| Flexibility is key to your success in group insurance, and our software solutions give you the ability to support your clients with an array of products from life to disability to health and long term care. In addition, all of the different primary products defined to our application over - twenty-four of them - can be further defined by benefit structure and serviced as part of a flexible cafeteria benefit package. Enrollment, billing, premium collection, agent commissions and claims adjudication features allow for consolidated processing and reporting by group and insured.
Administration Capabilities
Special features of our cafeteria benefits functionality include: - The ability to define multiple insurance carriers or internal company divisions for underwriting and enrollment reporting.
- Design of any number of products, and any number of variations within a product group.
- Enrollment of a full array of coverages at the Group level from which each insured may select only those specific benefits they desire.
- Selection of dependent coverage tier at each insured coverage record with the ability to have different dependents covered under different benefit plans.
- Consolidated billing of any number of products, underwritten by any number of carriers.
- Automatic calculation of commissions based on product, carrier, and even insured.
- Automatic distribution of premiums to various underwriting companies.
Claims Capabilities
Our claims solutions allow you to process payments for any of the cafeteria benefits designed for administration and eligibility purposes. Highlighted features include: - The ability to define multiple claim check formats for payment of benefits from various insurer or corporate accounts.
- Eligibility verification of insured and dependents using user-defined status and status description along with effective and paid-through-dates at the claimant coverage level.
- Reporting at all levels in the hierarchy, for example at the book of business level, group, plan, or down to the most detailed claimant level.
- Special add-on modules for employee-reimbursement-bank processing.
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