Centre For Professional Development
Development of Health Care Professionals to service the Insurance Industry and Medicolegal Studies
Claims Assessor Course (Long Term & Statutory Claims)
The Life Claims and Statutory Insurance claims life cycle management is a critical activity that necessitate a thorough and timely delivered responce. Meant for Cliams Assessors from varying backgrounds, we deliver a thorough application of insurance medicine.
A thorough knowledge and compliance to the regulatory framework and other provisions is key in delivering a satisfactory perfomance. Our Claims Assessor Short Course encompases all these.
A thorough knowledge and compliance to the regulatory framework and other provisions is key in delivering a satisfactory perfomance. Our Claims Assessor Short Course encompases all these.
Life Claims Underwriting Course
How do life insurance companies decide whether or not to approve a life insurance policy? And if approved, how do they decide how much coverage (death benefit) you are eligible for and what your monthly insurance premium will be?
These questions are answered via a process known as “life insurance underwriting.” Come join us as we outline Life Underwriting in this course.
These questions are answered via a process known as “life insurance underwriting.” Come join us as we outline Life Underwriting in this course.
Evaluating Permanent Impairment & Disability Course
The modern day product incorporates the newer criteria for the delivery of benefits using standardized and uniform methods of determining impairment and or disability.
Our flagship course on the Evaluation of Permanent Impairment is designed to cover these methods using the AMA Guides 6th Ed. or later.
Our flagship course on the Evaluation of Permanent Impairment is designed to cover these methods using the AMA Guides 6th Ed. or later.
Contextual Medicolegal Report Writing
Medico-Legal Reports have no standard format to use. Due to the various role-players in the medico-legal value chain, the need to understand your reader, their regulatory framework and various other aspects determines the structure of your report.
Not understanding this very critical step may lead to a report that not only jeopardizes a claimant, but is there any possible comebacks for the writer of the report? Earn 8 (6 Clinical, 2 Ethics) CPD Points for a day's session.
Not understanding this very critical step may lead to a report that not only jeopardizes a claimant, but is there any possible comebacks for the writer of the report? Earn 8 (6 Clinical, 2 Ethics) CPD Points for a day's session.
Medical Aspects of Insurance Law
Health Care Professionals (HCPs) are often expected to function in the highly regulated environment as far as medicolegal (claims) reporting and investigations are concerned.
Any disconnect will almost always result in punitive actions including reputational damage. In this short course, we disect these regulations and empower the HCPs.
This course is for the HCP as an Employer, Service Provider and or Advisor to Employers.
Any disconnect will almost always result in punitive actions including reputational damage. In this short course, we disect these regulations and empower the HCPs.
This course is for the HCP as an Employer, Service Provider and or Advisor to Employers.
Statutory Claims: Claim Cycle Management
Armed with vast experience in the design and the delivery of benefits in the statutory insurance industry, including the evaluation and adjudication, the Centre for Professional Development is positioned to capacitate the health care providers to unlock benefits granted to claimants under the COID and RAF.
We cover the Adjudication Process, Claims Assessment, Regulatory Provisions in line with Claims Review. Joins us and position yourself for the Statutory Insurance Industry.
We cover the Adjudication Process, Claims Assessment, Regulatory Provisions in line with Claims Review. Joins us and position yourself for the Statutory Insurance Industry.
Development of Non-Medical Professionals in the Insurance Sector
Medical Terminology for the Insurance and Claims Professional
As an insurance professional, whether as a broker, an under-writer in the making or even an administrator, the understanding of the various medical terms used in the health and long term insurance space is crucial.
It is always mandatory that communications about medical conditions be understood and questions answered. This course is meant to broaden the understanding of medical terms and simplify the communications.
It is always mandatory that communications about medical conditions be understood and questions answered. This course is meant to broaden the understanding of medical terms and simplify the communications.
Understanding the Medical Guidelines for the Insurance and Claims Professional
The Insurance industry relies on various industry bodies to develop guidelines that are extensively used in the health and longterm products and benefits space. Thes guidelines are crucial to be understood, applied and communicated to the client.
This course is meant designed for the underwriters, product developers and claims assessors as well as other professionals in the value chain of insurance products.
