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5. Claims
QF Level ( 1234567 )
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5. Claims
QF Level
Code
Name
QF Level:
Level 1
Code:
105458L1
Name:
Understand insurance terminologies
QF Level:
Level 2
Code:
105459L2
Name:
Apply Chinese writing skills to support service delivery
QF Level:
Level 2
Code:
105460L2
Name:
Apply English writing skills to support service delivery
QF Level:
Level 2
Code:
105461L2
Name:
Use Putonghua to support service delivery
QF Level:
Level 2
Code:
105462L2
Name:
Maintain up-to-date customer records to support daily operations
QF Level:
Level 2
Code:
105466L2
Name:
Maintain up-to-date claims records
QF Level:
Level 3
Code:
105492L3
Name:
Process general insurance claims applications
QF Level:
Level 4
Code:
105513L4
Name:
Open and review general insurance claims files
QF Level:
Level 4
Code:
105514L4
Name:
Assess claims applications for general insurance
QF Level:
Level 4
Code:
105515L4
Name:
Review claims reserve and close claims files
QF Level:
Level 4
Code:
105516L4
Name:
Settle general insurance claims
QF Level:
Level 4
Code:
105517L4
Name:
Pursue claims recovery after claims payments
QF Level:
Level 5
Code:
105572L5
Name:
Manage the production of claims reports for general insurance
QF Level:
Level 5
Code:
105573L5
Name:
Analyze claims data to forecast company liability and profitability
QF Level:
Level 5
Code:
105574L5
Name:
Evaluate performance of appointed experts/specialists
QF Level:
Level 5
Code:
105575L5
Name:
Develop claims operation manuals and best practices
QF Level:
Level 5
Code:
105576L5
Name:
Handle and manage suspected fraudulent claims
QF Level:
Level 5
Code:
105577L5
Name:
Process healthcare claims applications in general insurance
QF Level:
Level 6
Code:
105614L6
Name:
Manage claims operations
QF Level:
Level 6
Code:
105615L6
Name:
Assess performance and quality of insurance claims operations
QF Level:
Level 6
Code:
105616L6
Name:
Establish insurance claims authority limits
QF Level:
Level 6
Code:
105617L6
Name:
Establish procedures and guidelines on handling suspected fraudulent claims
QF Level:
Level 6
Code:
105618L6
Name:
Formulate insurance claims policies
QF Level:
Level 6
Code:
105619L6
Name:
Manage claims litigation cases and legal panel for general insurance
QF Level:
Level 7
Code:
105642L7
Name:
Formulate insurance claims reserving policies
Note:
  • The SCSs have been moderated by the Hong Kong Council for Accreditation of Academic and Vocational Qualifications (HKCAAVQ) to ensure consistency of QF level across industries.
  • The contents of all SCSs will be updated regularly.
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