After completion of the certification, the learner should be able to:

• Understand the principles of health insurance and the application of such principles to daily decisions.
• Acquire the key competencies required to effectively sell health insurance solutions to individual and corporate clients.
• Understand and apply underwriting principles, practices, and pricing techniques in health insurance.
• Understand and acquire key competencies to be effective in health insurance claims and claims management.
• Understand the impact of health insurance compliance and operational priorities to manage the risk of any possible breaches.

 

	Level 1
Entry Requirement	None
Syllabus	Health Insurance Fundamentals Business Development in Health Insurance Health Insurance Underwriting Principles and Pricing Health Insurance Claims Management Health Insurance Compliance and Operational Risk Management Analytics in Insurance
Exam	Two hour exam consisting of 50 multiple- choice questions. Passing percentage is 60%

   

A health insurance certification gives professionals the specific information and abilities they need to comprehend health insurance concepts and apply them to decisions they make on a daily basis. People can gain the essential skills needed to successfully market health insurance products to both individual and business clients through extensive training.

Professionals with a certification in health insurance also acquire a thorough awareness of the underwriting guidelines, procedures, and methods unique to the health insurance industry. They get knowledge on risk assessment, insurance plan creation, and ensuring policyholders have complete coverage while complying with legal regulations.

Furthermore, the significance of efficient claims handling and claims administration is emphasized in Health Insurance certification programs. In order to ensure accurate and fast processing of health insurance claims while preserving customer satisfaction, certified experts are trained to comprehend and implement important abilities.

The influence of operational priorities and health insurance compliance on risk management is also covered by health insurance certification. To reduce the risk of violations and guarantee ethical behavior, certified personnel are trained to navigate regulatory frameworks, recognize compliance requirements, and put operational strategies into place.

In conclusion, a health insurance certification equips workers with the technological know-how, legal compliance, and customer-focused methods necessary to succeed in the fast changing healthcare industry. In order to improve healthcare quality, affordability, and accessibility and to improve the well-being of individuals and communities, certified professionals are essential.