A unified system uniquely designed for digital age retail health business needs of an Insurer

SymbioSys Retail Health System is a new age administration platform designed for business resilience and new age digital ecosystem needs. It is thus designed with broadest range of configurators, workflow engine, rule engine capabilities to provide the broadest functional capabilities and also to adapt to dynamically evolving consumer health insurance buying behaviour.

SymbioSys Retail Health PAS has processed 10000+ quote generation per hour with 200+ Policy Issuance per hour (intensive partner users) on peak month-ends. It has enabled insurers to launch new products in less than 10 calendar days.

Business Challenges

• Generic Systems mostly focussed on Group Health and unable to address Instalment Premium, Bonus and reward points
• Siloed and Fragmented Systems not covering all aspects of policy management like Refund, Endorsements,
• Limited process/ workflow adaptability in changing partner needs
• Higher maintenance costs due to multiple systems.
• Long TAT for policy issuance due to mandatory scheduled batch issuance in legacy PAS

Business Drivers

• Product flexibility/time to market.
• Automated processes with reduced TAT for policy issuance.
• Optimize operational cost and even system maintenance.
• Unified system including ability to handle, underwriting, distribution partners/channels compensations & health claims processing in a single system
• Workflow driven end to end refund tracking and processing up to bank.

Features

• Flexible Product & other Configurators for UW, Claims and even distribution compensations
• Real Time application decision with automated UW and for quick Policy Issuance in emerging digital ecosystem
• Automated renewals with recurring payment setup
• Auto Renewal Registration electronic clearing systems
• Endorsement, Portability Workflow and Processing
• Bank Statement upload and Reconciliation, Refund Generation and Processing with Bank integration
• Instalment Premium Payment option, Policy Premium & Receipt accounting including Oracle GL files
• Stamp Duty / Revenue Stamp set ups

Benefits

• Rapid Time to Market for new Product/ channel partners launches
• Unified service managing from Policy Admin management, UW, Claims and even Distribution Management
• Ready APIs to Integrate with rest of emerging Digital eco-system, e.g. Payments and Health Records Gateways, Client Portals and Policy Aggregators.
• Aiding Financial Accounting for better Payment and Premium data tracking.
• Seamless Renewals, Endorsement, Policy portability modules critical for better digital customer experience