Often, situations arise from loss events that awaken the insurance audience to the need for preventive measures. However, claims have been noted as the most important channels and a specific link that shapes customers' overall perception of their insurance company. Claims handling is a mirror to the customer, enabling insurance companies to improve customer acquisition, expectations, retention, and their business vision to enhance product development and company profitability. Therefore, the engine for claims management actions, accuracy, efficiency, and effectiveness is key to controlling costs, managing risks, and meeting the necessary expectations to ensure appropriate underwriting for the portfolio.

Insurance laws and regulations largely concern the regulatory forces governing insurance documents and claims. This course in this field provides participants with a basic understanding and an introduction to insurance laws and regulations to develop a deeper understanding of this topic, as well as how to effectively manage insurance risks and develop strategies for handling claims.

Who Should Attend?

• Professionals working in various fields related to insurance.
• Individuals wishing to advance in the insurance industry or start a new career in insurance.
• Candidates with a solid foundation in insurance law and are ready to enhance their qualifications.
• Newcomers to the insurance industry who work in customer service, deal with claims, or have other specific roles.
• Lawyers and other business professionals working indirectly with contracts and seeking basic knowledge in regulating insurance policies and handling claims.

Knowledge and Benefits:

After completing the program, participants will be able to master the following:

• Gain a detailed understanding of the real issues faced by insurance agents and claims professionals.
• Learn about the types of insurance available.
• Understand how to measure risks, analyze market structure, and identify key players.
• Learn how to develop better insurance policies.
• Identify the appropriate strategic option.
• Improve the relationship between the insurer and customers.
• Complete the claims handling process and monitoring appropriately.

• Introduction to Insurance

  • Definition of insurance and its importance
  • Types of insurance (life insurance, health insurance, property insurance, etc.)
  • The principle of insurance and risk

• Legal Framework for Insurance

  • Basic laws governing insurance
  • The role of regulatory bodies (such as the General Authority for Financial Supervision)
  • Insurance contracts: key elements and influencing factors

• Principles of Insurance

  • The principle of good faith and compensation
  • The principle of fair risk distribution
  • The principle of entitlement and claims

• Rights and Duties of the Insurer and Beneficiary

  • Rights of insured individuals and beneficiaries
  • Duties of insurance companies toward customers
  • Compensation in case of violations

• Claims Filing Process

  • Steps for filing an insurance claim
  • Required documents and necessary procedures
  • The role of the insurance agent in the claims process

• Claims Evaluation

  • How to evaluate claims: foundations and criteria
  • Claims evaluation techniques and tools
  • A case study on claims evaluation

• Disputes in Insurance

  • Common causes of disputes between the insured and insurance companies
  • Dispute resolution mechanisms: arbitration, mediation, and courts
  • A case study on insurance disputes and how to resolve them

• Current and Future Trends in Insurance

  • The impact of technology on the insurance industry
  • Shifts in global and local laws and regulations