NATIONAL INSURANCE ACADEMY

PUNE

 

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

(2025 - 26)

 

Background:-

The share of health insurance in the total general insurance business has increased from 24.11% in FY 2014-15 to around 38% in FY 2024.25. With the introduction of PMJAY and its expansion to cover senior citizen up to 70th age 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. 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.

Use of AI and Gen AI in Health segment has become relevant to effective underwriting and claims handling.

Objectives

This programme aims to equip participants with knowledge and understanding of: 

Contents:

 Participants’ Profile: 

 Officials handling Health Insurance underwriting & claims

 Duration:   3 days

 Dates:             

          I.     14.05.2025 - 16.05.2025          

       II.     11.08.2025 - 13.08.2025          

    III.     27.10.2025 - 29.10.2025          

    IV.     29.12.2025 - 31.12.2025