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Insurance training courses and schools
Insurance Professional

Total 117 training course(s) at schools in United States.

School: California State University Fullerton
[All Courses]

Training Center(s)/Venue(s): Fullerton, California, United States
Tel.: 714.278.2611

Clinical Healthcare Case Management (Certificate)
Course Format: Classroom
The Clinical Healthcare Case Management Certificate is designed to provide you with the skills and tools you need to perform as a healthcare case practitioner or nurse case manager. Due to the increased national nursing shortage, case management opportunities for both clinical and healthcare practitioners are in high demand across healthcare systems and the insurance industry as a whole. The Cl...
 

Claims Examiner (Certificate)
Course Format: Online
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 resolvi...
 

Case Management for Healthcare Practitioners (Certificate)
Course Format: Classroom
Case managers are vital members of the healthcare team. They navigate an increasingly complex system to assure that patients have access to quality care delivered in a cost-effective manner. Their role includes being a patient advocate and a liaison between patients and healthcare providers; providing physical assessments; and promoting wellness programs. According to the US Department of Labor...
 

Application of Medical Codes in Claims Processing
Course Format: Online
The ultimate challenge for medical coders is keeping abreast of ever changing standards and regulatory implications. This class is part one of an overview of medical coding and the application of codes in the reimbursement process. You will gain the essential knowledge and skills required to accurately decipher medical billing and reimbursement documentations through the proper use of ICD-9-CM,...
 

Healthcare Fraud and Abuse: Detection & Prevention
Course Format: Online
Medical coding has standards instituted by the Federal government and industry associations to establish guidelines for appropriate billing for complex healthcare services. Coding abuse is one of the most prevalent forms of abusive billing due to the technical and complex nature of diagnostic and procedure pairing protocols. In this class, you will gain an understanding of what constitutes frau...
 

Managed Care and the Healthcare Delivery System
Course Format: Classroom
Develop a comprehensive overview of the managed care industry and define critical terms and concepts related to healthcare. You will learn the major components of managed care and to differentiate between the different types of healthcare delivery systems. You will gain an understanding of the basic components of managed healthcare and the different types of provider organizations, reimbursemen...
 

Healthcare Case Management
Course Format: Classroom
You will be introduced to the field of case management. This class is an overview of the profession including the roles and functions of the case manager in accordance with the Standards of Practice for Case Management. Learn to identify the core components of case management models and practice settings.
 

Claims Management
Course Format: Online
Learn the necessary skills required to perform basic claims examinations in specialized areas such as medical, dental, Worker’s Comp, and auto. Become familiar with the standards of practice including disability ratings and Workers’ Comp fundamentals utilized in the claims examination process. Gain an understanding of the key issues when advising customers regarding coverage and the v...
 

Customer Service and the Claims Examiner
Course Format: Online
This is a comprehensive introduction to customer service in an insurance environment. Learn the skills required to deliver exceptional customer service in claims processing through effective oral and written communications and the art of negotiating. Gain an understanding of customer perceptions and expectations, and learn project and time management techniques to facilitate customer satisfacti...
 

The Claims Environment - Insurance and Liability
Course Format: Online
In this class you will gain an understanding of the principles of insurance policy interpretation, the insurance policy as a legal contract, and review liability issues associated with claims examination. You will explore the legal elements of life, health, and group claims including certificates of insurance pertaining to liability. A special focus on the Worker’s Comp system as it relate...
 

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