As the insurance industry becomes increasingly complex, employers expect claims professionals to demonstrate not just foundational knowledge but a higher level of technical skill, analytical thinking and confidence in managing challenging cases. The QualCert Level 3 Award in Insurance Claims Handling is designed for ambitious individuals who want to develop advanced capabilities and position themselves for senior roles within claims departments.
Building on the knowledge gained at Levels 1 and 2, this comprehensive award goes beyond the basics to focus on complex claims, leadership in the claims process and decision-making that protects the interests of clients and insurers while meeting strict regulatory and legal obligations.
The QualCert Level 3 Award in Insurance Claims Handling is typically delivered over two intensive days and consists of six in-depth study units. Learners explore specialist areas such as complex policy interpretation, advanced investigation techniques, fraud management, dispute resolution, negotiation strategies and the legal frameworks that govern claims practices.
The course also helps develop higher-level communication and leadership skills, preparing participants to supervise teams, train junior staff and handle escalated claims confidently. Learners will gain the tools to manage multiple stakeholders, handle high-value claims and ensure the organisation’s compliance with evolving industry standards.
The QualCert pathway provides learners with a structured route to build their insurance knowledge step by step. Completing the Level 3 Award shows commitment to your profession and readiness to move into roles such as senior claims handler, team leader or specialist claims adviser. Many who complete this qualification also go on to pursue other industry-recognised professional certificates or management training.
Course Contents of QualCert Level 3 Award in Insurance Claims Handling:
The QualCert Level 3 Award in Insurance Claims Handling, offers 6 Credits, requiring a Total Qualification Time (TQT) of 30 hours, including 18 Guided Learning Hours (GLH).
| Unit Ref# | Unit Title | Credit | GLH | TQT |
| QC06160-1 | Advanced Claims Assessment and Validation | 1 | 3 | 5 |
| QC06160-2 | Fraud Detection in Insurance Claims | 1 | 3 | 5 |
| QC06160-3 | Dispute Resolution and Complaints Handling | 1 | 3 | 5 |
| QC06160-4 | Financial Implications of Claims Decisions | 1 | 3 | 5 |
| QC06160-5 | Claims Case Management | 1 | 3 | 5 |
| QC06160-6 | Professional Standards and Ethics in Claims Handling | 1 | 3 | 5 |
Entry Requirements for the QualCert Level 3 Award in Insurance Claims Handling:
To enroll in the QualCert Level 3 Award in Insurance Claims Handling, following are requirement:
- Minimum Age: Learners must be at least 18 years old at the time of registration.
- Educational Background: A general secondary education (such as GCSEs or equivalent) is expected. A Level 2 qualification in Insurance Claims Handling or a related area is recommended but not mandatory if equivalent experience can be demonstrated.
- Experience: Learners should have relevant work experience in insurance claims handling, ideally at a junior or intermediate level. This could include experience gained through completion of the QualCert Level 1 and Level 2 Awards or practical workplace experience in a claims handling or supervisory role.
- Language Proficiency: Learners should have a good command of written and spoken English. Where English is not their first language, a proficiency level equivalent to CEFR B2 (Upper Intermediate) is recommended to ensure they can fully engage with course content, participate in discussions and complete assessments confidently.
These requirements ensure that learners are well prepared to handle the more advanced topics covered at Level 3 and can apply their knowledge effectively in complex, real-world claims situations.
Learning Outcomes of QualCert Level 3 Award in Insurance Claims Handling:
Advanced Claims Assessment and Validation
- Evaluate complex claims with multiple policy considerations
- Apply advanced techniques to validate claims accurately and efficiently
- Make informed decisions to approve or decline claims based on detailed analysis
Fraud Detection in Insurance Claims
- Identify common indicators of fraudulent claims
- Apply fraud detection methods and tools in real claims scenarios
- Escalate suspicious cases appropriately and in line with legal requirements
Dispute Resolution and Complaints Handling
- Manage complex disputes between insurers and policyholders effectively
- Apply structured methods to resolve complaints professionally
- Communicate outcomes clearly while maintaining customer satisfaction and regulatory compliance
Financial Implications of Claims Decisions
- Analyse the financial impact of claims decisions on the insurer and the insured
- Assess reserves, settlements and payouts for high-value claims
- Contribute to loss control and cost management through informed claims handling
Claims Case Management
- Organise and manage multiple claims cases efficiently
- Monitor progress and maintain accurate records throughout the claims lifecycle
- Lead case reviews and communicate updates to relevant stakeholders
Professional Standards and Ethics in Claims Handling
- Apply industry codes of conduct and ethical guidelines in all claims activities
- Recognise the importance of confidentiality, transparency and fairness
- Uphold professional standards when managing sensitive or high-profile claims
The QualCert Level 3 Award in Insurance Claims Handling, is ideal for:
- Experienced claims handlers who wish to advance to senior or specialist positions
- Team leaders or supervisors in insurance claims departments seeking to formalise and strengthen their expertise
- Professionals who have completed the Level 1 and Level 2 Awards and are ready to progress to a more advanced level
- Individuals returning to the insurance industry who need to update their knowledge of current best practice and regulatory requirements
- Organisations looking to develop senior staff who can manage complex claims cases, mentor junior team members and ensure compliance with industry standards
This course is ideal for those ready to handle complex claims, manage teams, resolve disputes and contribute to strategic claims decisions within an insurance company, brokerage or claims management firm.