuous assessment and the integrative project. This 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 recognition policy when you enrol.

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