Certificate Programme in Health Insurance
The Certificate Programme in Health Insurance is designed for graduates and early to mid-career professionals, both medical and non-medical, to build a career in health insurance. It offers practical training in insurance workflows, hospital billing, TPA operations, claims processing, and regulatory compliance.
4.7
Average Course Rating
What You Will Learn
- Decode policy structures and coverage terms
- Navigate the complete insurance claim cycle
- Manage pre-authorization and reimbursement workflows
- Interpret IRDAI guidelines and healthcare compliance
- Resolve claim denials and engage with TPAs effectively
Description
The Certificate Programme in Health Insurance is designed for graduates and early-career professionals, both medical and non-medical, to build a career in health insurance. It offers practical training in insurance workflows, hospital billing, TPA operations, claims processing, and regulatory compliance. With India’s healthcare sector rapidly expanding through government initiatives like Ayushman Bharat and private insurance growth, there is a rising demand for professionals who can bridge the gap between care delivery and financial systems. This course equips learners with real-world skills in pre-authorization procedures, claim documentation, policy interpretation, and IRDAI/NABH-compliant practices, ensuring job readiness for roles in hospitals, TPAs, insurance firms, and health-tech companies.
Delivered in a flexible online format with optional internship or simulation support, the programme blends conceptual learning with applied case studies and industry templates. Whether you're transitioning from another industry or entering the workforce as a graduate, this course prepares you to contribute meaningfully to healthcare operations.
What You Will Get
- Industry-recognized certification
- Templates for pre-authentication forms, claim formats, and billing checklists
- Real-world case studies (private and public health insurance)
- Option to participate in a simulation-based or live internship
- Weekly doubt-clearing sessions and industry mentorship
- Resume, career profiling and placement assistance
- Mentorship from Course Directors
Course content
Course Advantage
- Introduction to Health Insurance in India
- IRDAI Compliance and Policy Structures
- Pre-authorization, Claim Submission, and Billing Logic
- Third-Party Administrators (TPAs) and Network Hospitals
- laims Rejections, Denials, Appeals, and Audit Trails
- Ayushman Bharat and Government Scheme Workflows
- Medical Documentation, Ethics, and Legalities
- Simulated Case Files & Dispute Resolution Exercises
Eligibility Criteria
- Graduates in any stream
- Professionals working in the Insurance sector
- Career Switchers
