Large & Complex Claims Management Training Course

Course Overview

Learning Objectives

• Analyze the characteristics and complexities of large and high-value insurance claims.
• Assess complex claims from coverage, liability, financial, technical, and operational perspectives.
• Apply structured methodologies for investigating and evaluating significant claims.
• Evaluate policy coverage, exclusions, conditions, limits, deductibles, and potential coverage disputes.
• Analyze complex loss calculations, business interruption exposures, and financial impacts.
• Develop appropriate reserving and claims exposure assessment approaches.
• Strengthen coordination with loss adjusters, experts, brokers, legal advisers, policyholders, and other stakeholders.
• Apply advanced negotiation techniques to complex claims and settlement discussions.
• Identify claims leakage, recovery opportunities, subrogation potential, and other financial exposures.
• Strengthen governance, escalation, documentation, authority, and decision-making processes.
• Apply risk-based approaches to prioritize and manage complex claims effectively.
• Develop practical strategies for achieving timely, controlled, and commercially sound claims outcomes.

Who Should Attend

Learning Outcomes

• By the end of the course, participants will be able to:
• Assess the complexity, severity, and financial significance of large insurance claims.
• Develop structured investigation and assessment strategies for complex claims.
• Interpret policy coverage and identify potential coverage issues and disputes.
• Evaluate liability, causation, quantum, and supporting evidence.
• Analyze complex property damage, business interruption, liability, and consequential loss exposures.
• Establish and review appropriate claims reserves based on available evidence and expected exposure.
• Coordinate effectively with experts, adjusters, legal advisers, brokers, policyholders, and internal stakeholders.
• Apply advanced negotiation and settlement techniques to complex claims.
• Identify leakage, recovery, subrogation, contribution, and cost-control opportunities.
• Strengthen claims governance, escalation, authority, documentation, and decision controls.
• Monitor complex claims through structured performance and exposure indicators.
• Develop effective settlement and closure strategies for large and complex claims.

Course Outline