Independent consulting firm, G&T Risk Management, is to conduct a training seminar on the issues surrounding trauma insurance claims management in Australia.
G&T Risk Management Director, Tony O’Leary, suggests that since the development of trauma insurance in Australia in the 1980s, the product has evolved at a great pace, with some of the challenges faced by claims assessors today including:
- Understanding what is covered under the contract and why the wording has evolved to what it is now
- Having an insight into what might have been expected when originally pricing the risk
- Identifying the objective evidence that is required to justify a claim
- Knowing when a medical event has fulfilled the criteria for a valid claim
- Being aware of the types of issues to look for in respect of non disclosure
Designed primarily, but not exclusively, for claims assessors, the two-day course addresses the major conditions covered under a Trauma policy and discusses a number of issues including:
- The background to the covered medical conditions
- How the various disease processes develop
- What evidence is likely to be required at the claims stage
- What factors the claims assessor should be looking for when deciding whether or not the claim is valid
This course fills a need in terms of addressing training and development in a complex area of risk management, and raises the question of whether similar, but tailored courses could or should also be developed for advisers, paraplanners and relevant dealer group staff, particularly across claims and underwriting processes, which are both of such critical importance to the relationship between adviser and client.
G&T Risk Management’s course takes place in Sydney over two days on 4th and 5th August, with further details available through the following link: G&T Risk Management Trauma Insurance Claims Seminar.
