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Suggested Study Flow for Learners
Suggested Study Flow 10 hours - Smartonline Course
Suggested Study Flow 10 hours - Smartonline Course
Smart Online Learning AI Mentor - Clarify Your Doubts
Module 1: Introduction to Health Insurance
Module 1 Synopsis
Lecture 1.1: What is Health Insurance and Why it’s Needed
Multiple Choice Practice Questions - Lecture 1.1.1
Lecture 1.2: Advantages of Having Health Insurance
Multiple Choice Practice Questions - Lecture 1.2.1
Lecture 1.3: Risk Concepts & Insurance Principles in Health
Multiple Choice Practice Questions - Lecture 1.3.1
Lecture 1.4: Legal and Contractual Nature of Health Insurance
Multiple Choice Practice Questions - Lecture 1.4.1
Lecture 1.5: Evolution of Health Insurance – India & Global
Multiple Choice Practice Questions - Lecture 1.5.1
Module 2: Health Insurance Products in India
Module 2 Synopsis
Lecture 2.1: Retail Health Insurance Plans
Multiple Choice Practice Questions - Lecture 2.1.1
Lecture 2.2: Family Floater, Individual, and Top-Up Policies
Multiple Choice Practice Questions - Lecture 2.2.1
Lecture 2.3: Specialized Health Insurance Products
Multiple Choice Practice Questions - Lecture 2.3.1
Lecture 2.4: Group/Corporate Health Plans & Portability
Multiple Choice Practice Questions - Lecture 2.4.1
Lecture 2.5: Government Health Schemes – PMJAY & State Programs
Multiple Choice Practice Questions - Lecture 2.5.1
Lecture 2.6: Standard Coverage and Common Exclusions in Health Insurance
Multiple Choice Practice Questions - Lecture 2.6.1
Module 3: Health Insurance Regulations & Legal Framework
Module 3 Synopsis
Lecture 3.1: IRDAI Regulations and Policyholder Protections
Multiple Choice Practice Questions - Lecture 3.1.1
Lecture 3.2: Exclusions, Waiting Periods, Portability Rules
Multiple Choice Practice Questions - Lecture 3.2.1
Lecture 3.3: Legal Precedents in Health Insurance
Multiple Choice Practice Questions - Lecture 3.3.1
Lecture 3.4: Redressal Systems – Ombudsman, Consumer Forum, Grievance Cell
Multiple Choice Practice Questions - Lecture 3.4.1
Module 4: Health Insurance Underwriting
Module 4 Synopsis
Lecture 4.1: Introduction to Underwriting in Health Insurance
Multiple Choice Practice Questions - Lecture 4.1.1
Lecture 4.2: Medical Checkups and Declarations
Multiple Choice Practice Questions - Lecture 4.2.1
Lecture 4.3: Risk Loading, Exclusions & Waiting Periods
Multiple Choice Practice Questions - Lecture 4.3.1
Lecture 4.4: Underwriting Technology and Automation
Multiple Choice Practice Questions - Lecture 4.4.1
Module 5: Claims Management in Health Insurance
Module 5 Synopsis
Lecture 5.1: Types of Claims – Cashless vs Reimbursement
Multiple Choice Practice Questions - Lecture 5.1.1
Lecture 5.2: Role of TPAs and In-House Claims Teams
Multiple Choice Practice Questions - Lecture 5.2.1
Lecture 5.3: Hospitalization Workflow & Documentation
Multiple Choice Practice Questions - Lecture 5.3.1
Lecture 5.4: Avoiding Claim Rejections & Smart Claim Management
Multiple Choice Practice Questions - Lecture 5.4.1
Module 6: Health Insurance Fraud & Risk Management
Module 6 Synopsis
Lecture 6.1: Understanding health insurance frauds
Multiple Choice Practice Questions - Lecture 6.1.1
Lecture 6.2: Fraud detection through data analytics & technology
Multiple Choice Practice Questions - Lecture 6.2.1
Lecture 6.3: Risk management & the role of TPAs and insurers
Multiple Choice Practice Questions - Lecture 6.3.1
Module 7: Technology, InsurTech & AI in Health Insurance
Module 7 Synopsis
Lecture 7.1: AI in Health Insurance – Automation, Claims, and Servicing
Multiple Choice Practice Questions - Lecture 7.1.1
Lecture 7.2: Blockchain, IoT & Wearables in Insurance Innovation
Multiple Choice Practice Questions - Lecture 7.2.1
Lecture 7.3: India’s Digital Health Ecosystem – ABHA, NDHM & Integration
Multiple Choice Practice Questions - Lecture 7.3.1
Lecture 7.4: Rise of InsurTech & HealthTech Startups in India
Multiple Choice Practice Questions - Lecture 7.4.1
Module 8: Global Best Practices & Health Insurance Models
Module 8 Synopsis
Lecture 8.1: The US model – Medicare, Medicaid & Affordable Care Act
Multiple Choice Practice Questions - Lecture 8.1.1
Lecture 8.2: European models – Universal Health Coverage
Multiple Choice Practice Questions - Lecture 8.2.1
Module 9: Preventive Healthcare, Wellness & Rewards
Module 9 Synopsis
Lecture 9.1: Annual check-ups & telemedicine
Multiple Choice Practice Questions - Lecture 9.1.1
Lecture 9.2: Wellness apps & insurer-linked programs
Multiple Choice Practice Questions - Lecture 9.2.1
Lecture 9.3: Rewards & healthy behaviour-linked premiums
Multiple Choice Practice Questions - Lecture 9.3.1
Module 10: Distribution Channels & Consumer Awareness in Health Insurance
Module 10 Synopsis
Lecture 10.1: Distribution Channels in Health Insurance
Multiple Choice Practice Questions - Lecture 10.1.1
Lecture 10.2: Improving Consumer Awareness & IRDAI’s Role
Multiple Choice Practice Questions - Lecture 10.2.1
Module 11: Health Insurance Analytics & Data-Driven Innovation
Module 11 Synopsis
Lecture 11.1: Data-Driven Innovation in Health Insurance
Multiple Choice Practice Questions - Lecture 11.1.1
Lecture 11.2: Regulatory Innovation & the Future
Multiple Choice Practice Questions - Lecture 11.2.1
Health Insurance Glossary
Lecture 12.1.1 Introduction to Health Insurance Terminology
Multiple Choice Practice Questions - Lecture 12.1.1
Final Test : Advanced Health Insurance Management
Final Test : Advanced Health Insurance Management
Mandatory Submission of Assignment
Project assignment
Project assignment
Submit Assignment
Final Exam/Assessment by BFSI Skill Sector Council
Frequently Asked Questions - BFSI SKill Council Final Exam
Frequently Asked Questions - BFSI SKill Council Final Exam
Please fill in this form to enable us to generate and issue your certificate once you have completed this course
Instruction for BFSI Final Remote Proctoring Exam
Additional Resources
Top Trends Insurance 2026
Insurance for All- Expanding Coverage, Strenghtening Social Security
Health Trends 2026
Why Health Insurance Risk Management Is a Smart Career Choice in 2026?
Health Insurance Management System Market’s Strategic Roadmap: Insights for 2026-2034
Reference Videos, Social Media Resources
Smart Online Course Youtube Channel
Risk Management Association Youtube Channel
RMAI Facebook Page
Smart Online Course Facebook Page
Linkedin Updates