Training Course:Claims Examiner (Certificate)School/Trainer:California State University Fullerton
Fullerton, California, United States
Course Format: Classroom | E-learning | Virtual Class | Online | On-site | Blended | Self-paced
Course Description:
'' Claims examiner is one of the fastest growing professions in the insurance and healthcare industries today. One of the most important roles of the claims examiner is acting as an intermediary with the public. Claims examiners perform a wide variety of functions in dealing with insurance claims such as initiating the claims process, interpreting and explaining policy and regulations, and resolving billing disputes. They perform claims assessments to determine a customer’s insurance coverage and the appropriate payment amount to the claimant. In all cases, the primary function of the claims examiner is to adjudicate claims to determine their validity, negotiate settlements, and authorize payments.
The goal of the online Certificate in Claims Examiner is to meet the educational needs of individuals entering the field of claims examination, and to provide professional development for current examiners who desire a formal education program for career enhancement.
The Certificate in Claims Examiner consists of five required classes totaling 60 hours of online instruction. Graduates will receive 6.0 Continuing Education Units (CEUs), a nationally recognized unit used for professional development.
Program Objective
Graduates of the certificate program will be able to understand:
- The role and functions of the Claims Examiner
- The insurance claims industry and types of claims
- Insurance terminology - Worker’s Compensation
- Customer service techniques
- Time and project management in Claims Examination
- Fraudulent claims and insurance fraud laws
- Claims examination scenarios after completion of a simulated or "mock" claims examination
Who Should Attend
- Recent college graduates
- Retirees
- Insurance clerks (Workers Compensation/healthcare/auto)
- Claims examiners - career development
- Medical and dental assistants
- Billing and accounting clerks
...''
Elements of this syllabus are subject to change.
Please go to the school's official website for training price and schedule:
http://www.csufextension.org/
Phone:714.278.2611
School Address:
California State University Fullerton College Park, Suite 100
2600 Nutwood Ave. (corner of Nutwood and Commonwealth)
Fullerton, CA 92834-6870 USA
Jobs & Resumes: Fullerton
Houses & Roommates: Fullerton
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