Your Intermediate Journey in Understanding Contract Wording Workshop

This two-day advanced workshop is developed for medical & health claims assessors. The contents covered in this workshop are more challenging than the previous programmes. This workshop focuses on the application of policy terms against case studies. Understanding these applications will enable participants to save time when performing daily processes and make valid decisions. The delivery of this programme mainly involves group discussion and case study evaluation activities.

Recommended for

  • Those who have undergone the fundamental and intermediate courses in Hospital & Surgical Insurance.
  • Those with more than five years of experience in the Medical & Health Claims division.

9 & 10 September 2024
9.00 a.m. - 5.00 p.m.

Method: In- Person
CPD Hours: 14
Registration Closing Date:
3 September 2024

About the trainer:

TAN ENG BEE

SRN, ANZIIF (Senior Associate), PCS, ARA, AIRC, ASRI, FLMI, FAHM, FLHC, MBA, CFP


A state registered nurse who ventured into the world of insurance, Eng Bee has since held various senior management positions in leading multinational and national insurance companies. Besides marketing of corporate life insurance, she was actively leading and managing the life insurance operations: new business, underwriting and claims team.

A fervent believer in staff development and the betterment of the life insurance industry, Eng Bee is a lecturer/ trainer in life, health and disability insurance and has assisted in insurance textbook reviews.

Eng Bee was also a technical advisor to a leading assistance company in Malaysia for 15 years and is now the special representative of a global life insurance association.

Course Outline
Day 1
  • Evolution of Claims Practices: Its Impact
  • Application of the definition of “Sickness”
  • Application of the “Pre-existing”
  • Application of the “Specified Illness” Clause
  • Application of the definition of “Congenital Conditions”
Day 2
  • Application of the term “Day Surgery”
  • Application of the term “Medically Necessary”
  • Application of “Customary Reasonable Charges”
  • Impact of Underwriting decision on claims
  • Treatment outside Malaysia & equivalent charges for local treatment

Contact Info

The Malaysian Insurance Institute 197701004772 (35445-H),
Level 6, Bangunan AICB,
No. 10 Jalan Dato’ Onn,
50480 Kuala Lumpur, Malaysia 

Tel : +603 2712 8882

Email : customercare@mii.org.my

Customer Service Virtual Office: Open from 10:00 a.m. to 12:00 p.m., Mon-Fri

Connect With Us

           
©2023 The Malaysian Insurance Institute. All Rights Reserved. Designed By MII