Personal Injury Claims Handling for Licensed Medical Staff.

Description of the programme content After completing the programme, the student should have knowledge of/in - understanding of the structure of the insurance industry, relevant actors and the basics of different types of insurance, including personal and liability-related insurance. - central laws and regulations, such as the Insurance Contracts Act (Försäkringsavtalslagen), the Social Insurance Code (Socialförsäkringsbalken) and tort law, and their application in claims handling. - insight into medical documentation principles and relevant medical investigation methods for claims handling. - understanding of the whole claims handling process, from claim notification to decision, including compensation calculations and board handling. - the importance of communication in customer relations, conflict management and ethical considerations in the professional role. After completing the programme, the student should have the skills to - apply legal regulations, insurance terms and medical facts in claims handling processes. - analyse and interpret medical records and disability tables, and make probability and compensation assessments. - calculate compensation levels taking into account insurance terms, degrees of disability and principles of tort law. - handle complex customer calls, conflict situations and the communication of insurance decisions in a clear and professional way. - identify incorrect information in claims cases and ensure legally sound assessments. After completing the programme, the student should have the competences to - act independently throughout the claims handling process and make well-founded decisions based on legal, medical and financial aspects. - develop a professional identity as a personal injury claims handler and understand their role in the insurance industry. - collaborate effectively with various actors, including medical experts and legal specialists, to ensure a customer-focused and legally sound way of working. - take responsibility for board handling and appeal processes, with an ethical and customer-oriented approach. - maintain a high professional standard through self-leadership and stress management, enabling quality and long-term sustainability in the work.