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Certificate Programme in Health Insurance

Eligibility: Graduation in any stream, professionals working in the healthcare sector, career switchers. This course is designed for graduates and early-career professionals from both healthcare and non-healthcare backgrounds.

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What You Will Learn

Decode policy structures and coverage terms
Navigate the complete insurance claim cycle
Manage pre-authorisation and reimbursement workflows
Interpret IRDAI guidelines and healthcare compliance
Resolve claim denials and engage with TPAs effectively
Description

Eligibility: Graduation in any stream, Professionals working in the healthcare sector, Career switchers This course is designed for graduates and e... ... arly-career professionals from both healthcare and non-healthcare backgrounds to build a strong foundation in one of India’s fastest-growing sectors. The programme offers practical training in health insurance operations, claims management, regulatory compliance, and hospital-insurer workflows, ensuring job readiness from day one. With the health insurance industry expanding rapidly through initiatives like Ayushman Bharat and private sector growth, this programme addresses the shortage of skilled professionals. Delivered online with case studies, industry templates, and optional internships, it prepares learners for careers in hospitals, TPAs, insurance firms, and health-tech companies while bridging the gap between healthcare delivery and financial systems. 

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What You Will Get

Templates for pre-authentication forms, claim formats, and billing checklists
Real-world case studies (private and public health insurance)
Internships with leading insurance providers
Weekly doubt-clearing sessions and industry mentorship
Resume, career profiling, and placement assistance
Mentorship from Course Directors

Course Content

Introduction to Health Insurance in India
Principles of Health Insurance
IRDAI Compliance and Policy Structures
Third-Party Administrators (TPAs) and Network Hospitals
Claims Rejections, Denials, Appeals, and Audit Trails
Ayushman Bharat and Government Scheme Workflows
Health Insurance Claims Processing
Health Insurance Fraud and Abuse
Risk Management in Health Insurance
Medical Documentation, Ethics, and Legalities
Simulated Case Files & Dispute Resolution Exercises
6 months
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