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
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
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, large Regional Offices handling marketing & Health
Department. Relationship managers in corporate offices
Duration: 2 days
Dates:
I.
17.08.2023-18.08.2023
II.
15.02.2024-16.02.2024