Understanding Claim Administration

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Level: Intermediate

Why you need this course:
After completing this course, you’ll be able to evaluate the effectiveness of your organization’s claim administration efforts.

Upon successful completion of this course, you should be able to:

  • Describe claim administration characteristics.
  • Describe the goals of claim administration.
  • Describe the steps of the claim adjusting process.
  • Explain how to manage the personnel involved and the claim monitoring aspects of claim administration management.
  • Explain how to reduce claim costs using litigation management, advance payments, subrogation, and cost containment of medical claims.
  • Describe the following about loss reserving:
    • Why loss reserving accuracy is important
    • What factors make loss reserving difficult
    • What methods are used to establish loss reserves
    • How to estimate incurred but not reported and allocated loss adjustment expense reserves

Cost: $20 per Professional Development Hour (PDH). Information on Professional Development Hours (PDH) provided can be found here.

Understanding Claim Administration Topics Include:

  • Claim administration characteristics
  • Goals of claim administration
  • The steps of the claim adjusting process
  • How to manage the personnel involved and the claim monitoring aspects of claim administration management
  • How to reduce claim costs using litigation management, advance payments, subrogation, and cost containment of medical claims
  • Loss reserving, including:
    • Why loss reserving accuracy is important
    • What factors make loss reserving difficult
    • What methods are used to establish loss reserves
    • How to estimate incurred but not reported and allocated loss adjustment expense reserves

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E-mail: customerservice@TheInstitutes.org
Phone: (800) 644-2101

Customer Service hours are Monday through Friday, 8:00 a.m. to 6:00 p.m. eastern time.

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