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2205-Health Insurance

The PGDM course on Health Insurance covers a comprehensive curriculum focusing on global and Indian health insurance perspectives, regulations, product development, and customer relationship management. It includes 20 sessions of 90 minutes each, with a total workload of 30 hours, aimed at equipping participants with essential skills in underwriting, claims management, and marketing. Learning resources include reference books, journals, and various online platforms for further study.

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lakshanika06
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65 views3 pages

2205-Health Insurance

The PGDM course on Health Insurance covers a comprehensive curriculum focusing on global and Indian health insurance perspectives, regulations, product development, and customer relationship management. It includes 20 sessions of 90 minutes each, with a total workload of 30 hours, aimed at equipping participants with essential skills in underwriting, claims management, and marketing. Learning resources include reference books, journals, and various online platforms for further study.

Uploaded by

lakshanika06
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PGDM COURSE CURRICULUM – 2022

Subject Health Insurance


Course Code 2205
Trimester II
Credit 3
No. of sessions 20 (90 minutes each)
Workload in Hrs. 30

Course Objectives

a. Knowledge

1. Global perspective of Health Insurance


2. Indian Healthcare scenario
3. Indian Health Insurance scenario
4. Regulations
5. Customer Segments
6. Health Insurance Products
7. Channels of distribution for Health Insurance
8. Sales challenges
9. Marketing of Health Insurance Products
10. Health insurance underwriting process
11. Portfolio management
12. New Product development
13. Pricing
14. Claims Management
15. Customer Relationship Management
16. Health insurance innovation trends

b. Skills
1. Equip the participants with skills of new, product development underwriting, claims
management, TPA management, Portfolio management, Customer Relationship
Management

Course Outcome:

Understanding of Health care industry, health insurance new product development, products
underwriting, claims management, TPA management, Portfolio management, marketing of health
insurance products, Customer Relationship Management

1
Learning Resources:

Reference Books

Sr. Title of the Book Author Publication Place


No.
1 Health Insurance IC-27 Insurance Institute of Mumbai
India
2 Basics of Health Insurance IC -35 Insurance Institute of Mumbai
India
3 Health Insurance Claims Management IC -36 Insurance Institute of Mumbai
India
4 Health Insurance Operations IC -37 Insurance Institute of Mumbai
India
5 Understanding Insurance of Health PC James
6 Risk Adjustment, Risk Sharing and Academic Press United
Premium regulation in Health Kingdom
Insurance Markets

Supplementary Reading:

a. Journals:
1. Asia Insurance Review
2. Insurance Journal
3. IRDAI Journal
4. The Journal of Insurance Institute of India

b. Web links:
1. [Link]
2. [Link]
3. [Link]
4. [Link]
5. [Link]
6. [Link]
7. [Link]
8. Websites of various insurers
9. Websites of various Banks
10. Websites of web aggregators

Pedagogy

1. Lectures
2. Presentation
3. Videos
4. Case Studies
5. Syndicate Discussion
6. Group Presentation
7. Quiz
8. Visit to TPA

2
Syllabus:

Module Contents Workload in Workload in


No. hrs. sessions
1 Global perspective of Health Insurance 1.30 1
2 Indian Healthcare scenario – Challenges, 1.30 1
Opportunities & Trends
3 Indian Health Insurance scenario – 1.30 1
Performance, trends, challenges and
opportunities
4 Regulations governing health insurance 4 2
5 Customer segments in health insurance 1.30 1
6 Health insurance products 2.5 1
7 Channels of distribution for health insurance 1.30 1
8 Sales challenges 1.30 1
9 Marketing – Challenges & Opportunities 1.30 1
10 Health insurance underwriting process - 2.5 2
Challenges & Opportunities
11 Portfolio management – How to build 1.30 1
sustainable portfolio - Challenges &
Opportunities
12 New product development - Challenges & 1.30 1
Opportunities
13 Pricing of Health Insurance products 2.5 1
14 Claims Management 2.5 1
15 Customer Relationship Management 1.30 1
16 Anti-Fraud management 1.30 1
17 Health insurance innovation trends 1.30 1
18 TPA visit 2.5 1
Total 30 20

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