the most dynamic product building, rating engine and sales distribution tool available assistance...

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The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network - all workflow management controlled

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Page 1: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

The most dynamic Product Building,

Rating engine and Sales distribution

tool available

Assistance and Claims handling with incorporated

Providers Network - all workflow management

controlled

Page 2: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Nordic Insurance Software - Background

• Founded in 1996• Headquartered in Copenhagen, Denmark• Extensive operational knowledge within the Travel,

Expatriate and Health Insurance lines of business• Integrated flexible and user friendly applications• Unique modular approach allowing future expansion

and enhancements• Full B2B, B2C and B2E integration with web entry• Built on standard Microsoft.NET technology• NIS solutions are live in over 25 countries

Page 3: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Countries with live NIS solutions

Page 4: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS - Unique in the Market !

• End-to-end Travel, Expatriate & International Health Insurance Solutions• Simple approach to custom-build and maintain products• Agent / Web shop can be set up in a matter of minutes• Policy conditions may be modified and updated at will• Premium can be changed and version-controlled on the fly• Policies integrated with assistance and claims administration• Full assistance case management including supplier network administration• Comprehensive claims handling and cost containment• Workflow driven SLA based on client/product/cover type/place of incident• – your built-in manual• Integrated system with on-line, real-time control providing status of sales,

reserves, claims and recoveries

Page 5: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

The NIS End-to-End Solution

Product Builder:- Build and maintain products- Select distribution channels desired and launch product live

Sales solutions:- Call centre solution- B2B – for Brokers and Agents- B2C – your own brands or white labelled - Web services – easy integration to external sales systems

Assistance management:- Workflow management drives appropriate SLA- Providers Network fully integrated

Claims handling:- Automated, semi automated and manual claims handling- Repricing and supplier / client settlement- All information stored on the relevant case

MIS:- KPI´s for company, branch, team or even individual employee- Drill down reporting for trend spotting and financial analysis- Standard report generators utilized allowing for individual ad-hoc reporting- XML full dimension output for OLAP Dataware house solutions

Page 6: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

The Product Building Concept

”Build your products in a matter of minutes, the NIS system creates both your B2B, B2C and B2E presentations automatically – no other product

is this dynamic!”

• A broad and wide variety of product types• Build custom tailored products in an easy way• Full range of products including annual and top-up • Complete rating engine included• Comprehensive calculation methods ability• Ability to select your required sales channels• Set and define product defaults or exceptions • Specify product type, details and policy holder type• Determine and control valid sales and cover period• Control maximum cover period• Simulate and test products prior to publishing• Select actual renewal dates for active products• Attach special clauses directly to the product• Determine tax and commission methods• Connect product conditions• Select types of cover to include• Easy graphical overview of insurance types available

Page 7: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Call Centre Solution

The standard NIS Agent / Broker website can be set-up within 24 hours complete with product availability, commission handling and automated billing

• All products can be white labelled and distributed by your agents • Handling and full down-line set up for brokers and agents• Full policy administration including quotations, policy issuance, renewals as well as

cancellations, amendments and refunds • Display of policy conditions and automatic electronic policy email delivery • Commission handling • On-line agent statistics • Black listing with reversal of commission payment • News section for immediate action, special discounts or sales campaigns • Handling of national agency chains available as standard set-up • Multi language capability – English delivered as standard • Multi currency capability • Electronic banking and payment integration • Automatic agent billing in electronic file format or hard copy • Content section for general information

Page 8: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Integration Examples - Sales

Travel Agents Tour operators Portals Closed User Groups Brokers

Page 9: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

• The ability to put all, or some of your products on-line• Full policy quotation and policy issue functionality • Display of policy conditions • Policy terms acceptance • Automatic electronic policy email delivery • Distribution of multiple brands • Availability as standard set-up • Availability as frame set-up • Multi language capability - Multi currency capability • Electronic banking and payment integration • EFT and Giro integration with OCR labelling • Commission tracking by linking to external URL site • Discount set-up and tracking for various user group URL´s • Encrypted data exchange

B2C – Consumer Website

The standard NIS direct to consumer website can be set-up in 24 hours to put all of your products automatically and immediately on the net

Page 10: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS - Portal Framework Examples

Access administration of all branch/employee policiesAdd new or delete terminated employeesUpdate employee dataSettle outstanding balances

View, extend or cancel policyMaintain basic personal dataProcess outstanding payments Access and direction to the preferred Provider NetworkDriving directions to the nearest in-network facilityReceive automated benefit approvals Commence a claimUpload billsMonitor claim status

Insureds Corporate Clients Insurers Suppliers

Ability to upload policies Automatic notification of Large Loss Cases Receive reimbursement notifications on outstanding settlementsReceive invoices for case settlement and feesUp-to-date information on statistics by scheme, current case data

Access in accordance with privacy provisions to verify policy informationSeek payment, request confirmation of coverageUpload medical reports and invoices, Update details and services in the Provider network database,Maintain basic data

Page 11: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS - Portal Framework End Client Example

Page 12: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS - Mobile Framework

Client Services on the go Deliver automatic self-service access, Call assistance, find a provider, call/email provider

and get directions turn by turn and graphical presentation,and much more...!

