P801- PROGRAMME ON GMC UNDERWRITING SKILLS (NON-LIFE)

Background

Group business is underwritten according to the structure and needs of the insured group. Health insurance premium in India is growing exponentially owing to the increased awareness and increased hospitalisation expenses. Therefore,  it is  very  important to have a detailed knowledge on 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 in India.

This programme aims to point 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

Ø    Group Health insurance market - overview

Ø    Various aspects of Health insurance UW for both compulsory as well as voluntary groups

Ø    Underwriting supported by IT Systems.

Ø    Rule based underwriting / Centralised underwriting

Ø    TPA management and control

Ø    Health Claims Data and analysis

Ø    Customised /Tailor made policies

Ø    Effects of inefficient underwriting – Burning cost?

Ø    Brokers & their importance in Underwriting Corporate Group Health insurance.

Contents

Ø    Group Health Insurance – Indian and Global scenario

Ø    Various Government Group schemes and their management.

Ø    Data Management – Health claims

Ø    TPA and control on Claims

Ø    Detecting an objective risk (Ex-Metro and Non metro rating)

Ø    Actuarial aspect of Rating – Group Health

Ø    Fraud management Team and its importance in Group Health

Ø    Balancing Brokers, TPA and Insured   - overcoming challenges

Participants’ Profile

Officials working in Corporate Offices. Officials from Head office, handling marketing & Health Department. Relationship managers in corporate offices

Duration:        2 days

Dates:             04.08.2022-05.08.2022