CTE21.FIN.CUO.2b
Explain the functional aspects of a compliance audit.
Explain the functional aspects of a compliance audit.
Explain the functional aspects of a compliance audit.
Interpret provisions of insurance contracts.
Discuss fundamental legal principles that pertain to insurance.
Examples: indemnity, insurable interest, subrogation, utmost good faith
Describe the features of insurance contracts.
Evaluate information acquired from claimants to simulate the process of settling insurance claims.
Outline the process of conducting a database search to obtain background information on claimants and witnesses.
Utilize information technology tools to simulate the underwriting of an insurance policy.
Use computer smart systems to assist in the underwriting process.
Research websites to determine a potential client’s risk.
Prepare documentation to support insurance underwriting.
Describe the components of an underwriting file.
Assess information provided by the client to determine insurance needs.
Demonstrate effective verbal and non-verbal communication skills when interviewing a client.
Interpret the sections of the declaration page on policies.
Manage agency accounts to protect the insurance company’s financial well-being.
Explain the legal necessity of notifying a client in writing when a policy is cancelled.
Monitor agency accounts.
Enumerate the steps to process a claim to fulfill the company’s legal obligation to the client.
Discuss the role and purpose of conducting personal interviews with claimants for processing insurance claims.
Compare and contrast information received from interviewing witnesses, medical experts, and/or other individuals as necessary while processing the claim.
Discuss the role of the state regulatory agency in protecting consumers from unlicensed agents.
Describe the process of negotiating with a claimant to settle an insurance claim.
Demonstrate professional ethical behavior and meet legal responsibilities.
Analyze ethical challenges affected by factors such as cost, new and emerging technologies, and allocation of limited resources.
Discuss the nature of errors and omissions (E&O) claims made against insurance professionals.
Explain techniques used to determine insurance fraud and the ramifications of fraud findings.
Implement compliance measures to adhere to regulatory requirements.
Discuss federal and state regulations governing the insurance industry.
Discuss the role of the state regulating agency in protecting consumers from unlicensed agents.
Explain federally-mandated health insurance requirements and restrictions.
Examples: ERISA, COBRA, HIPAA
Analyze careers in insurance to determine which roles and responsibilities best match personal interests.
Outline the process for obtaining licensure and certification in the insurance field.
Describe the services of professional organizations in insurance.
Acquire and share knowledge of the insurance industry to obtain a foundation for employment in insurance.
Describe the nature of the insurance industry.