PUNE
P801
- PROGRAMME ON GMC UNDERWRITING
SKILLS (NON-LIFE)
Background:
Group
Insurance business is underwritten according to the structure and needs of the
insured group. Health insurance premium in India is growing exponentially in
recent years owing to the better awareness and increased hospitalisation
expenses. Therefore, it is very important to have a detailed knowledge of the
factors impacting underwriting of Group Health insurance in India.
A consistent underwriting approach at point of application is one important key to create profitable Group Health insurance business.
This programme aims to examine out all the relevant factors which an underwriter should know while underwriting Group health insurance policies.
Objectives:
This programme aims to give participants a comprehensive look at:
§
Group
Health insurance market - overview
§
Various
aspects of Health insurance UW for both compulsory as well as voluntary groups
§
Underwriting
supported by IT Systems.
§
Rule
based underwriting / Centralised underwriting
§
TPA
management and control
§
Health
Claims Data and analysis
§
Customised
/Tailor made policies
§
Effects
of inefficient underwriting – Burning cost?
§ Brokers & their importance in Underwriting Corporate Group Health insurance.
Contents:
§
Group
Health Insurance – Indian and Global scenario
§
Various
Government Group schemes and their management.
§
Data
Management – Health claims
§
TPA
and control on Claims
§
Detecting
an objective risk (Ex-Metro and Non metro rating)
§
Actuarial
aspect of Rating – Group Health
§
Fraud
management Team and its importance in Group Health
§ Balancing Brokers, TPA and Insured - overcoming challenges
Participants’ Profile:
Officials working in Corporate Offices. Officials from Head office, large Regional Offices handling marketing & Health Department. Relationship managers in corporate offices
Duration: 2 days
Dates:
17.02.2025 - 18.02.2025