Significance of Critical Illness for Effective Risk and Claim Management

Programme Highlights

This program provides an in-depth understanding of critical illness insurance, focusing on the high incidence of fraud in this area. It covers common critical illnesses, risk assessment, and claim management strategies. The course aims to equip underwriters and claims professionals with the knowledge to make informed decisions, addressing exclusions and claim admissibility criteria. This training is essential for those involved in critical illness underwriting and claims management, helping them navigate the complexities and challenges of the field.

7 CPD Hours
Mode: Face-to-Face Training
Date: 4 June 2025
Time: 9.00 a.m. to 5.00 p.m.

For Whom

  • Underwriters and Claims professionals in both life and health insurance sectors.
  • Insurance intermediaries handling critical illness insurance.

Key Learning Objectives

At the end of the programme, participants should be able to:

  • handle claims related to certain critical illnesses.
  • handle underwriting aspects of certain critical illnesses.
  • make informed and judicious decisions on claim repudiation, ensuring they are defensible in legal and regulatory contexts.
  • understand and apply the principles behind listed exclusions to determine claim admissibility.

Programme Outline

Detailed exploration of critical illnesses, including:

  • Cancer of specified severity.
  • Myocardial Infarction (heart attack).
  • Open chest Coronary Artery Bypass Grafting (CABG).
  • Heart valve replacement/repair.
  • Coma of specified severity.
  • Kidney failure requiring dialysis.
  • Stroke with permanent symptoms.
  • Major organ/bone marrow transplants.
  • Permanent paralysis of limbs.
  • Motor neuron disease with permanent symptoms.
  • Multiple sclerosis with persisting symptoms.
  • Angioplasty.
  • Benign brain tumor.
  • Blindness.
  • Deafness.
  • End-stage lung and liver failure.
  • Loss of speech and limbs.
  • Major head trauma.
  • Primary Pulmonary Hypertension.
  • Third-degree burns.

Evaluating claims and underwriting for these illnesses in the context of insurance policy provisions and legal requirements.

Programme Leader

Dr. C H Asrani, a pioneer in medical audit and insurance risk management, brings 46 years of experience. With extensive work in insurance training globally and involvement with National Health Authority and The World Bank, Dr. Asrani specializes in underwriting insights, claim adjudication, and fraud prevention. His cloud-based solutions and X-Claims tool are at the forefront of innovation in the insurance industry.

Programme Fee

Full Course Fee: S$436.00 (incl. of 9% GST)

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Last Updated Date:
17/3/25

Significance of Critical Illness for Effective Risk and Claim Management

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