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Health, Safety & Security


Medical Insurance managment


REF: S7048  DATES: 7 - 11 Jul 2019  VENUE: Beirut (Lebanon)  FEE: 2500 

Overview:

This course is for:

  • All managers responsible for the insurance sector.
  • All managers responsible for social insurance.
  • All employees of the health insurance department in the insurance companies.
  • All employees of the health insurance department of service providers.
  • Employees working in the health insurance department in all institutions.

Objectives:

  • To introduce participants to types of health insurance.
  • Introducing participants to medical and medical providers.
  • Define the participants in issuing and claims management.
  • Manage health insurance file.
  • Negotiate renewal of contracts with health insurance.
  • Health Insurance Correspondence.
  • Definition of health insurance contracts and various coverage.
  • Management of medical expenses and management of premiums and finance.

Main Contents:
an introduction:

  • Insurance providers.
  • Origin of insurance and risk management.
  • Objectives and benefits.
  • Insurance terms and principles of insurance.

Medical Insurance:

  • Types of insurance.
  • Health insurance law.
  • Types of health insurance policies.
  • Permanent health insurance cover.
  • Preparation of health insurance programs.
  • Overpayments and Endurance Rates.

Management of medical insurance contract:

  • Health Insurance Correspondence.
  • Versions and Claims.
  • Management of medical expenses and management of premiums and finance.
  • Self-financing funds for health insurance.
  • Claims and methods of calculation.
  • Method of calculating the health insurance premium and the most important factors affecting the insured's decision (insurance company).
  • Medical Services.

Technical study of medical insurance:

  • Introduction to health care delivery system.
  • Coverage in health insurance.
  • Negotiate renewal of contracts with health insurance.

Personal accident document and its importance for medical insurance contract:

  • Definition of personal accident document.
  • Coverage of personal accident document.
  • Linking personal accidents to medical records.

Disclosure of fraud in medical insurance:

  • Disclosure of fraud in medical insurance.
  • Fraud Detection Methods.

Applied cases.

COURSE DATES
7 - 11 Jul 2019
COURSE REF
S7048
VENUE
Beirut (Lebanon)
COURSE FEE
2500 

COURSE REF: S7048

Medical Insurance managment

Beirut (Lebanon)

COURSE DATES: 7 - 11 Jul 2019
COURSE FEE: 2500 

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