Medical Insurance Managment

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  • Introduce participants to types of health insurance.
  • Introduce participants to medical and medical providers.
  • Define the participants in issuing and claims management.
  • Manage health insurance file.
  • Negotiate the renewal of contracts with health insurance.
  • Define health insurance contracts and various coverage

 

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

 

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

 

  • 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

 

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

 

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

 

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

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