Decisions Suite

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Overview

Our Insurance Decisions Suite includes content management, portal, underwriting, rating, policy management, billing, claims, regulatory compliance, management reporting, business intelligence and bureau reporting.Our solution is available as deployed or fully hosted, and can be delivered on a component basis in order to facilitate a best of breed strategy.The core components of Insurance Decisions include:

Policy Decisions - A state-of-the-art, policy processing platform broken into configurable components with a core of content and functionality that supports and provides flexibility throughout the full policy lifecycle (from submission to renewal, including full automated support for out-of-sequence and cross-term endorsements). It is successfully utilized at companies with direct written premiums ranging from Tier 1 to Tier 4, and which vary from start-ups to carriers with dominant presence in the marketplace.We support a variety of distribution channels including direct, broker, agent and captive sales forces.We support ISO, NCCI, AAIS and Monopolistic Workers' Compensation Boards.We support commercial lines (including Workers' Comp), personal lines, and specialty lines of business.

Billing Decisions - A feature-rich, configurable solution from experts in both the nuances of insurance billing and the broader context of insurance lifecycle processing.Billing Decisions supports and consolidates all policy billing requirements regardless of transactional system. It supports any payment plan and applies rules-based criteria such as line of business and state. It offers configurable business rules that reduce the need for enhancements and provide the flexibility to react quickly to changing business requirements.The automatic workflows streamline operations by mapping desired flows and turning them into automatic processes.

Claims Decisions - A comprehensive and feature rich web-based claims administration solution that enables insurance carriers and TPAs to improve claim outcomes by providing configurable process controls and flexibility to deliver automated workflows and extend capabilities across the enterprise, supporting complete claim lifecycle adjudication efficiently and effectively, resulting in improved customer satisfaction (from FNOL/FROI through adjudication, negotiation & settlement).The system provides tailored support for allied activities including Medical Case Management, Litigation, Subrogation, Salvage and SIU.

DataHouse - DataHouse offers a reliable, consistent, and integrated view of data from disparate systems across the enterprise. DataHouse consolidates data from policy, claims, billing and reinsurance systems to provide insurance companies with integrated intelligence, better workflow management, and actionable insights for agile decision-making.

Key Features

  • All lines/states for commercial, workers' compensation, personal, and specialty
  • Full bureau-based content and maintenance
  • Full product configurability
  • Unique, role-based user experiences across all functional areas
  • Ability to call features and functions from configurable API layer

Key Benefits

Tools-Driven Web Architecture
Off-the-shelf line of business support can be re-used and configured into programs and products as needed.

Data & Analytics Infusion
Our content specialists support the complex task of monitoring, analyzing, interpreting and integrating bureau content into the system, including all customer exceptions and unique implementations clients require.

User/Role Centricity & UX Flexibility
Whether you’re a retail broker, MGA, aggregator or affiliate, users have complete flexibility when it comes to functions and data views. Users can easily define what they most need to see in the system.

Digital Experience
The Decisions Suite supports experiences within the application and can extend these services to other areas, such as rating, rules and functions.

  • Domain expertise and customer base
  • Regulatory support service, hosting, and cloud services
  • Flexible support model from full to self service
  • Data and analytics integrated with predictive modeling and analytics
  • Flexible, role-based UX support from native UI as well as external UI utilizing system APIs and microservices from same instance