Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme

Friday 16 January 2015

Insurance organizations and roles

 Types of insurance organizations

actuaries
Calculates standard price of products, takes into account statistical data and past claims experience. Does overall financial assessment of the insurance company from time to time.
Ensures the company has sufficient reserves to pay for future liabilities.
Third party administrators (TPAs)
Build hospital networks, helps in –approvals for cashless admission to a hospital –setting the bill with the insurer on discharge
Loss adjusters/surveyors
Assess and certify a loss when a claim is made on the insurance company.
Play a major role in non-life insurance business.
The regulator(the insurance regulatory and development authority-IRDA)
Smooth running of the insurance sector. Grants licenses.
Ensures compliance with the regulations at all times. Responsibility to protect the interests of the small policyholders against the mighty insurance companies.
Training institutes
Supply trained manpower.
Premier training institutes
-the insurance institute of India (III)
-insurance institute of risk management (IIRM)
-national insurance academy (NIA)
Non-governmental Organisations (NGOs)-
Protect customers’ rights.
spread awareness about   insurance products work with self help groups (SHGs) and insurance companies in rural areas for penetration of micro-insurance products



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