- www.exclusivehealthcare.com
- Launched, In May 2007
- Document Imaging - Automatic Digital Archive of every document in PDF format.
- Full Life Cycle Management of Insurance Policies.
- Advanced MIS System for Administrators.
- Automated Insurance Claim Processing.
- "You guys have provided me the service is expected time lines and had met my budgets, I appreciate your commitment to work and will be touch with you soon for more works. Thanks Radix"
The Client
Exclusive Healthcare SA is a France based company, specializing in Health Insurance for the English speaking ex-pats living in France. The company offers Top up Health Insurance from the leading suppliers of English language based Insurance Policies.
The founders are living in France and have experience of working with Healthcare Industries for many years. Their work brought them into close contact with a great number of families in many countries who are on the move towards south, thus the families in many countries are very much aware of their real needs and their practical problems.
Challenges
The company's employees and agents were straining to process lots of policy documents every day. Integrating and streamlining policy application and document processes would ease administrative headaches for agents and greatly strengthen relationships with their customers. By this endeavor they have got back the strategy of heaving their company into a new professional horizon.
"With everything involved in preparing, printing, mailing, storing, and retrieving policy documents and always in several sets of duplicates it's easy to see how costly and time-consuming the process is", says the company's chief Executive officer.
Real-Time Policy Information for Agents
Overview
The Solution
For each policy, the insurance details are dynamically created in to PDF documents; those are automatically attached to the policy with descriptions and dates. Thus, the management, underwriting, claims, and authorized external users achieve over 75% time, effort saving. The system also replaces the old-school method of having to go to find a paper based file again.
The following are some of the key features provided by the system.
- Web-enabled data entry
- Ability to view detailed breakdown of premium summary
- Automatic reflection of pre-defined characteristics from the Product Developer and Configuration such as coverage’s, rates, and forms etc…
- Ability to edit and save multiple quote iterations
- Easy transition from quick quote and/or full quote to issued policy
- Document Imaging
In-Force Automation
In-Force Automation encompasses all the business functionality associated with in force transaction processing. The following processes are completely automated by In-Force:
- Cancellation/reinstatement
- Policy correction
- Endorsements
- Renewals and non-renewals
- Detailed policy transaction history including "point-in-time" detail
- Diary, notes and renewal information windows.
- Export data in CSV format.
- Claims Processing
- Claims processing accurately tracks and reports the Losses claimed by customers. Claims module is designed to handle simultaneous claims by sharing data between the policy and claim modules.
- When a new claim is created within the claim modules, the system automatically verifies coverage, coverage limits, deductibles, and aggregates based upon the date of loss.
- The Claim modules allow for complete tracking, review, and reporting of Reserves, Payments, Expenses, Salvage, Subrogation, Losses by Peril and Sub-Peril, Adjuster Diary notes, as well as Statutory reporting, Named Catastrophe tracking, and integrated claim letters that automatically incorporate and merge claim and policy information into the letter.
- Renewals.
- Reports.
Benefits
- The client handles his core business with the Radix-developed internet based Policy Management System and the robust architecture enables the client to enhance productivity and affordable costs.
- Manageability of the system is improved because Radixweb consolidates various systems into a single homogenous entity. This technique lessens maintenance cost and ensures lesser downtime.
- All the data residing on contrasting systems is combined and put into a single database. Access is also enhanced and all users could get complete access to any data required any time. Consolidation of data also leads to higher customer service levels and reduction in customer query responses times.
- The application caters to the needs of the users all over France, and this standardizes the administration process.
- Many of the tasks those are earlier being handled manually are automated, presenting significant efficiency benefits to the clients’ operations.
- The automated flow of data between the databases belonging to the two separate modules is transparent and seamless, and this contributes to lower cost.


