The Certified Claims Manager (CCM) program is an esteemed and comprehensive certification designed to empower individuals seeking excellence in the field of claims management. In today’s ever-evolving business landscape, effective claims management plays a crucial role in ensuring that individuals and organizations receive fair compensation for losses and damages they have incurred. Claims managers act as the critical bridge between policyholders and insurance companies, utilizing their expertise in claims handling, insurance policies, legal regulations, and negotiation skills to facilitate efficient claims processing.

Claims management is a multifaceted discipline that requires a deep understanding of insurance policies, risk assessment, legal compliance, documentation, and negotiation strategies. The CCM program is meticulously designed to equip participants with the knowledge and skills needed to thrive in this challenging and rewarding field. It empowers individuals to understand the intricacies of claims management, advocate for policyholders, and contribute to the efficient resolution of claims.

Certification Program Objectives:

Upon completing the Certified Claims Manager (CCM) program, participants will be able to:

• Master Insurance Policies: Develop a comprehensive understanding of various insurance policies, including property and casualty, liability, auto, and more.
• Effectively Handle Claims: Learn to assess and process claims efficiently, ensuring that policyholders receive fair and timely compensation.
• Navigate Legal and Regulatory Compliance: Understand the complex legal and regulatory framework governing claims management and ensure compliance with industry-specific regulations and ethical standards.
• Enhance Negotiation Skills: Gain the skills to negotiate effectively with insurance companies and other stakeholders to achieve favorable claim settlements.
• Improve Customer Relations: Implement strategies to build strong customer relationships, provide empathetic support, and offer clear communication throughout the claims process.

Certification Requirements:

• Bachelor’s Degree

And/or

• 2 – 5 years of relevant work experience

Certifying Examination:

• To be certified as CCM, student should take up a 1.5 hours online exam conducted by AIIM.
• The qualifying exam would consist of 50 multiple choice questions, testing core certification modules.
• Professionals with relevant experience and other qualifying criteria may be exempted from the examination.

Certification Modules:

• Module 1: Insurance Policies and Coverages
• Module 2: Claims Processing and Documentation
• Module 3: Legal and Regulatory Compliance
• Module 4: Negotiation Strategies and Techniques
• Module 5: Customer Relationship Management in Claims
• Module 6: Advanced Claims Management (Optional)

*  Please note that the modules of the certification are subject to periodic updates and changes.

Who Should Do This Certification:

• Claims Adjusters and Examiners: Claims professionals looking to advance their careers in claims management. The CCM certification provides them with industry-specific knowledge, claims handling skills, and negotiation expertise to excel in the field. It is particularly valuable for individuals who want to advocate for policyholders and ensure fair and efficient claims resolution.
• Insurance Professionals and Underwriters: Insurance experts seeking a deeper understanding of claims management. The CCM program equips them with insights into the claims process, enabling them to collaborate effectively with claims managers and make informed underwriting decisions.
• Legal Professionals and Attorneys: Legal experts interested in specializing in insurance claims law. The CCM certification helps legal professionals gain expertise in insurance policies, claims handling, and regulatory compliance, making them valuable assets for clients dealing with insurance-related legal matters.
• Risk Management Specialists: Risk management professionals aiming to enhance their knowledge and skills in claims management. The CCM program provides them with insights into the claims process and negotiation techniques, making it an ideal choice for those involved in assessing and mitigating risks through insurance.
• Customer Service Representatives: Customer service professionals focused on assisting policyholders through the claims process. The CCM certification equips them with the knowledge and skills to provide excellent customer support during a potentially stressful time.
• Claims Supervisors and Managers: Claims management professionals seeking career advancement and leadership roles. The CCM program enhances their understanding of claims management, legal considerations, and customer relationship management, preparing them for higher-level responsibilities.
• Insurance Compliance Officers: Professionals responsible for ensuring compliance with insurance regulations and ethical standards in claims management. The CCM certification equips them with specialized knowledge related to claims compliance, enabling them to navigate the complex regulatory landscape effectively.
• Legal Claims Assistants: Legal support staff involved in assisting attorneys with insurance-related claims. The CCM program enhances their understanding of claims processes and legal aspects, making them valuable members of the legal team.
• Insurance Educators and Trainers: Professors, trainers, and educators involved in insurance education at academic institutions and training organizations. Earning the CCM certification enhances their credibility and equips them with up-to-date knowledge to teach and mentor future claims managers, contributing to the education and development of experts in the field.
• Risk Assessment Analysts: Professionals responsible for assessing and managing the risks associated with claims. The CCM certification provides them with a comprehensive understanding of the claims process and helps them make data-driven decisions to mitigate risks effectively.
• Financial Planners and Advisors: Financial experts seeking to expand their services by incorporating claims management into their portfolio. The CCM program equips them with the expertise to assist clients in navigating the claims process, ensuring they receive the compensation they are entitled to during challenging times.
• Corporate Claims Specialists: Individuals working within corporations responsible for handling and managing insurance claims on behalf of the organization. The CCM certification enhances their ability to streamline the claims process, reduce costs, and maximize insurance benefits for the company.
• Healthcare Claims Managers: Professionals working in the healthcare industry responsible for managing insurance claims related to medical services. The CCM certification provides them with specialized knowledge in healthcare claims, enabling them to optimize claims processing and reimbursement procedures.

The Certified Claims Manager (CCM) certification is a versatile and valuable credential that benefits a wide range of professionals seeking to excel in the competitive and dynamic field of claims management. Whether you are an experienced claims professional or looking to enter this specialized field, the CCM program equips you with the knowledge and skills to advocate for policyholders, navigate legal complexities, and ensure fair and efficient claims resolution.