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

  Participants 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 :

 

    I.            22.05.2023-24.05.2023

     II.            25.09.2023- 27.09.2023

  III.            18.12.2023- 20.12.2023

  IV.            05.02.2024-07.02.2024