Insurance Underwriting Claims
In this training program, participants will gain knowledge and skills to understand the claims and underwriting processes by getting to know the principles of insurance and risk management as well as the underwriting cycle and procedures, its components, and the claims procedures. Among the most important functions of insurance are underwriting and claims, as underwriting begins before the insurance process, relying on studies and actuarial accounts to ensure insurance contracts. For claims, they are formal requests for coverage or compensation to be paid to the insured or his representative.
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By the end of this course, participants will be able to:
- Understand the concept of insurance as a form of risk management, as well as the main principles of insurance in order match the most suitable insurance policy with its affiliated risk
- Comprehend the underwriting function, and understand the full underwriting process/cycle and the application to know the difference in coverage and choosing the best for the insured
- Discuss the Pricing factors in insurance underwriting as a means of premium calculation, as well as portfolio management to enable the underwriter to price the risk correctly and fairly.
- Understand the claims settlement process and its application to different types of insurance to understand how much coverage is provided in the insurance policy as well as the settlement by providing the claimant with a valid claim
- Discuss the “Insurance Claims Management” concept and its importance and way of application.
Module 1 - Insurance Concept, Main Principles of Insurance
1 Parts
- Insurance Concept
- Insurance Importance
- Insurance Types
- Insurance Controls
- Insurance in KSA Organizing and Control
Module 2 - Underwriting Function
1 Parts
- Underwriting Concepts
- Underwriting Goals
- Underwriting Principles and Guidance.
- Insurance Underwriting Types.
- Underwriting Skills
- Underwriting Processes
- The Relationship between Underwriting Unit with other insurance units.
- Underwriting and Technology
- Data Source and Underwriting Decision- Making Methods.
Module 3 - Pricing Factors
1 Parts
- Insurance Pricing Process Concept
- Insurance Risks Management and Assessment
- Insurance Portfolio Management.
- Risk Assessment in Group Insurance
Module 4 - Claims Settlement Process and Application on Different Insurance Types
1 Parts
- Terminologies used in claims
- Claims considerations and administration
- Claims handling procedures
- Claim Settlement operations
- Insurance Claims Goals
- Application of claims settlement on different types of insurance
Module 5 - Insurance Claims Management
1 Parts
- Effective claims management
- Claims leakage
- Salvage
- Describe how disputes and complaints could be resolved
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