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Insurance Institute of East Africa
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Overview

The content of the Executive Certificate in Insurance Claims Management course makes your road to learning about this aspect of insurance more effective, easier and more enjoyable than ever. Its streamlined approach strikes a careful balance between depth of coverage and ease of learning. Its world-class learning design - with insightful examples, thought primers, learning activities, case studies, review questions, and tutorial questions - ensures that you will come to class well prepared and leave with a richer understanding of the subject theory and practices.

In your professional journey with the Executive Certificate in Insurance Claims Management course, you will develop knowledge and understanding about the development of claims philosophies, the implementation of claims systems, the management of the claims function, the management of claims service, and the application of claims practice in transacting insurance business on an industry-wide basis.

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Learning Outcomes

By the end of this course, you should be able to:

  • Understand the claim processes, concepts, and procedures;
  • State the key issues relating to claims in specific types of policies
  • Explain the importance of IT and quality management and their impact on claim management;
  • Explain the functions of outsourcing companies and intermediaries in the claim process;
  • Understand the rationale for claims estimating and reserving; and
  • Discuss fraudulent claims, disputes and litigation in the claims process.

Course Outline

  • 1.1: Learning Outcomes

  • 2.1: Claims Management Strategy
  • 2.2: The Claims Environment
  • 2.3: Claim Philosophies
  • 2.4: Organisation Design and Structure
  • 2.5: Policy Interpretation
  • 2.6: Legislation and Regulation
  • 2.7: Supply Chain

  • 3.1: Customer Expectations
  • 3.2: Customer Retention
  • 3.3: Complaint Handling
  • 3.4: Policyholder Litigation and Breach of Contract
  • 3.5: Court Awards
  • 3.6: Varying Requirements

  • 4.1: Reserving Philosophies
  • 4.2: Design and Implementation of Claims Handling Procedures
  • 4.3: Civil Procedure Rules
  • 4.4: Pre-Action Protocols
  • 4.5: Process Review and Quality Management
  • 4.6: Compliance with Claims Procedures
  • 4.7: Fraudulent Claims
  • 4.8: Ethical Aspects
  • 4.9: Information Technology
  • 4.10: Management Information Systems
  • 4.11: Reinsurance
  • 4.12: Subrogation and Recoveries

  • 5.1: Claims Handling Operations
  • 5.2: Segmentation
  • 5.3: Authorities
  • 5.4: Outsourcing
  • 5.5: Delegated Authorities
  • 5.6: Catastrophe Management
  • 5.7: Call Centre Management
  • 5.8: Supplier and Relationship Management Panels
  • 5.9: Market Practice

  • 6.1: Cost Control
  • 6.2: Estimating and Reserving
  • 6.3: Claims, Underwriting and Pricing
  • 6.4: Actuarial Reviews
  • 6.5: Leakage

Price: US$425


Course Features
  • Modules 6
  • Duration 8 Weeks
  • Content Type Text & media
  • Assessment Yes
  • Pass Percentage 70%
  • Certificate Yes
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Insurance Institute of East Africa

Insurance Institute of East Africa
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