Medical Claims & Cost Containment

Public Short Course

Date & Time 8 – 9 October 2025, 9.00 a.m. – 5.00 p.m.
Registration Deadline 1 October 2025 
Learning Format In-Person Training 

Overview

Medical Claims & Cost Containment is a comprehensive course designed to provide a deep understanding of the intricacies involved in processing medical claims and implementing effective cost containment strategies. This course delves into the fundamental principles of medical billing, coding, and documentation – knowledge and skills required of insurance professionals to navigate the complex landscape of healthcare reimbursements. With a focus on accuracy, efficiency, and compliance, this course empowers professionals in the healthcare industry to proactively manage medical claims while ensuring sustainable and cost-effective healthcare practices.

At the end of the programme, participants should be able to:

  • Provide a better understanding of medical claims management and cost containment.
  • Gain insight into the impact of uncontrolled medical insurance claims on the insurance industry.
  • Comprehend types of medical claims fraud commonly committed by medical & health insurance claimants and medical providers.
  • Appreciate and understand claims case studies.
  • Share and discuss medical and health insurance claims issues faced by the medical and health insurance fraternity.

Recommended For

  • Insurance Associations, i.e. LIAM/ PIAM/MTA/MITBA/AMLA
  • Insurance Agents from Life/ General/Takaful Operators
  • Life/General/Takaful Operators Personnel, i.e Life & Medical Claim Assessors, Life and Medical Underwriters, Risk Management Personnel, Actuarial Personnel, Employee Benefits and Medical & Health Insurance Marketers
  • Insurance Brokers/Adjusters
  • Owner/Employer of employee benefits scheme
  • Anyone who wishes to gain insight into Medical Claim Management and Cost Containment

Medical Claims & Cost Containment

For Inquiries

Sales

+603 2712 8882

Programme Structure

Day

Content

1

  • Roles of Medical Claims Handler & their predicaments.
  • Ever raising Claim Cost and its challenges in retaining business.
  • Basic Claims Statistics & its reference / implication.

2

  • Finding Reasons for high loss ratio.
  • Claims measures & controls.
  • Dealing with difficult claims.
  • Roles of Third-Party Administrators (TPAs).
  • How claims management helps in retaining business.

Dates

08/10/2025

Two-Day Classroom

Fees

Early Bird – Registration before 18 September 2025

Aii Member Non-Member
Single RM1,080/USD 250 RM 1,180/USD 272

 

Normal Fee

Aii Member Non-Member
Single RM 1,180/USD 272 RM 1,280/USD 300
Group of 3 RM 1,030/USD 240 RM 1,080/USD 250

Meet The Expert

About the trainer:

CHAN WEI FAY

Mr Chan holds a Bachelor of Science majoring in Mathematics and Statistics from the University of London. He also hasthe Associateship of Australian Insurance Institute.

He has more than 30 years of experience in the management of the Medical Insurance business – ranging from Underwriting, Claims, Policy wording, Product Development, Marketing/Servicing & General.

Management of the portfolio. Currently, he is the General Manager of an International Insurance Company writing a profitable Medical Insurance Business.