Insurance Claims Management
About this course

Overview

Leakage rarely comes from the claims you turn down. This covers reserving, investigation and settlement for short-term teams, with a hard look at fraud indicators and at negotiating quantum without either overpaying or ending up in front of the ombudsman.

What you will be able to do

Learning outcomes

  • Run a claim from notification to settlement
  • Set appropriate case reserves
  • Recognise common fraud indicators
  • Negotiate settlement quantum
  • Reduce leakage in claims handling
What the course sets out to do

Course objectives

  • Manage the end-to-end claims process
  • Set and maintain accurate reserves
  • Investigate claims and detect fraud
  • Assess and negotiate quantum
  • Control claims leakage
Course content

Modules

01

Claims process

The claims lifecycle from notification through to settlement and closure.

02

Reserving

Setting and adjusting case reserves accurately and consistently.

03

Investigation

Gathering evidence and validating claims and coverage.

04

Fraud detection

Recognising fraud indicators and managing suspicious claims.

05

Quantum and negotiation

Assessing loss value and negotiating fair settlement.

06

Leakage control

Identifying and reducing avoidable claims cost.

Who it is for

Target audience

Claims handlers, claims assessors, and claims team leaders in short-term insurance.

Before you start

Prerequisites

Claims handling or short-term insurance experience.

Ready to register?

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