Life and Health Insurance Operations

What You Will Learn

• 1 Learn to analyze risk pooling and the fundamental principles of insurance.
• 2 Understand how life insurers create value through product design and risk management.
• 3 Apply health insurance concepts to manage medical risk and reimbursement methods.
• 4 Use underwriting guidelines to assess applicant risk and determine insurability.
• 5 Understand policy administration systems for efficient new business and policy issue.
• 6 Implement premium billing and collection processes with accuracy and control.
• 7 Develop policyholder services that support changes, inquiries, and regulatory requirements.
• 8 Analyze claims processing workflows to ensure timely and accurate benefit payments.
• 9 Apply reinsurance strategies to transfer risk and stabilize financial results.
• 10 Comply with regulatory reporting standards and anti-money laundering requirements.
• 11 Use technology and data analytics to modernize insurance operations.
• 12 Measure operational performance using key metrics and continuous improvement frameworks.