SPECIALISED DIPLOMA ON HEALTH INSURANCE

Note: Candidate passed Licentiate in Non-Life Branch i.e. Subject No. 01, 11 and 14 or any other subjects of 20/30/40 Credit Points is eligible for Specialized Diploma Course on Health Insurance.

IC - 35 : Basics of Health Insurance

Basics of Health Insurance

Contents:

Chapter 1: Health care In India
Chapter 2: Health Financing And Insurance Models.
Chapter 3: Health Insurance In India.
Chapter 4: Health Insurance Underwriting Principles.
Chapter 5: Health Insurance Underwriting Practices.
Chapter 6: Health Insurance Products.
Chapter 7: Health Insurance Marketing And Distribution.

IC - 36 : Health Claims Management

Health Insurance Claims Management

Contents:

Chapter 1: Instructional Module.
Chapter 2: Claims Management.
Chapter 3: Role Of Third Party Administrators.
Chapter 4: Provider Network Management.
Chapter 5: Claims Management - Cost Containment.
Chapter 6: Medical Coding.
Chapter 7: Fraud And Abuse Control.

IC - 37 : Health Operations

Health Insurance Operations

Contents:

Chapter 1: Policy Administration And Accounting.
Chapter 2: Customer Service In Health Insurance.
Chapter 3: Data Management & Warehousing.
Chapter 4: Health Insurance- Mis And Analytics.
Chapter 5: The Role Of It In Health Insurance.
Chapter 6: Government And Social Health Insurance.
Chapter 7: Rashtriya Swasthiya Bima Yojana.