Medical & Health Insurance – Non Medical Aspects of Claims

This program provides participants with a comprehensive understanding of medical insurance benefits and healthcare procedures. By course end, attendees will proficiently navigate key areas, including benefit structures, expense categorization, medical necessity upgrades, and cost assessments. They will also grasp specialist charges, claims procedures, fraud awareness, and stakeholder responsibilities. This program equips participants with essential knowledge for informed decision-making in the healthcare industry.

Recommended for

Underwriters, claims assessors, sales intermediaries, customer service officers, trainers, product designers and those involved in pricing, healthcare professionals, software programmers, employee benefit professionals and third party administrators and those who are managing medical insurance claims

11 & 12 November 2024
9.00 a.m. - 5.00 p.m.

Method: In- Person
CPD Hours: 14
Registration Closing Date:
5 November 2024

About the trainer:

TAN ENG BEE
SRN, ANZIIF (Senior Assoc), PCS, ARA, AIRC, FLMI, FLHC, FAHM, MBA (UK), CFP

Ms. Tan has more than 15 years of experience in the life insurance industry. She was an experience staff nurse and clinical instructor before she started her career as a Medical Assistant and Life Insurance Underwriter. Ms Tan is an Senior Associate of The Australian and New Zealand Institute of Insurance and Finance (ANZIIF), Fellow in Life & Health Claims, Associate in Customer Services, Fellow of Life Management Institute, Fellow in Academy of Health Management, holds a Masters in Business Administration and is a Certified Financial Planner.

She was the Manager of the Medical and Group Insurance Department and also Vice President of New Business and Claims of a leading multinational insurance company. Currently, she is the Technical Adviser in a leading assistance company.
Course Outline
Day 1
  • Medical Jargons and Abbreviations
Day 2
  • What is Sickness and Injuries?
  • Congenital Conditions
  • Pre-existing and Long- standing Conditions
  • Waiting Period
  • Medically Necessary
  • Customary and Reasonable Charges

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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