CIP110 - Essentials of Loss Adjusting

Outline info
Last revision date 2013-07-11 16:31:55.057
Last review date 2013-07-11 16:31:55.077

Subject Title
Essentials of Loss Adjusting

Subject Description
Essential of Loss AdjustingFocused knowledge of insurance and professional conduct within the claims domain forms the core of this course. Soft skills and knowledge required to handle claims are blended into the curriculum in order to improve fundamental claims handling techniques. Students will learn about managing relationships in order to gather critical information in the claims handling process. A step-by-step process delivers the key to policy analysis for coverage evaluations. Students will also learn the fundamentals of investigation, evaluation, negotiation and settlement within the claims process.
Pre-requisite: CIP013

Credit Status
One Credit

Learning Outcomes
Upon successful completion of this subject the student will be able to:

1. Identify the main participants in the claims process and explain each of their responsibilities.

2. Describe the functions of an insurer's claims department and those of associated independent services3. Discuss the responsibilities and required qualifications of an independent adjuster.

4. Demonstrate an understanding of certain aspects of contract law, the law of insurance as it relates to the policy, and the principles of proximate cause, waiver and estoppels, salvage, and subrogation.

5. Show knowledge of human behavior as it relates to interpersonal communication and suggests ways of counteracting negative behavior.

6. Apply effective people skills to solicit positive behavior.

7. Explain the importance of thoroughly investigating a claim.

8. Discuss methods of developing and preserving the evidence, and the contents and mechanics of taking various types of statements.

9. Outline the adjuster's role in investigating a loss.

10. Explain the basis of first party claims as it relates to fire insurance.

11. Discuss the adjustment of residential property losses.

12. Explain the bases of third party claim, in common law provinces and in Quebec, and demonstrate an understanding of the legal concepts involved.

13. Outline the necessary steps in investigating third party claims and list the information required in the adjuster's report.

14. Show knowledge of industry and other organizations that enhance and expedite the settlement of claims.

15. Demonstrate an understanding of civil procedure and the Canadian court systems.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

CIP011 (C11), CIP012 (C12), CIP013 (C13), CIP014 (C14)

Topic Outline

  • Introduction to Claims
  • Corporate and legal environments
  • Analyzing the Policy Contract
  • Making Contact with the Customer
  • Investigation, Evaluation, Negotiation and Settlement
  • Autommbile, Property and Liability Claims

Mode of Instruction

Students learn through classroom lectures, discussions, and question and answer periods.

It is the student's responsibility to save documents, articles and notes that the instructor has provided on Blackboard or in class. Students will not be able to access Blackboard after the last day of the student's class.

Prescribed Texts
Textbooks must be purchased directly from the Insurance Institute of Canada (416-362-2588). College fee does not include textbook.

Reference Material

Required Supplies
A notebook, pens, highlighter

Promotion Policy

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

Modes of Evaluation


Those students electing to obtain a credit from the Insurance Institute of Canada (IIC) will write the IIC final exam, which will be written outside of Seneca College. Details regarding the registration process, payment, and date/time/location will be communicated to the class by the Seneca College course instructor. Those students not wishing to pursue the IIC credit will write a Seneca College final exam. In both cases, students who are successful will receive a Seneca College credit.

To obtain the IIC credit: students must achieve a minimum mark of 70% on the term work (counted out of 100) and 55% on the IIC final exam
(counted out of 200) for a combined minimum total mark of 180 out of 300. To obtain Honours, an overall course grade of 80%, including a minimum final exam mark of 80% (240 out of 300) is required. 

Approved by: Susan Horne