Certificate in Health Insurance Helpdesk Executive

Description

Course Name: Certificate in Health Insurance Helpdesk Executive
Course Id: CHIHE/Q0101.

Eligibility: 10+2 (Higher Secondary) or equivalent is required.

Objective: The detailed objectives are to prepare competent Health Insurance Helpdesk Executives. Participants will gain a comprehensive understanding of the health insurance ecosystem, including different types of policies, terms, and the claims process. The curriculum emphasizes effective communication to handle diverse customer queries regarding policy coverage, renewals, and cashless and reimbursement claims.

Duration: Three Months.

 How to Enroll and Get Certified in Your Chosen Course:

 Step 1: Choose the course you wish to get certified in.

 Step 2: Click on the “Enroll Now” button.

 Step 3: Proceed with the enrollment process.

 Step 4: Enter your billing details and continue to course fee payment.

 Step 5: You will be redirected to the payment gateway. Pay the course and exam fee using one of the following methods:
Debit/Credit Card, Wallet, Paytm, Net Banking, UPI, or Google Pay.

 Step 6: After successful payment, you will receive your study material login ID and password via email within 48 hours of fee payment.

 Step 7: Once you complete the course, take the online examination.

 Step 8: Upon passing the examination, you will receive:
• A soft copy (scanned) of your certificate via email within 7 days of examination.
• A hard copy (original with official seal and signature) sent to your address within 45 day of declaration of result.

 Step 9: After certification, you will be offered job opportunities aligned with your area of interest.

Online Examination Detail:

Duration- 60 minutes.
No. of Questions- 30. (Multiple Choice Questions).
Maximum Marks- 100, Passing Marks- 40%.
There is no negative marking in this module.

Marking System:
S.No.	No. of Questions			Marks Each Question		Total Marks
1	10			5		50
2	5			4		20
3	5			3		15
4	5			2		10
5	5			1		5
	30					100
How Students will be Graded:
S.No.		Marks	Grade
1		91-100	O (Outstanding)
2		81-90	A+ (Excellent)
3		71-80	A (Very Good)
4		61-70	B (Good)
5		51-60	C (Average)
6		40-50	P (Pass)
7		0-40	F (Fail)

 Key Benefits of Certification- Earning a professional certification not only validates your skills but also enhances your employability. Here are the major benefits you gain:

 Practical, Job-Ready Skills – Our certifications are designed to equip you with real-world, hands-on skills that match current industry demands — helping you become employment-ready from day one.

 Lifetime Validity – Your certification is valid for a lifetime — no renewals or expirations. It serves as a permanent proof of your skills and training.

 Lifetime Certificate Verification – Employers and institutions can verify your certification anytime through a secure and reliable verification system — adding credibility to your qualifications.

 Industry-Aligned Certification –All certifications are developed in consultation with industry experts to ensure that what you learn is current, relevant, and aligned with market needs.

 Preferred by Employers – Candidates from ISO-certified institutes are often prioritized by recruiters due to their exposure to standardized, high-quality training.

 Free Job Assistance Based on Your Career Interests – Receive personalized job assistance and career guidance in your preferred domain, helping you land the right role faster.

Syllabus:

Module 1: Foundations of Health Insurance Introduction to health insurance, Types of health insurance plans (individual, family floater), Key insurance terms (premium, deductible, co-pay, sum insured), Understanding network and non-network hospitals, The role of a TPA (Third Party Administrator), Claim process overview, Policy documents and their importance, Regulatory bodies (IRDAI), Health insurance products in India, Ethical conduct and professionalism.

Module 2: The Health Insurance Helpdesk Role Roles and responsibilities of a helpdesk executive, Customer service excellence, Effective communication skills (verbal, written), Handling inbound calls and emails, Query management and resolution, Building rapport with customers, Multilingual support, Documentation of customer interactions, Professional phone etiquette, Managing customer expectations.

Module 3: Policy, Claims, and Pre-Authorization Policy issuance and renewal process, Understanding policy benefits and exclusions, The pre-authorization process, Cashless and reimbursement claims, Documents required for claims, Claim intimation and registration, Claim status tracking and updates, Handling claim denials and appeals, Portability of health insurance, Endorsements and policy modifications.

