Regulatory Compliance and Claims Management in Insurance (Online / Remote)
1Summary
Insurance disputes rarely start with bad luck — they usually start with a claims file that was handled without a clear enough grasp of what the law actually requires. A single ambiguous clause or a missed regulatory step can turn a routine claim into a costly legal battle, and that is precisely the gap this programme is built to close.
Regulators, courts, and policyholders now hold insurers to a far higher standard of transparency and fairness than they did a decade ago, and that pressure is not easing anytime soon.
Through Regulatory Compliance and Claims Management in Insurance, the Arab British Fellowship Training Academy equips participants with the legal literacy and procedural discipline needed to run claims and compliance functions with confidence across multiple insurance lines.
2Objectives and target group
Who Should Attend?
- Legal professionals working with insurance firms.
- Insurance claims adjusters and underwriters.
- Compliance officers in financial or insurance institutions.
- Insurance regulators and supervisors.
- Managers in the insurance or risk management sector.
Knowledge and Benefits:
By the end of the programme, participants will be able to:
- Apply the core legal principles that govern insurance contracts and the obligations of every party involved.
- Compare national, regional and international regulatory frameworks that shape insurance practice.
- Handle claims disputes and legal challenges through a structured, evidence-based process.
- Apply ethical and procedural standards consistently across the insurance operations cycle.
- Use compliance tools and dispute-resolution mechanisms to reduce legal exposure.
3Course Content
- Module 1: Claims Lifecycle — From Notification to Settlement
- Notification, investigation, and validation
- Documentation and burden of proof
- Claim decision and settlement timeline
- Module 2: Legal Grounds for Contesting and Processing Claims
- Breach of contract and policy exclusions
- Subrogation rights and contribution principles
- Statutes of limitation for claims
- Module 3: When Claims Turn into Disputes
- Internal grievance and appeals systems
- Arbitration vs. litigation in insurance disputes
- Role of the insurance ombudsman and regulators
- Module 4: What Makes an Insurance Contract Legally Valid
- Elements of a valid insurance contract
- Principles of indemnity, utmost good faith, and insurable interest
- Legal classification of insurance types
- Module 5: Obligations and Liability Across the Insurance Relationship
- Obligations of the insurer and the insured
- Legal implications of misrepresentation and non-disclosure
- Agent and broker liabilities
- Module 6: The Legal Systems Shaping Insurance Practice
- Common law and statutory principles
- Regional and jurisdictional variations
- Role of courts in interpreting insurance disputes
- Module 7: Supervision, Licensing, and Global Regulatory Standards
- Regulatory bodies, licensing and registration requirements
- Financial solvency and risk-based supervision
- Role of the IAIS, Solvency II, and cross-border insurance regulations
- Module 8: Compliance Duties Insurers Cannot Ignore
- Anti-money laundering (AML) requirements
- Consumer protection standards
- Data privacy and cybersecurity rules
- Module 9: Property and Casualty Insurance — Legal Specifics
- Regulatory specifics of P&C insurance
- Loss assessment and liability rules
- Coverage disputes and fraud issues
- Module 10: Life and Health Insurance — Disclosure and Ethics
- Disclosure duties in life and health applications
- Contestability and suicide clauses
- Ethical concerns in medical underwriting
- Module 11: Commercial and Liability Coverage Essentials
- Legal doctrines affecting business liability
- Directors’ and officers’ liability coverage
- Environmental and cyber liability policies
- Module 12: Ethics and Fair Practice in Insurance
- Conflicts of interest and fiduciary duties
- Marketing practices and truth in advertising
- Fair claims practices and customer rights
- Module 13: Identifying and Managing Legal Risk
- Identifying legal risks in insurance operations
- Compliance audits and legal reviews
- Mitigation techniques and internal controls
- Module 14: Where Insurance Law Is Heading
- Regulatory technology (RegTech) in compliance
- Impact of digital transformation on legal frameworks
- Emerging risks and evolving legal responses