Programme Index
National Insurance Academy, Pune | Information Technology

P859 | AI for Health Insurance Management (Non-Life)

Academic Year 2026-2027

Duration
3 Days
Scheduled Dates
30 Nov 2026 - 02 Dec 2026

Background

The health insurance sector is undergoing rapid transformation with the integration of Artificial Intelligence (AI) and advanced analytics. Increasing claim volumes, fraud risks, and the need for personalized products have made traditional methods inefficient. AI enables insurers to enhance operational efficiency, improve customer experience, and make data-driven decisions.

This programme is designed to bridge the gap between insurance domain knowledge and AI capabilities, equipping participants with practical tools and techniques to transform health insurance operations in the non-life segment.

Learning Objectives

  • Understand the role of Artificial Intelligence in health insurance (non-life)
  • Apply AI techniques in underwriting, claims processing, fraud detection, and pricing
  • Enhance decision-making using predictive analytics and machine learning models
  • Improve operational efficiency through automation and intelligent workflows
  • Explore real-world use cases of AI in insurance companies and InsurTech firms

Key Contents

  • Introduction to AI in Insurance:
  • Overview of AI, ML, and Data Science, AI adoption in the insurance industry, non-life health insurance ecosystem
  • Predictive Analytics in Health Insurance:
  • Risk prediction models, Claim probability forecasting, Customer segmentation
  • AI in Underwriting:
  • Automated underwriting systems, Risk scoring using ML models, Case studies
  • Claims Management using AI:
  • Claims automation & settlement optimization, Image-based claim verification, NLP for document processing
  • Fraud Detection:
  • Fraud patterns in health insurance, Anomaly detection techniques, Real-time fraud alerts
  • AI in Pricing & Product Design:
  • Dynamic pricing models, Personalized insurance products, Demand forecasting
  • Regulatory & Ethical Considerations:
  • Data privacy and compliance, Ethical AI usage, IRDAI guidelines
  • Best Practices for Implementing AI in Healthcare Insurance:
  • Utilizing AI for improving the efficiency in healthcare ecosystem- Industry case studies, Future trends in healthcare ecosystem

Who Should Attend

  • Mid to senior-level professionals from insurance companies (health/non-life)
  • Underwriters, claims managers, actuarial professionals
  • Data analysts and IT professionals in insurance
  • Professionals from InsurTech firms
  • Faculty and researchers in insurance/analytics domain
National Insurance Academy
25, Balewadi, Baner Road, NIA P.O., Pune 411 045 India
+91-20-27204053  |  programoffice@niapune.org.in
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