Page 13: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS - Mobile Framework continued...

Client Services on the go Show policy certificate and cover, get travel warnings for specific country or region

and much more...!

Page 14: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Assistance & Claims with integrated Network

All case information stored directly on the relevant case

• Incoming / out going emails• Letters and faxes• Internal / external notes• Telephone audio files• Scanjobs• Policy cover information• Reserves• Recoveries• Medical information• Contact information• Beneficiary information

Page 15: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Incident Location and Provider Search

• Geomapping of providers

• Ability to show providers and key suppliers with individual ratings

• Financial data for cost and savings can be maintained

• Notes on providers and previous case references can be included

• Local level mapping abililty to provide insureds with turn-by-turn directions to provider

Page 16: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Assistance and Claims Fee Management

Calculate fee charges individually by client / profit centre – chose from fee by case opened, by case closed, by time used, by number of payments, by number of actions, letters, medical notes. You can set the combination – the system calculates the fee !

Page 17: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Claim Assesment Automated Flow

Page 18: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Claim Handling – Bill Manager

The Bill Manager is one of the bill entry points in the NIS Solution

Page 19: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

• Standard XML full dimension output for data ware house• Extensive MIS available instantly• Claims percentage per agent controls • Claims percentage per product controls• Profit per agent after commission and paid claims • Reserve movement and status • Open claims calculated with average claims percentage • Fully open standard report generators build-in; • MS Reporting Services and SAP Business Reports • User rights and password protected information

Business Intelligence – MIS & Reporting

The NIS solution utilizes the most up-to-date and comprehensive Business Intelligence (BI) module on the market enabling you to control and cross reference all your data, exactly the way you want and the way your client needs.

Page 20: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Business Intelligence – Data Widgets

The NIS solution includes Data Widgets which can be applied in the Sales, Assistance and Claims modules. Ability to set Key Performance Indicators for the individual user, team,

department or company

Page 21: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS Customer Individual Configuration

Example of business rule application for program profitability check prior to renewal

Internal logic set up to determine whether the policy is up for automatic renewal or needs to be queued for manual intervention

You can implement your SLA-specific work flows, our user-friendly graphical interface makes it easy to test them

Implement new workflows change existing ones to test optimum efficiency and effectiveness

Page 22: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Back-office Integration

• Real-time or batch integration • Two way integration • Full dimension hand-off • Reserve check and adjustment • Claims sign-off procedure • Settlement sign off• Payment procedure and sign-off • Automatic bank transfers • Automatic cheque printing • Data ware-house management

Page 23: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS Context Sensitive Help

A comprehensive ”Help” manual is available at your fingertips

It is is built-in and context-sensitive

Page 24: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS Standard Documentation

Available as Context Sensitive Help from within the application

and available from the NIS Customer Universe at www.clientnet.nisportal.com

Page 25: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Customer statements

Director of Development, Neil Heasman, Cega Group Services UK:“One of the greatest benefits is that NIS understands our business down to the detail. By implementing the NIS standard solution we have streamlined our business and our services to reflect what Cega Group Services stand for – exclusive and non-rivaled assistance and claims services on behalf of our insurance clients”

Director Club Insurance, Carlos Coutinho, CAA Canada:“We scanned the global market for a suitable solution supporting our travel and medical sales as well as future related products. We found the standard package from Nordic Insurance Software to be the most comprehensive, innovative and cost effective solution available – and we have not been disappointed”

Page 26: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Customer statements

Steve McClung, Director of Information Systems, Global Excel:“We have achieved significant increases in our processing times. Our process time has decreased by nearly 35% over the past two years and that, with slightly decreased number of staff per claim processed. The team from NIS have helped us achieve some significant improvements to our claims processing, thanks in part to their professionalism, knowledge and experience”

Jesper Kjeldsgaard, Managing Director, Gouda Travel Insurance:”With innovation and IT from Nordic Insurance Software, we have become the most efficient travel insurance company in the Nordic countries”

Page 27: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

Some of our Clients...

Page 28: The most dynamic Product Building, Rating engine and Sales distribution tool available Assistance and Claims handling with incorporated Providers Network

NIS – The Software Solution for your Organization !

Questions?Head Office, Claus Tophoej

[email protected]

North America, Lambert [email protected]