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SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE: 

Demonstrate knowledge and skill in order to assess a non-motor claim 
SAQA US ID UNIT STANDARD TITLE
120137  Demonstrate knowledge and skill in order to assess a non-motor claim 
ORIGINATOR
SGB Insurance and Investment 
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-  
FIELD SUBFIELD
Field 03 - Business, Commerce and Management Studies Finance, Economics and Accounting 
ABET BAND UNIT STANDARD TYPE PRE-2009 NQF LEVEL NQF LEVEL CREDITS
Undefined  Regular  Level 4  NQF Level 04  3 
REGISTRATION STATUS REGISTRATION START DATE REGISTRATION END DATE SAQA DECISION NUMBER
Passed the End Date -
Status was "Reregistered" 		 2018-07-01  2023-06-30  SAQA 06120/18 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2026-06-30   2029-06-30  

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.  

This unit standard replaces: 
US ID Unit Standard Title Pre-2009 NQF Level NQF Level Credits Replacement Status
14974  Demonstrate knowledge and skill in order to assess a fire or accident claim  Level 4  NQF Level 04  3   

PURPOSE OF THE UNIT STANDARD 
This Unit Standard is intended for claims assessors, negotiators and other learners who assess the damage in a fire or accident claim.

The qualifying learner is capable of:
  • Analyse documents relating to a claim.
  • Investigating a short term claim.
  • Motivate a decision to settle a claim.
  • Concluding a settlement with a client. 
    		•

    LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING 
    It is assumed that learners are competent in Communication and Mathematical Literacy at Level 3. 

    UNIT STANDARD RANGE 
    The typical scope of this Unit Standard is
  • All non-motor claims including fire or accident claim.
  • Personal domestic, commercial, industrial and corporate claims. 
    		•

    Specific Outcomes and Assessment Criteria: 

    SPECIFIC OUTCOME 1 
    Analyse documents relating to a claim. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Information relating to the client is analysed in order to compile a profile. 

    ASSESSMENT CRITERION 2 
    The schedule of cover is analysed to establish the cover in terms of the policy. 

    ASSESSMENT CRITERION 3 
    A claim's history is analysed for information relevant to the current claim and risk management requirements. 

    SPECIFIC OUTCOME 2 
    Investigate a short term claim. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Information about a loss is gathered in an on site observation. 

    ASSESSMENT CRITERION 2 
    The observed situation is compared to the policy cover and a decision is made as to whether the claim is valid. 

    ASSESSMENT CRITERION 3 
    Service providers for the specific insurer/underwriter are named with reference to current service level agreements. 

    ASSESSMENT CRITERION 4 
    The loss is quantified with reference to item identification, estimation of damage or loss and the limitations of policy cover. 

    ASSESSMENT CRITERION 5 
    The rules of a specific insurer are applied to the claim. 

    SPECIFIC OUTCOME 3 
    Motivate a decision to settle a claim. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    The quantum of the claim is used to determine the method of settlement. 

    ASSESSMENT CRITERION 2 
    Settlement options are established from the policy wording. 

    ASSESSMENT CRITERION 3 
    A proposal is made and substantiated for the settlement of the claim. 

    SPECIFIC OUTCOME 4 
    Conclude a settlement with a client. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    The outcomes of the assessment are presented to a client. 

    ASSESSMENT CRITERION 2 
    Areas of potential conflict are identified in an assessment. 

    ASSESSMENT CRITERION 3 
    Documents required by the underwriter are completed and an indication is given of the consequences of accepting the contract of settlement. 

    ASSESSMENT CRITERION 4 
    A written report is compiled for the insurer/underwriter according to organisation requirements. 


    UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS 
  • Anyone assessing a candidate against this Unit Standard must be registered as an assessor with the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Any institution offering learning that will enable achievement of this Unit Standard must be accredited as a provider through the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Moderation of assessment will be overseen by the relevant ETQA according to the moderation guidelines and the agreed ETQA procedures. 
    		•

    UNIT STANDARD ESSENTIAL EMBEDDED KNOWLEDGE 
    N/A 

    UNIT STANDARD DEVELOPMENTAL OUTCOME 
    N/A 

    UNIT STANDARD LINKAGES 
    N/A 


    Critical Cross-field Outcomes (CCFO): 

    UNIT STANDARD CCFO IDENTIFYING 
    Learners are capable of identifying and solving problems in which responses show that responsible decisions using critical thinking have been made in making a settlement decision. 

    UNIT STANDARD CCFO COLLECTING 
    Learners are capable of collecting, organising and critically evaluating information in gathering information on site and from documents. 

    UNIT STANDARD CCFO COMMUNICATING 
    Learners are capable of communicating effectively in explaining the proposed settlement and demonstrating techniques for managing potential conflict. 

    UNIT STANDARD CCFO DEMONSTRATING 
    Learners are capable of seeing the world as a set of related systems relating on site observations to a claim and reporting to underwriters after the settlement of a claim. 

    UNIT STANDARD ASSESSOR CRITERIA 
    N/A 

    REREGISTRATION HISTORY 
    As per the SAQA Board decision/s at that time, this unit standard was Reregistered in 2012; 2015. 

    UNIT STANDARD NOTES 
    This unit standard replaces unit standard 14974, " Demonstrate knowledge and skill in order to assess a fire or accident claim", Level 4, 3 credits. 

    QUALIFICATIONS UTILISING THIS UNIT STANDARD: 
      ID QUALIFICATION TITLE PRE-2009 NQF LEVEL NQF LEVEL STATUS END DATE PRIMARY OR DELEGATED QA FUNCTIONARY
    Elective  66610   Further Education and Training Certificate: Short Term Insurance  Level 4  NQF Level 04  Passed the End Date -
    Status was "Reregistered"     		 2023-07-30  As per Learning Programmes recorded against this Qual 
    Elective  57613   Further Education and Training Certificate: Short-Term Risk Management  Level 4  NQF Level 04  Passed the End Date -
    Status was "Reregistered"     		 2012-06-30  INSETA 


    PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD: 
    This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.
     
    NONE 


    All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.