This course is meant designed for the underwriters, product developers and claims assessors as well as other professionals in the value chain of insurance products.
Consolidating and Contextualizing Insurance Medicine
A repudiation of a claim can often lead to a disappointed client taking action against the insurance company. This may lead to reputational damage and costs on both the client and the company.
When applying the guideline outlined path during the claims assessing stage, context is of crucial importance. This course is meant for product design professionals, claims assessors and medical assessors.
When applying the guideline outlined path during the claims assessing stage, context is of crucial importance. This course is meant for product design professionals, claims assessors and medical assessors.
Anatomy For the
Non-Medical Professional
The understanding of human anatomy that is necessary for individuals working in the insurance industry, even if they do not have a medical background. This knowledge is important for accurately assessing claims, understanding medical reports, and making informed decisions regarding policies, premiums, and coverage.
Understanding the basics of human anatomy and medical terminology is crucial for non-medical professionals in the insurance industry, as it directly impacts their ability to assess and manage claims effectively.
Understanding the basics of human anatomy and medical terminology is crucial for non-medical professionals in the insurance industry, as it directly impacts their ability to assess and manage claims effectively.
Pathology for the
Non-Medical Professional
The basics of anatomical pathology, which is the study of disease and injury in the human body through the examination of tissues, organs, and bodily fluids. This knowledge is vital for insurance industry professionals in the accurate claims assessment, understanding medical reports, and making informed decisions regarding policies and coverage.
Understanding anatomical pathology enables professionals to interpret medical findings accurately and make informed decisions that align with the policyholder's medical history and the insurer's risk management strategies.
Understanding anatomical pathology enables professionals to interpret medical findings accurately and make informed decisions that align with the policyholder's medical history and the insurer's risk management strategies.
Physiology for the
Non-Medical Professional
Grasping the basic functions and processes of the human body is crucial for professionals in the insurance industry. This knowledge allows them to interpret medical reports, accurately assess claims, and make informed decisions about policies and coverage. With a solid understanding of human physiology, one can effectively evaluate claims, make sound underwriting decisions, and communicate efficiently with clients and healthcare providers.
This ensures that insurance products and services are properly aligned with the actual health risks and needs of policyholders.
This ensures that insurance products and services are properly aligned with the actual health risks and needs of policyholders.
Contact us
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Should you have any questions, we are glad to answer those thoroughly on any of our contact points.
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Dr Caswell Nkuna
A Medical Graduate from Wits University, Occupational Medical Practitioner with Certificates in Impairment Evaluations, Ionizing Radiation in the Workplace For Occupational Medical Practitioners, Health Sector Mediation and Management Studies.
Extensive experience in General Medical Practice, Health Services (including Hospitals) Management, Courses Assessments and Moderation, AMA Guides 6th Ed. Facilitation and Training. He is the current AMA Guides Impairment Evaluations Trainer/Facilitator and has trained more than 500 Impairment Assessors, including Medical Specialists, Allied Health and General Practitioners.
A member of the RAF Medical Experts as an Expert Impairment Rater. He is currently a member of the Compensation Fund Tribunal and member of the Committee on Schedule 3 review for COIDA. He is Current Medico-Legal Advisor to GENOA and runs Incapacity Programs for Industries in the Mining and Open Labour Markets. He is the Medical Expert on the General Damages Benefit Standardization project for the RAF.
He is the medical contributor to the Medicolegal Report Writer One X-i.
Extensive experience in General Medical Practice, Health Services (including Hospitals) Management, Courses Assessments and Moderation, AMA Guides 6th Ed. Facilitation and Training. He is the current AMA Guides Impairment Evaluations Trainer/Facilitator and has trained more than 500 Impairment Assessors, including Medical Specialists, Allied Health and General Practitioners.
A member of the RAF Medical Experts as an Expert Impairment Rater. He is currently a member of the Compensation Fund Tribunal and member of the Committee on Schedule 3 review for COIDA. He is Current Medico-Legal Advisor to GENOA and runs Incapacity Programs for Industries in the Mining and Open Labour Markets. He is the Medical Expert on the General Damages Benefit Standardization project for the RAF.
He is the medical contributor to the Medicolegal Report Writer One X-i.
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