Retail Field
FREE
Course Overview
Schedule of Classes
Course Curriculum
1 Subject
Retail Field
1 Exercises • 34 Learning Materials
About insurance sector
PPT on insurance sector
Basics of Insurance sector
PPT on insurance industry
policy wordings
policy wording
policy wording PDF 2
policy wordings pdf 3
Field officer's 360 degree investigation
soft skills Field officers
SOP insured part and vicinity
SOP hospital part and Treating Dr
SOP lab and pathologist part
SOP pharmacy part
TAT compliance
Things to keep in mind for Field officers
Huddle call case studies
Importance of QR code scanning before during and after investigation
IMPORTANCE OF DESK AUDIT IN LAB REPORT VERIFICATION
Case Study_ how to crack cases of ACL PCL tear close proximity
Strategy to crack ACL cases by Desk investigation incomplete field investigation
Manipulation in discharge summary ( must be caught at the time of allocation and in field)
Case study of manipulation of Cause of death and PED NDC of high value claim
Hard core fraud carried out by insured by manipulating Discharge summary
Fraud case cracked by histopath report register verification at lab surat
Importance of Desk investigation
Outstanding efforts by Field officer to crack ACL tear case
Case study fraudulent travel claim
Importance of Field intelligence and tracing of treating Dr to crack fraud
Grading of evidences
grading of evidences
grading of evidences PDF
Vverifier app for CAT members
Vverifier app understanding for ICICI lombard claims
Vverifier mobile app workflow
Vverifier question and answers
List of insurers and TPAs
List of General insurers
List of Health Insurers
List of TPAs
List of life insurers
Director's desk
field officers training on products, grading and strategy for investigation
Course Instructor
Rashmikant J Patel
19 Courses • 428 Students
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