Claims (Life and General) for Insurance/ 06-May-2019 - 10-May-2019

Claims (Life and General) for Insurance

Bankers Committee members pay N 147,967.00 only

Background

Insurance claim management is a core issue for the protection of insurance policyholders. From the insurance company viewpoint, claim management is a key element in the competition between insurance providers and for the improvement of the industry's public image. However, procedures and processes are becoming increasingly complex and require increasing levels of specialized expertise to equitably resolve. The course is designed to enhance the skill of Underwriters, Examiners and Adjusters and Claim Officers in making decisions.

Target Participants

Underwriters, Examiners and Adjusters and Claim Officers, as well as staff of regulators who supervise these functions. Those being prepared for these roles in the near term will also find the programme useful.

Objectives

At the end of the course, participants will be able to:

  • Explain the basic claims administration process from start to finish
  • Demonstrate proficiency in registering and classifying claims
  • Analyse information and documentation to process or investigate claims
  • Evaluate referral procedures for claims exceeding authority limits/complexity
  • Outline the relevant scope of cover provided by the insurance company

Contents

Claims Philosophy
- Definition of claims philosophy
- Fundamental concept and principles of claims philosophy

Role of Claims Department
- Claims manual (authorised classes and limit for straightforward claims)

Major Types of Claims - (Life/General Insurance)
- Death/Disablement (Permanent/temporary, total/partial)
- Physical Damage (total/partial)
- Constructive Total Loss and Total Loss
- Third-Party (bodily injury, property damage)
- Theft

Basic Claims Administration
- Notification
- Registration (including reserve setting)
- Notification (preliminary loss advice) to Co-insurers and/or Re-insurers
- Verification of Policy Cover
- Appointment of Specialist (e.g. adjuster/marine surveyor/medical officer)
- Documentation/Investigation
- Validation/Settlement
- Closing of Claims files and the recovery process

Role of the Loss Adjusters/Claims Investigators
- Who is a Loss Adjusters/Claims Investigator?
- Requirement to be a Loss Adjusters/Claims Investigator
- What are the duties of a Loss Adjusters/Claims Investigator do?

Awareness of the Legislations, Regulations and Industry Codes of
Practice Pertaining to the Claims Process
- Guidelines on Treating Customers Fairly

Status of the Claimant:
- Insured/participant, third-party, beneficiary and nominee

Claims Registration:
- Requirement by owned organisations
- Requirements by regulatory institutions

Introduction to Claims Reserving
- Initial Reserving
- Case Reserving

Appointment of Adjuster/Marine Surveyor/Medical Officer etc.
- Requirement for appointment of Adjuster/Marine Surveyor/Medical
Officer etc.

Preliminary Verification of Covers:
- Operative clause
- Policy condition on claims notification (duties of the insured/claimant)
- Warranties, exclusion and policy schedule

Standard Insurance Contract Documents (e.g. policy and
endorsements)
- Standard insurance policy document
- Standard insurance endorsement document


For more information: Call Chris: 08084716114 or email: cadigwe@fitc-ng.com

Register Now

If you would like to attend this training programme, please fill the form below and we will contact you as soon as possible. You can also pay for courses online.




Our learning sessions are unique in 4 ways

  1. Programme design & delivery recognize the needs of adult learners in career
  2. Experience sharing by practitioners, with well over two decases of experience in areas relevant to course topic, whom we call "Programme Directors"
  3. Course delivery by practitioners based on conceptual research background
  4. The essence of our corproate brand and orientation within concept implementation thinking

The fees cover tuition, course materials, group lunch, tea/coffee and snacks but EXCLUDE accommodation.
Dress Code: Formal

Payment of Fees

Payment of fees should be in cash or CERTIFIED CHEQUE/BANK DRAFT made payable to the FITC before the commencement date or on arrival at the venue.

Refund of Fees

Fees paid for participants who do not turn up eventually would be refunded, subject to deduction of 25% administrative cost.

Methodology

Formal lectures, case studies, participative group exercises and experience sharing.

Administration

The programme commences at 10.00a.m. on Monday, 9.00a.m other days and ends at 4.00p.m. daily.

In-plant Option

Do you intend to train more than 20 participants? Are you considering an in-plant option?
Please call us ☎


International Participants

International participants should please inform FITC of their attendance ahead of the programme, to enable us prepare airport pick-up for them.

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