Insurers for Late Payment of Claims – A Timely Update

At the end of this training programme, participants will learn:

• Appreciate the difference between “Claims Handling” and “Claims Management” ;
• Understand intricacies of claims settlement;
• Importance of Quality Management in Claims Management;
• Claims estimating and reserving
• Detecting and managing fraudulent claims;
• Managing disputes that arise in claims;
• To handle claims related complaints towards ultimate satisfaction of customer

Content

• Overview of the claims process
• Quality in Claims Management
• Dispute management
• Service providers
• Claims Estimating and Reserving
• Claims Investigations
• Insurance Fraud and Handling Fraudulent Claims/Money Laundering
• Visit to an Automobile Repair works
• Role of IRA and Consumer Dispute Redressal Forum
• Customer Service Management through claims management
• Implied term for insurers to pay sums due in a reasonable time
• What is a reasonable time to pay sums due in respect of a claim?
• When may insurers contract out of the remedy?
• The impact of this remedy on policyholders, insurers, lawyers and claims handlers

TRAINING METHODOLOGY

The training methodology combines lectures, discussions, group exercises and illustrations. Participants will gain both theoretical and practical knowledge of the topics. The emphasis is on the practical application of the topics and as a result participant will go back to the workplace with both the ability and the confidence to apply the techniques learned to their duties.