Advanced Claims Management - Life Insurance

The ” Advanced Claims Management- Life Insurance” program is a comprehensive training course designed to enhance the technical capabilities and strategic decision-making skills of insurance professionals handling life, disability, and critical illness claims. Moving from foundational principles to highly complex governance and regulatory frameworks, this course equips participants to effectively manage simple and advanced claims, interpret medical evidence, address fraud, and navigate reinsurance and litigation challenges in alignment with modern industry standards and regulatory frameworks.

Advanced Claims Management – Life Insurance Target Audience

● Claims Managers, Officers, and Specialists in Life Insurance companies.
● Underwriters seeking a deeper understanding of claims complexities and
contestability.
● Legal and Compliance officers within the insurance sector.
● Medical referees and technical auditors involved in insurance claims evaluation.

Table of content

Day 1: Foundations of Claims Management

Module 1: Insurance Fundamentals, Products, Contracts & Claims Philosophy
Module 2: Simple Death Claims Management
Module 3: Simple Disability Claims Management
Module 4: Simple Critical Illness Claims Management

Day 2: Advanced Claims Management

Module 5: Advanced Death Claims Management
Module 6: Advanced Disability Claims Management
Module 7: Advanced Critical Illness Claims Management
Module 8: Medical Evidence Interpretation
Module 9: Fraud, Non-Disclosure & Contestability
Module 10: Reinsurance, Litigation & Complex Claims Governance

Duration

10 Hours – 2 days.