DRIVING PROFESSIONAL STANDARDS
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<strong>DRIVING</strong> <strong>PROFESSIONAL</strong> <strong>STANDARDS</strong><br />
2015 MII PROGRAMME DIRECTORY<br />
HEALTH &<br />
MEDICAL<br />
INSURANCE<br />
Our course have been constructed to provide<br />
a comprehensive understanding of Health and<br />
Medical Insurance, as well as by focusing on claims<br />
management that requires knowledge of all aspects<br />
of medical insurance.<br />
Title<br />
1.39 Intermediate Course in Designing an Insurance Programme Using Risk Management Approach<br />
Title<br />
1.40 Foundation Course in Health and Medical Insurance (Updated)<br />
Duration<br />
Time<br />
Duration<br />
Time<br />
2 Days 9.00 am to 5.00 pm<br />
2 Days 9.00 am to 5.00 pm<br />
Venue<br />
The Malaysian Insurance Institute City Centre<br />
Suite 6.0W, 6th Floor, Wisma Sime Darby, Jalan Raja Laut, 50350 Kuala Lumpur, Malaysia.<br />
Venue<br />
The Malaysian Insurance Institute City Centre<br />
Suite 6.0W, 6th Floor, Wisma Sime Darby, Jalan Raja Laut, 50350 Kuala Lumpur, Malaysia.<br />
Who Should<br />
Attend<br />
• Insurance personnel with basic knowledge of Insurance or Risk Management<br />
• Non - insurance personnel whose work require understanding and practical knowledge of the subject<br />
• Anyone who requires knowledge of insurance<br />
Who Should<br />
Attend<br />
All new-comers or new players to the medical and health insurance sector, healthcare professionals, employee<br />
benefit consultants, software designers and anyone who are interested to obtain a basic knowledge in medical<br />
insurance.<br />
Key Learning<br />
Outcomes<br />
Key Course<br />
Contents<br />
At the end of the course, participants will be able to:<br />
• Understand the basic risk management principles and process<br />
• Understand and apply the various techniques that can be used to identify and analyze risk exposure<br />
• Systematically analyse an organisation’s exposures and needs, and draw up a programme for insuring such<br />
exposures or alternatively treat them<br />
• Understand some of the pitfalls in any insurance programme that may adversely affect an organisation<br />
• Establish an insurance portfolio and manage it effectively<br />
• Introduction<br />
- Insurance programming and portfolio<br />
management<br />
a) Conventional versus risk management<br />
• Exposure inventorying<br />
- Identify and listing assets<br />
a) Tangible/intangible properties<br />
b) Internal/external<br />
- Identifying and listing exposures<br />
a) Direct and indirect exposures<br />
b) Liabilities<br />
• Risk Assessment and Evaluation<br />
- Useful risk assessment techniques<br />
- Assessing and documenting your risk exposures<br />
- Evaluation and decision making<br />
FEES<br />
MEMBER<br />
RM 1,200<br />
GROUP MEMBER<br />
RM 1,150<br />
NON MEMBER<br />
RM 1,400<br />
GROUP NON MEMBER<br />
RM 1,350<br />
• Treatment of risk exposure (I)<br />
- Insurance programming<br />
a) Assessing insurance requirements<br />
b) Categorizing assets exposures<br />
c) Insurance programming<br />
- Reviewing the insurance programme<br />
a) Identifying pitfalls<br />
b) Reviewing terms, conditions and exclusions<br />
c) Rectifying inadequacies<br />
• Treatment of risk exposures (II)<br />
- Alternative risk treatment<br />
a) Risk control<br />
b) Risk financing<br />
c) Risk transfer<br />
- Risk management programmes to minimize or<br />
mitigate risk exposures<br />
- Insurance portfolio management (process and<br />
administration)<br />
- Claims review<br />
- Use of consultants or external expertise<br />
- Documentation<br />
Pre-Requisite<br />
Key Learning<br />
Outcomes<br />
Key Course<br />
Contents<br />
Basic knowledge of insurance principles is essential<br />
At the end of the course, participants would be able to:<br />
• Explain the scope and operation of medical insurance<br />
• Recognize the principle of medical insurance<br />
• Describe the potential of medical insurance in Malaysia and how it is marketed<br />
• Name the scope of benefit of medical insurance<br />
• State the main policy exclusion of the medical insurance contract<br />
• List the essential operation that a medical insurer undertakes<br />
• Explain the concept of managed care<br />
DAY 1<br />
Session 1<br />
Introduction to Medical Insurance<br />
Session 2<br />
The potential of Medical Insurance in Malaysia<br />
Session 3<br />
Scope of Hospital and Surgical Insurance Benefits<br />
FEES<br />
MEMBER<br />
RM 900<br />
GROUP MEMBER<br />
RM 850<br />
NON MEMBER<br />
RM 1,100<br />
GROUP NON MEMBER<br />
RM 1,050<br />
INTERNATIONAL<br />
USD 300<br />
GROUP INTERNATIONAL<br />
USD 280<br />
DAY 2<br />
Session 4<br />
Common Exclusions in Hospital & Surgical Insurance<br />
Policies<br />
Session 5<br />
Administration of Hospital & Surgical Insurance<br />
Policies<br />
Session 6<br />
Managed Care Organization/Third Party<br />
Administrators<br />
INTERNATIONAL<br />
USD 400<br />
GROUP INTERNATIONAL<br />
USD 380<br />
52 53
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