INS 103 CLAIMS & OPERATIONS ADJUSTMENT
This course will review all aspects of claims in the Insurance Industry and the operational implications of the claims management process. Students will learn about the end-to-end claims’ lifecycle, from initial notification to settlement, and the critical role that claims adjusters play in this process. The course will cover the technical, legal, and regulatory aspects of claims handling, as well as the strategies and best practices for effective claims management.
Expectations and goals
The main topics in this course will focus on the types of insurance claims, investigation and evaluation techniques, negotiation and settlement practices, and the use of technology in claims processing. Every insurance company and financial institution values the important and critical role that claims professionals play in the financial industry, directly influencing efficient and fair claims resolution and disputes, promoting financial and economic stability, detecting and preventing fraudulent claims, adherence to various legal and regulatory requirements related to claims handling, and streamlining the claims handling processes to improve operational efficiency, reducing processing times and administrative costs.
In addition, students will examine how the claims process generates valuable data that can be analyzed to identify trends, assess risks, and improve underwriting practices. If managed and applied correctly data can also inform product development and pricing strategies, enhancing the overall competitiveness of the insurance company.