Advanced Life Insurance - Claims Management

The “Advanced Life Insurance – Claims Management” program is a thorough training course that aims to improve the technical capabilities and strategic decision-making abilities of insurance professionals who handle life, disability, and critical illness claims. This course prepares participants to effectively manage simple and advanced claims, interpret medical evidence, address fraud, and navigate reinsurance and litigation challenges while adhering to modern industry standards and regulatory frameworks.

Target Audience Advanced Life Insurance – Claims Management

● Specialists, Officers, and Claims Managers at life insurance companies.
● Underwriters who are interested in grasping the intricacies of claims and the potential for contestability.
● Insurance industry legal and compliance officers.
● Technical auditors and medical referees with experience in evaluating insurance claims

Table of Audience Advanced Life Insurance topics.

Day One: Foundations of Claims Management.

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

Day Two: Advanced Claims Management.

Module 5: Advanced Death Claim Management.
Module 6: Advanced Disability Claims Management.
Module 7: Advanced Critical Illness Claims Management.
Module 8: Medical Evidence Interpretation.
Module 9: Fraud, Nondisclosure, and Contestability
Module 10: Reinsurance, Litigation, and Complex Claims Governance.

Duration

10 Hours – 2 days.