Group Insurance - Member Management
Group Insurance - Member Management
Extend process controls, risk control & cost control to Policy Holders
Workflow for Insurer-Master Policy Holder
Web & mobile app created on low code platform
Key Features
- Enroll members by API integration, data entry or upload
- Calculate member premium by prescribed premium rate table
- Workflow for member data interchange & iterations
- Workflow for coverage changes, member additions/deletions
- Workflow for payment flow, adjustments, reversals
- Workflow from claims intimation to claim payment
Claim Investigation Management
Claim Investigation Management
Extend process controls, risk control & cost control to external parties
Align investigations agencies with core systems
Web & Mobile app created on low code platform
Key Features
- Integrated pull of cases from core system, Manual/Rule based case allocation
- Share authorization letter, checklist specific to nature of investigation
- Collect sign, photo as testimonies in mobile app Upload audio & video supporting
- Attach instructions during investigation progress
- Monitor progress as dashboard
- Portal access to investigation agency
Insurance Surveyors - Case Management
Insurance Surveyors - Case Management
Upgrade surveyor operations to fully digital, workflow driven platform - from pulling case; to submission of the reports with evidences, supportings; to raising payment invoices
Key Features
- Integrated pull of cases from core system via data feed/APIs
- Share mandate letter, checklist by nature of survey (fire, Marine, Motor)
- Collect signed statements & photo as testimonies in mobile app
- Upload audio & video supporting.
- Raise adhoc/incidental expenses for approval.
- Monitor progress & efficiency in dashboard.
- Raise fees invoices for payment collection.
Legal Case Management
Legal Case Management
Effective tracking of consumer disputes at all legal forums
Align local team and legal team on a common platform
Key Features
- Comprehensive list of cases at different dispute redressal forums
- Shared list of critical case points for a uniform strategy
- Maintain complete list counter-parties, witnesses, legal councilors on each case
- Attach case papers, testimonies and supporting documents of a case
- Monitor success rate, wining chances by forums, councilors
- Portal access to councilors