P625 - PROFITABLE MANAGEMENT OF HEALTH PORTFOLIO (NON-LIFE)

Background

The share of health insurance in the total general insurance business has increased from 24.11% in FY 2014-15 to around 29% in FY 2020-21. With the introduction of PMJAY the segment is expected to grow at an even higher rate in the future. The other factors which have fuelled the growth in the segment includes entry of more standalone health insurers, innovation in products with an increasing focus on wellness, introduction of new distribution channels and increasing role of technology in customer service.

 

Though the health insurance business is a large portfolio it is also one of the largest contributors to underwriting losses.  The issues and challenges that the Health Insurance is facing must be holistically addressed to make it a sustainable portfolio.  Handling of the subject requires knowledge and skills in various fields including developments in the health industry, market dynamics, products, Government schemes, innovation, distribution, regulations, medical underwriting, TPA management, PPN management, claims management

 

Objectives 

This programme aims to equip participants with knowledge and understanding of 

         Portfolio trends and its implication

         Regulations and its implications

         Underwriting & Claims management

 Contents

          Health Care and Health Insurance

         Health Insurance Underwriting

         Health Insurance Regulations

         Retail Health Insurance Products

         Group Health Insurance

         PMJAY (Ayushman Bharat)

         Underwriting of Retail health insurance

         Travel Insurance

         Personal Accident Insurance

         Provider Management

         Retail & Group Health insurance Claims Management

         Tech Innovation in Health

Participantsí Profile: 

Officials handling Health Insurance underwriting & claims in Head Office, Regional Offices, Operating Offices of Indian and foreign public & private sector General Insurance Companies.   

Duration:       3 days

Dates :            20.02.2023-22.02.2023