Overview
Health insurance plays a vital role in helping individuals, families, employers, and communities manage the financial consequences of illness, injury, disability, and long-term healthcare needs. As healthcare costs continue to rise globally, health insurance remains an essential mechanism for improving access to healthcare services while protecting individuals from significant financial hardship.
This programme provides a comprehensive introduction to the health insurance industry, covering the principles of insurance, health insurance products and benefits, policy provisions, underwriting, sales and distribution, reinsurance, fraud prevention, and the evolving health insurance marketplace. Participants will gain practical insight into how health insurance products are designed, marketed, underwritten, administered, and managed within both individual and group insurance environments.
This course is suitable for:
- Health insurance provider staff
- Medical directors
- Agents and brokers
- Case managers
- Technical business solutions advisors
Learning Outcomes
On successful completion of this programme, you will be able to:
- Explain the principles of insurance and the role of health insurance in healthcare financing and financial protection;
- Describe the structure of the health insurance industry and the various organizations involved in providing health insurance coverage;
- Distinguish between different types of health insurance products, benefits, supplemental coverages, disability income insurance, and long-term care insurance;
- Explain the key provisions, contractual requirements, and administrative processes associated with individual and group health insurance policies;
- Describe the sales, marketing, underwriting, and distribution processes used within health insurance operations;
- Explain the role of reinsurance, stop-loss insurance, and risk management in supporting health insurance market stability; and
- Identify common health insurance fraud schemes, fraud indicators, and measures used to detect and prevent fraudulent activities.
Course Outline
Price: US$185
Course Features
- Modules 18
- Duration 5 Weeks
- Content Type Text & media
- Assessment Yes
- Pass Percentage 70%
- Certificate Yes
