BEST PRACTICES IN MEDICAL INSURANCE MANAGEMENT

To introduce participants to types of health insurance

Introducing participants to medical and medical providers

Define the participants in issuing and claims management

Manage health insurance file

Negotiate renewal of contracts with health insurance

Health Insurance Correspondence

Definition of health insurance contracts and various coverage

Management of medical expenses and management of premiums and finance

Course Content

• An introduction
• Insurance providers
• Origin of insurance and risk management
• Objectives and benefits
• Insurance terms and principles of insurance
• Medical Insurance
• Types of insurance
• Health insurance law
• Types of health insurance policies
• Permanent health insurance cover
• Preparation of health insurance programs
• Overpayments and Endurance Rates
• Management of medical insurance contract
• Health Insurance Correspondence
• Versions and Claims
• Management of medical expenses and management of premiums and finance
• Self-financing funds for health insurance
• Claims and methods of calculation
• Method of calculating the health insurance premium and the most important factors affecting the insured's decision (insurance company)
• Medical Services
• Technical study of medical insurance
• Introduction to health care delivery system
• Coverage in health insurance
• Negotiate renewal of contracts with health insurance
• Personal accident document and its importance for a medical insurance contract
• Definition of personal accident document
• Coverage of personal accident document
• Linking personal accidents to medical records

FOR WHOM

For all newcomers to the insurance industry and existing insurance professionals, regardless of their specific role.

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.