Medical Claims Auditing, Adjudication & Fraud, Waste, and Abuse (FWA) Control
Course Objectives & Learning Outcomes:
By the end of this training program, participants will be able to:
- Master insurance underwriting principles, risk assessment, and policy drafting in Medical Claims Auditing, Adjudication & Fraud, Waste, and Abuse (FWA) Control.
- Manage claims adjustments, dispute settlements, and loss reserving in full compliance.
- Price insurance risks accurately and structure optimal proportional/non-proportional reinsurance.
- Adhere to insurance supervisory frameworks, solvency capital, and statutory accounting.
- Execute underwriting across health, motor, marine cargo, property, and engineering lines.
- Elevate insurance sales distribution, policyholder satisfaction, and product innovation.
Clinical and financial claims auditing methodologies, detecting healthcare fraud, waste, and abuse (FWA), adjudication automation, and dispute resolution between payers and providers.
| # | date venue | Training City | |
|---|---|---|---|
| 1 | 2026-Nov-22 - 2026-Nov-26 | Malaysia | register |
| 2 | 2026-Nov-29 - 2026-Dec-03 | Cairo | register |
| 3 | 2026-Dec-06 - 2026-Dec-10 | Dubai | register |
| 4 | 2026-Dec-13 - 2026-Dec-17 | Istanbul | register |
| 5 | 2026-Dec-20 - 2026-Dec-24 | Sharm elshikh | register |
| 6 | 2026-Dec-27 - 2026-Dec-31 | London | register |
| 7 | 2027-Jan-03 - 2027-Jan-07 | Cairo | register |
| 8 | 2027-Jan-03 - 2027-Jan-07 | Cairo | register |
| 9 | 2027-Jan-10 - 2027-Jan-14 | Dubai | register |
| 10 | 2027-Jan-10 - 2027-Jan-14 | Dubai | register |
| 11 | 2027-Jan-17 - 2027-Jan-21 | London | register |
| 12 | 2027-Jan-17 - 2027-Jan-21 | London | register |