01
PRODUCT & BENEFIT SETUP
Our integrated administration and managed care system ensures that product and benefit setup is quick, simple and easy. Designed to support any insurance plan, product designs are entirely configurable which makes it easy to customise different benefits and premiums. This spans even the most complex designs with the system effortlessly accommodating different age restrictions, premiums, reimbursement models, exclusions, restrictions, waiting periods and pricing structures.
With a soft-coding architecture, rollout and implementation is exceptionally fast. English language commands are automatically converted into machine learning, effectively transforming any user into a hard-coding expert. As a result, our speed to market is at least tenfold quicker than our competitors.
02
QUOTATION
MANAGEMENT
Our Quotation Module was specifically designed to support any sales, distribution and marketing strategy, whether direct-to-customer, via a broker or intermediary, or a combination of both. The process is also fully customisable to suit customer expectations, from digital and online experiences to consultative, advisory approaches.
We also recognise the Quotation process as a key opportunity in the broader health risk management strategy, with an automated Health Needs Assessment capability built into the system. Using intelligent risk management algorithms and predictions, customers are guided towards benefits and products that are best suited to their unique healthcare needs. The result is MORE CARE. LESS RISK: An optimised sales process, increased policy uptake and improved customer satisfaction, while effectively managing risk on the existing membership base.
03
DIGITAL PURCHASING & ONBOARDING
The purchasing and onboarding process is designed as a natural continuation of the Quotation module. This ensure a seamless, uninterrupted and convenient user experience that serves as a powerful sales enabler.
Key functionalities include:
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Quotation acceptance and auto-submission to the insurer
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Immediate and automated underwriting response, endorsements, and / or terms and conditions
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Calculating pro-rata premiums
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Gathering issuance requirements, such as acknowledgement of endorsements or amendments and acceptance signatures
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Instant electronic delivery of policy schedules and wording
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Processing of payments via Payment Gateway
04
PRE-AUTHORISATION & CLAIMS MANAGEMENT
We use Artificial Intelligence and Machine Learning to achieve a 100% automated, consistent and accurate pre-authorisation and claims process. To do this, the system applies more than 67 000 clinical, business and Client-specific rules and protocols to make authorisation and funding decisions in sub-seconds. This speed and accuracy directly impacts customer satisfaction, lowers IBNR, improves predictive modelling and greatly reduces fraud, waste and abuse.
05
OMNICHANNEL CUSTOMER SERVICE
In today's world of high customer service expectations, simplicity and convenience is key. We place a big focus on intuitive customer engagement with a powerful Omnichannel capability at the heart of every interaction. The system integrates a large variety of touch points, from WhatsApp, SMS, and Social Media, to Webchats, inbound or outbound calls, and complaints escalation processes.
The customer sits at the heart of the system and we keep track of every interaction, across every channel. The information is at the agent’s fingertips, and they have a consolidated view of every past communication, phone call, or web chat to enable first time query resolution, every time.
As a result, our Clients are empowered to deliver an intelligent and seamless service that consistently exceeds customer expectations.
06
SELF-SERVICE PORTALS
Our self-service portals were specifically designed to empower customers and let them manage their cover quickly, easily and at their own convenience. The functionality is available as a Mobile App or online portal with strict security and privacy measures. After logging into their profile, customers have access to their full portfolio and can manage anything from claims submissions and pre-authorisation requests to downloading documents and updating important details.
As a fully integrated functionality, all interactions are filtered into our Omnichannel Customer Service platform, ensuring a single view of all interactions and engagements.
OUR SOLUTIONS
CUSTOMER JOURNEYS