Module 4: Grievance Redressal and Compliance Grievance handling procedures, Escalation matrix, Insurance Ombudsman and its role, Consumer protection laws, Privacy and data security (HIPAA principles), Fraud detection and prevention, Auditing and quality control, Compliance with IRDAI regulations, Maintaining a complaints database, Communication with internal teams.

Module 5: Technology and Systems Introduction to health insurance software, Customer relationship management (CRM) systems, Knowledge management tools, E-portals and mobile applications, Using a call center management system, Data entry and accuracy, Reporting and analytics basics, Troubleshooting common technical issues, Digital claim processing, Cybersecurity for customer data.

Module 6: Advanced Skills and Career Development Analyzing customer feedback and surveys, Developing a personal improvement plan, Teamwork and collaboration, Leadership skills for helpdesk supervisors, Product knowledge updates, Continuing professional development, Career paths in the insurance sector, Resume writing and interview skills, Case study analysis of complex queries, Final project: a detailed report on a customer service scenario.

Career Paths & Salary Ranges

1. Health Insurance Executive / Helpdesk Executive

• Role: Provide customer support for health insurance queries, process claims, assist with policy information, and manage KYC or verification tasks.

• Salary:

  • AmbitionBox reports a typical range of ₹1.2 LPA to ₹4.5 LPA, depending on city, sector, and experience:

    • New Delhi, Bengaluru, Chennai: ₹1.2 – ₹4.0 LPA

    • Mumbai: ₹1.5 – ₹3.1 LPA

    • Hyderabad: ₹1.1 – ₹3.0 LPA

    • BPO/Financial services may extend up to ₹4.5 LPA.

2. Insurance Coordinator / Helpdesk Coordinator

• Role: Assist with customer onboarding, policy processing, document coordination, and internal escalations.

• Salary:

  • Average range: ₹1.1 – ₹4.2 LPA across industries. Some metro cities and high-demand industries offer up to ₹6 LPA.

  • At Star Health & Allied Insurance, Coordinators earn between ₹2.2 – ₹3.6 LPA (roughly ₹23,000–₹25,000/month in-hand).

3. Customer Support Executive – Health Insurance

• Role: Handle inbound/outbound customer support for policyholders—covering claims, renewals, coverage details, and support queries.

• Salary:

  • At Care Health Insurance: ₹1.9 – ₹5.0 LPA, with top performers earning above ₹5 LPA and average about ₹2.5 LPA (~₹21K–₹23K in-hand).

  • At other TPAs (e.g., Health Insurance TPA of India): ₹1.7 – ₹2.3 LPA (~₹13K–₹14K in-hand).

4. Medi Assist Helpdesk Executive

• Role: Provide support for medical claim processing, health insurance queries, and servicing insured individuals.

• Salary: Between ₹2.3 – ₹4.0 LPA (for 1–7 years of experience), slightly above the national average.

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Career Path Overview

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Key Observations

• Entry-level roles such as Health Insurance Helpdesk or Support Executive typically offer salaries between ₹1.2 – 2.5 LPA.

• Mid-level positions, especially in BPOs or private health insurance firms (like Medi Assist or Care Health), can stretch to ₹4 – 5 LPA.

• Location and employer significantly influence compensation—metros and leading healthcare firms generally offer better pay.

• As experience grows, transitioning into supervisory or claims specialist roles offers upward mobility in salary.

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From the Field (Anecdotal Insight)

While not specific to health insurance, many support professionals note that freshers in BPO roles often start around ₹18,000–25,000/month, with promotions or leadership roles pushing incomes to ₹3–4 LPA+ over time.

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Final Thoughts

Completing a Certificate in Health Insurance Helpdesk Executive opens doors to pivotal roles in customer support and policy coordination within health insurance and allied sectors. Salaries typically begin around ₹1.2–2.5 LPA, with the potential to reach ₹4–5 LPA as expertise and responsibility grow.