Significance of Heart Ailments in Insurance (Life & Health) Claims Management

Both the underwriter and claim assessors (life as well as health including CI) require deep insights into risk factors, pathophysiology, symptoms/ signs, investigations and treatment modalities pertaining to heart disorders.

This course will help the underwriters to better evaluate proposals w.r.t. physiological abnormalities that do not signify cardiovascular disease
  • identifying the pathology and it’s severity
  • translating the observed pathology into future risk
  • suited for both
  • freshers
  • experienced
And Claims assessors to better evaluate claims pertaining to
  • Health reimbursement
  • Death claims Critical illness
  • UW at claims stage (life insurance)

Recommended for

  • Underwriting professionals in both life and health insurance
  • Claims professionals’ in both life and health insurance

About the trainer:

Dr C H Asrani DNB (Family Medicine); PGD Medicolegal Systems Adv. Dip in Forensic Medicine & Toxicology CEO, Founder – INCHES’ group of companies

A renowned expert in this area, Dr Asrani pioneered medical audit in insurance in India. With over 300 presentations in insurance risk management, Dr Asrani has been conducting training across Dubai, Bangkok, Kuala Lumpur and Singapore. He also has the distinction of being associated with the National Health Authority (Ayushman Bharat scheme), consulting with The World Bank and being a panelist on various talks on monitoring, audit, and fraud surveillance in the Insurance industry.

He is also one of the first medico entrepreneur to devise cloud-based fraud prevention solutions for insurance companies in India (www.inches-insuretech.com). He is now on an expansion drive to extend his company’s service innovative solutions internationally.

The solutions include medical insights for underwriting, rational claim adjudication, medical processes architecture, clinical audit of claims & underwriter or claim assessor trainings. Dr Asrani’s group of companies have also developed Intelli-Claims, a proprietary tool for medical adjudication of claims using standard treatment guidelines and rule-based analytics.

in collaboration with

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Course Outline
 
  • Anatomy & Structure
    » Heart
    » Arterial tree
    » Heart valves
    » Cardiac circulation
  • Congenital - ASD/ VSD etc
  • Atherosclerosis/ Coronary artery disease (CAD/ IHD/ MI)
  • Valvular dysfunction
  • MI/ ACS/ Angina
  • RF, Endocarditis, Pericarditis, Pericardial effusion
  • Aorta - dissection, aneurysm
  • Veins - DVT, PE, Varicose veins
  • Common Investigations
    » Glimpses of ECG/ TMT/ 2-D Echo/ Holter
    » Cardiac injury enzymes
    » Thallium scan
    » Cardiac CT
    » CAG
  • Treatment
    » Thrombolytic therapy
    » Revascularization treatment
  • CABG
  • Angioplasty (PTCA)
  • Cardiac Failure (LVF/ CCF)
  • Pulm hypertension
  • PM appearance

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

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