PROGRAMME FOR OMBUDSMAN OFFICIALS

Background
Ombudsman secretaries and officials play a vital role in helping the Ombudsmen in redressing the Grievance of customers. To acquaint them with concepts of insurance principles, personal claims management and possible solutions to the disputes between the Insured and the underwriter arising out of wrong interpretation of policy conditions.

Objectives
The programme aims to:

• familiarize the participants with principles of insurance

• equip the participants with procedures of claim settlement

• acquaint participants with various personal insurance covers available in the insurance market

Contents
• Law of Contract and its application in insurance – Fundamental Principles of Insurance

• Genesis and evolution of Insurance Regulations in India – Regulations covering service to policyholders

• Practice of Life Insurance, types of Policies, Acceptance Processes, Claims Processes

• Practice of General Insurance – Personal Lines – Health Insurance

• Management of motor Own Damage Claims

• Insurers concerns with grievance settlements