Introduction
The programme “Modern Insurance Pricing Models” develops professional practice in Insurance and Compensation. It connects the subject with workplace challenges by examining existing evidence and practices and choosing methods appropriate to the organization and its available resources.
The learning progresses from insurance, claims, and compensation management to financial statement and report analysis, with practical work on cost accounting and resource pricing, risk assessment, controls, and response, claims, dispute, and evidence management. Participants prepare outputs to support workplace application and review the quality and results of implementation.
Learning objectives
- Analyze insurance coverage and a claim process, and document the settlement basis in an application related to “Modern Insurance Pricing Models”.
- Select a costing basis and variance analysis that support a specific operational decision.
- Prepare a risk register connecting causes, consequences, controls, and treatment responsibilities.
- Prepare a documented claim connecting its basis, facts, effects, and supporting documents.
- Interpret performance, financial position, and cash flows using documented analysis with clear limitations.
Learning areas
1. Insurance, Claims, and Compensation Management
- Read an insurance policy and identify the risk, coverage, limits, exclusions, deductible, and parties, referring to applicable terms and rules.
- Define claim documents, notices, deadlines, and handling procedures, and organize incident data without presuming coverage applies.
- Analyze the relationship between the event, loss, evidence, and estimates, distinguishing confirmed information from matters requiring expertise or further verification.
- Review compensation valuation alternatives, settlement bases, and approval authority, documenting calculations, decision rationale, and available appeal procedures.
- Set indicators for processing time, file accuracy, complaints, and suspicious activity, and improve controls and communication with the claimant during follow-up. The application examines a case related to “Modern Insurance Pricing Models”.
2. Cost Accounting and Resource Pricing
- Identify cost objects, cost centers, and cost drivers, and distinguish direct and indirect costs and fixed and variable costs.
- Select an overhead allocation and apportionment method suited to the business, documenting estimation bases and limits to comparisons between alternatives.
- Calculate a product or service cost using training data, and analyze the effects of unused capacity, rework, and waste.
- Analyze price, quantity, and efficiency variances, connect them to operational causes, and identify responsibilities beyond merely describing the variance.
- Compare pricing, make, or buy alternatives in terms of contribution margin, constraints, and risks, and document the reasons for the decision.
3. Risk Assessment, Controls, and Response
- Define the work context, objectives, and assessment boundaries, and distinguish the risk source, potential event, and effects on results.
- Gather risks from processes, data, past incidents, and interviews with responsible staff, and document causes and existing controls.
- Estimate likelihood and impact using stated criteria, and review control effectiveness to determine residual risk levels.
- Select a response proportionate to the risks, resources, and authority, and specify the owner, deadline, and early warning indicator.
- Test a scenario involving changing circumstances, update the risk register, and present material risks and required decisions to the appropriate authority.
4. Claims, Dispute, and Evidence Management
- Analyze the event giving rise to the claim, notice requirements, jurisdiction, and deadlines by referring to the contract and applicable law.
- Prepare a chronology connecting correspondence, instructions, and execution records, distinguishing facts, estimates, and allegations.
- Identify the relationship between the event and its time or financial effects, examining alternative explanations and the data needed to establish causation.
- Draft a claim file explaining the request, its basis, supporting documents, and calculation method, and review consistency and weaknesses before submission.
- Compare negotiation, settlement, and escalation routes according to authority, cost, and time, and prepare a register of lessons and measures to prevent recurring disputes.
5. Financial Statement and Report Analysis
- Read the relationships between the statements of financial position, performance, and cash flows and the notes, identifying the effects of accounting policies and estimates.
- Perform horizontal and vertical analysis and compare profitability, liquidity, efficiency, and leverage indicators, considering the nature and size of the business.
- Examine earnings quality, cash flows, and nonrecurring items, and identify differences between accounting results and actual liquidity.
- Test the sensitivity of results to changes in sales, costs, collections, and financing, stating the assumptions and constraints in each scenario.
- Write a financial report linking indicators to management's question and available alternatives, presenting risks and additional data needed for the decision.
Practical outputs
- An insurance claim file, coverage matrix, and settlement tracking template.
- A cost model, variance analysis, and memo on improvement alternatives.
- A risk register, control matrix, and prioritized treatment plan.
- A claim file, chronology, document matrix, and impact analysis.
- A comparative financial analysis report and a memo of findings and assumptions.
Who should attend
- Practitioners, specialists and supervisors whose work relates to the programme subject.
- Managers and teams working in insurance and compensation, according to their practical responsibilities.
- Professionals responsible for applying the outputs of “Modern Insurance Pricing Models” within their organizations.
Prerequisites
- Working familiarity with the programme field and the ability to discuss a professional case or challenge.
- Confirm the suitability of your experience and any specialist prerequisites with the Union before participation.
Conclusion
The programme “Modern Insurance Pricing Models” brings together concepts, case review and a practical application. Participants prepare steps that can be adapted to their responsibilities and organizational resources, with an indicator to follow application and review results after returning to work.
Participation arrangements and any special requests are specified in the confirmation issued by the Union.