Certified Claims Manager VS-1175

Transcription

1 VS-1175

2 Certified Claims Manager Certification Code VS-1175 Vskills certification for Claims Manager assesses the candidate as per the company s need for claims management. The certification tests the candidates on various areas in insurance basics, underwriting, insurance intermediaries, claim settlement procedure, legal aspects, ethics and new trends in claim settlement. Why should one take this certification? This Course is intended for professionals and graduates wanting to excel in their chosen areas. It is also well suited for those who are already working and would like to take certification for further career progression. Earning Vskills Claims Manager Certification can help candidate differentiate in today's competitive job market, broaden their employment opportunities by displaying their advanced skills, and result in higher earning potential. Who will benefit from taking this certification? Job seekers looking to find employment in claims or insurance or finance departments of various companies, students generally wanting to improve their skill set and make their CV stronger and existing employees looking for a better role can prove their employers the value of their skills through this certification. Test Details Duration: 60 minutes No. of questions: 50 Maximum marks: 50, Passing marks: 25 (50%) There is no negative marking in this module. Fee Structure Rs. 3,499/- (Excludes taxes)* *Fees may change without prior notice, please refer for updated fees Companies that hire Vskills Claims Manager Claims Managers are in great demand. Companies specializing in claims or insurance or finance are constantly hiring skilled claims managers. Various public and private companies also need claims managers for their claims or insurance or finance departments.

3 1. Insurance 1.1 History 1.2 Principles of Insurance 1.3 Disclosure 1.4 Material Facts 1.5 Methods of insurance 1.6 Insurer s Business Model 1.7 Types of Insurance 1.8 Insurance Policy Table of Contents 2. Underwriting 2.1 Introduction 2.2 Types of Underwriting 2.3 Underwriting Policy 2.4 Sources of Underwriting Information 2.5 Classes of Business 2.6 Assessment & Management of Exposure 2.7 Perils & Clause of Insurance Policies 2.8 Operational Control 2.9 Underwriting of Life Insurance 2.10 Underwriting of General Insurance 3. Underwriting and Claims Settlement 3.1 Introduction 3.2 Nature of Claim for Various Classes of Insurance 3.3 Types of Claims 3.4 Claim Settlement & Its Significance 3.5 Dispute, Litigation & Arbitration 4. The Role of Insurance Intermediaries 4.1 Introduction 4.2 The Role of Insurance Intermediaries 5. Claim Settlement 5.1 General Claim Settlement Procedure 5.2 Investigation and Assessment 5.3 Claims Documents 5.4 Arbitration 5.5 Settlement 5.6 Survey by Professional Surveyors 5.7 The Surveyor Report 5.8 Claim Procedure for Motor Insurance 5.9 Claim Procedure for Fire and Marine Insurance

4 5.10 Health Insurance Claim Settlement 5.11 Settlement of Insurance Claims 6. Legal Aspects 6.1 Introduction 6.2 Legal Aspects of Insurance Contracts 7. Ethics and Corporate Governance 7.1 Basics 7.2 IRDA Corporate Governance Guidelines 7.3 Protection of Policy Holders 7.4 Treating Customers Fairly 8. Trends in Claim Settlement 8.1 Introduction 8.2 End-to-End Claims Management Solutions 8.3 Focus on Key Performance Indicators 8.4 Advanced Fraud Detection Technologies 8.5 Customer Service 8.6 Quality Assurance and Insurance 8.7 Insurance Business & Claim Management in Other Countries

5 Sample Questions 1. What is the first step in claim settlement? A. Claim Evaluation B. Claim intimation C. Claim repudiation D. None of the above 2. Which of the following can be claim document A. Invoice B. Original policy C. Bill of entry D. All of the above 3. Which of the following can be the basis of claim processing? A. The claim form B. Report from surveyors C. Documents furnished by the insured D. All of the above 4. Whom does the Fit & Proper Criteria apply to? A. Director B. Manager C. Agent D. None of the above 5. What is the monetary limit below which surveyor is not appointed? A. Rs. 20,000/- B. Rs. 2,00,000/- C. Rs. 20,00,000/- D. None of the above Answers: 1 (B), 2 (D), 3 (D), 4 (A), 5 (A)

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