Legal / Law Training Course on Insurance Claims, Dispute & Liability Law

Module 1: Fundamentals of Insurance Law and Claims Framework
Key Study Areas:
Nature and principles of insurance contracts
Utmost good faith, insurable interest, and indemnity
Formation and interpretation of insurance policies
Legal aspects of claims handling and settlement
Case Studies:
Misrepresentation and non-disclosure disputes
Judicial interpretation of policy wording
Activities:
Draft a basic insurance contract clause
Analyze a sample policy for legal gaps and ambiguities

Module 2: Liability and Indemnity in Insurance Law
Key Study Areas:
Legal foundations of liability: negligence, strict liability, vicarious liability
Indemnity and subrogation rights
Policy limits, exclusions, and coverage disputes
Employer’s, professional, and public liability coverage
Case Studies:
Professional negligence and indemnity disputes
Employer liability claim litigation examples
Activities:
Evaluate a liability claim scenario and advise on coverage
Develop a decision matrix for indemnity determination

Module 3: Claims Management and Dispute Resolution Process
Key Study Areas:
Claims submission, investigation, and evaluation procedures
Fraud detection and legal remedies
Alternative dispute resolution (ADR): mediation and arbitration
Litigation process in insurance claims
Case Studies:
Arbitration awards in complex insurance claims
Fraudulent claims prosecution outcomes
Activities:
Simulate an insurer–policyholder dispute mediation
Draft a dispute resolution clause for an insurance policy

Module 4: Regulatory and Compliance Framework in Insurance Law
Key Study Areas:
Insurance regulatory landscape (national and international)
Role of regulators and supervisory authorities
Compliance requirements for insurers and intermediaries
]Consumer protection and fair claims practices
Case Studies:
Regulatory enforcement actions against insurers
Implementation of fair treatment of customers (FTC) standards
Activities:
Conduct a compliance audit for a hypothetical insurance firm
Develop a checklist for regulatory risk management

Module 5: Emerging Trends and Complex Liability Issues
Key Study Areas:
Cyber insurance and data breach liability
Product liability, directors’ and officers’ (D&O) coverage
Environmental and catastrophic risk insurance
ESG, reinsurance, and global dispute implications
Case Studies:
High-profile cyber liability claim outcomes
International reinsurance arbitration precedents
Activities:
Group discussion: impact of emerging risks on liability coverage
Develop a claims response strategy for a cyber insurance dispute