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47 Reviews
Enhance your expertise in insurance claims management with this training program. You will gain the knowledge and skills necessary to understand the functions of the claims department, types of reserves, and how to combat fraud. Additionally, you will learn about claims reserving estimates and the role of reinsurance in disaster management.
47 Reviews
This training program provides participants with the knowledge and skills related to the insurance claims department and its functions, the philosophy of claims, and the various types of reserves. It also includes an overview of methods to combat fraud in insurance claims, excessive and unjustified claim payments, and the estimation of claim provisions, in addition to describing the role of reinsurance in managing catastrophic claims. Participants will also learn how to analyze claims data to identify unusual patterns that may indicate fraudulent activity. The program focuses on developing skills in preparing accurate financial reports that support strategic decision-making for insurance companies, as well as understanding the laws and regulatory frameworks related to claims to ensure compliance and enhance operational efficiency within the department.
Insurance
+4
Operations
Not Exist
Lecture
Brainstroming +2
Lecture
Brainstroming
Practical Implementation
Dialogue Teams
Pre Exam
Post Exam
Customer care
Sales and Distribution / Intermediaries +4
Customer care
Sales and Distribution / Intermediaries
Underwriting
Claims
Collection and Recovery
Loss Adjustment/ Assessors
This provides you with the opportunity to select the available times that suit you best for participation in our program. These times represent slots during which we are ready to welcome you and provide assistance and guidance.
Online Training
The objectives and the importance of the claims department
Claims department organizational structure
The legal requirements of the claim
Main functions at claims department
Online Training
Standard coverages for insurance policies
The parties to the claim (first, second, third)
Insurance claim forms for a number of insurance policies with case studies
Deductible amounts and how to apply them
Claims settlement methods
Cash payment with case studies
Repair with case studies
Replacement with case studies
Reinstatement with case studies
Definition of quality and its dimensions
Quality standards
Focus on the customer
Handling complaints efficiently
Training employees to apply quality standards
Online Training
Fraud definition
Internal and external fraud
Fraud Indications in various types of claims
Combating fraud in various types of claims
Claims Leakage
Online Training
Stakeholders in claims department
Negotiating environment
Negotiation criteria
Planning for effective negotiation outcomes
Contents of the negotiation plan
Best practices in negotiation based on the principle of (Win-Win)
Online Training
Technical claims reserve calculation
Incurred but not reported claim reserve IBNR
Online Training
Introduction to reinsurance
Types of reinsurance treaties
The importance of reinsurance in handling catastrophic claims
Recognize the role of the claims department in the operations of insurance companies to maintain the profitability of companies.
Understand the claims operations cycle of data collection and analysis, handling claims and investigating claims to ensure that quality requirements are met.
Understanding of the regulations and procedures to ensure the identification of suspicious claims fraudulent for various types of insurance and identification of cases of claims Leakage.
The ability to manage relationships with stakeholders using the best negotiating practices relating to files and claims cases.
Identify how to Create a claim reserve, calculate the loss ratio and the role of reinsurance regarding the control of catastrophic claims.
