Advanced health insurance module that provides complete solution to manage diverse operations from Policy Underwriting to Claim processing with ease and effectiveness.
Customized Policy Underwriting:
Available for group and individual medical product. The module can deal with huge member uploads.
Seamless Claims Provisioning:
Registration, Processing and Tracking of Direct Billing and Reimbursement Claims.
Adjudication Engine:
Inbuilt Adjudication rules for policy and clinical adjudication leading to effective claim processing
Fraudulent Flagging :
Inbuilt flagging rules for detecting fraud in claims and flagging them for processor review.
Pre-authorizations:
Faster submission using provider portals and web services.
Pharmacy Benefit Management:
Interface for Pharmacy pre-approvals clinical adjudication.
Pre-approval Automation Engine:
Automating the pre-approvals based on pre-defined rules.
Provider Management:
Facilitates maintenance of provider’s data i.e. branches, price list, doctors, and facilities.
Policy Limit Utilization:
Is auto managed by the system and the same is available for reference to each member.
Card Printing:
With options for hard and soft copies of medical cards.
Provider Portal
- MDS (Minimum Data Set) uploading facility for Direct Billing Claims.
- Pre-Authorizations
- Clinic Management to manage price list, doctors, and facilities.
- Member eligibility check
Corporate Portal
- Complete Policy View with member level details.
- Raise Member addition/deletion requests
- Claims Registration and Tracking
- Printing Temp. card and Medical certificate.
- Exhaustive Provider search
Member Portal
- Claims Registration and Tracking
- Exhaustive Provider search
- Profile update
- Print Temporary card and Medical certificate
Tailor-made packages of comprehensive products designed to help corporate clients to achieve their corporate goals in today’s fast changing business.
Customizable individual product building, where new products like micro insurance, individual insurance, bank assurance can be easily configured
Our specialized services includegroup employee benefits, credit life solutions
Premium installment payment functionality which can also be customized for individual lines of business.
Generate management information reports on timely basis. The high quality reports facilitate management / underwriter decision making.
Seamless claims provisioning for settlements against different reserves, whether partial, part and final, or full and final settlements.
Single page dashboard viewof all transactions, including: policy, endorsement history, claims allocations, reinsurance policy, reinsurance treaty setup and accounting entries.
Dashboards
User friendly module that is seamlessly integrated with underwriting, claims, reinsurance, accounting and document management functionalities
Quotation enquiry log
Claim Intimation log
Customer claim experience
Policies due for renewal
Anoud + IFRS 17 Engine was designed by one of the BIG 4 companies and developed using the latest technology stack. The Module is ready to support your IFRS 17 reporting and compliance needs
IFRS 17 module includes
IFRS 17 Dashboard
Visual Representation of Statement of financial position and Statement of Comprehensive income.
IFRS 17 Data Bridge
Data validations to ensure data integrity.
IFRS 17 Calc Engine
Performs IFRS 17 calculation to produce IFRS 17 Subledger and Trial balance.
IFRS 17 Reporting
Produce IFRS 17 Disclosures and Financial statements.
Key features of Anoud+ IFRS 17
Data Uploads and Validation:
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- Insurance and Reinsurance excel data uploads
- Data upload of yield curves and exchange rates
- Data check validations
Accounting Policy choices:
Option to choose company specific IFRS17 accounting policy.Measurement models:
General Measurement Approach – GMM:
- Calculates contractual service margin (CSM)
- Pre recognition cash flow release
- Amortizes acquisition cashflows
- Availability of simplified risk adjustment approach
Premium Allocation Approach – PAA:
- Process cashbacks
- Track premium debtors separately
Variable Fee Approach – VFA:
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- Process linked and unlinked cash flows
Subledger &Trial Balance:
IFRS 17 Engine generates subledger and trial balance for reconciliation and validation of resultsIFRS 17 Reporting:
- IFRS 17 Disclosure master and roll forward reconciliation reports
- Statement of Financial Position
- Statement of Comprehensive income
Smart Reports:
Smart report features provide an option for the users to generate Adhoc reports based on their need
Other features:
Flexible reporting periods including monthly, quarterly, half-yearly, and annually
Multi-Currency Set Up by company and divisions Multi batch processing for the same reporting period and different insurance/reinsurance datasets
HRMS is a comprehensive software that integrates core and strategic HR functions into one solution.
- Equinox – Employee self-service portal & Corporate content management system
- Payroll – Employee benefits and management
Key features of Equinox:
Corporate Content Management- Latest News
- Management circulars, Newsletters
- Newspapers, Opinion polls etc.
- Photo / Video gallery
- Employees / Upcoming birthdays / New joiners
HR Requests with workflows (Ex. Leaves, Business trips etc.,)
Printing of the Payslips
Tracking of time & Attendance
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Leave balances & List of holidays
HR Helpdesk Ticketing system
Forums
Key features of Payroll:
Defining Grading Structure capture all the relevant employees’ information.
Processing of Employee Loans, Leaves, Ad-hoc transactions, Salary adjustments /advances, Late deductions, Standard Letters
Payroll processing Final settlement processing
Ad-hoc Upload (Air Fare, Bonus etc.,)
Year Closures
WPS Reporting
Gratuity Setup
Finance JV creations
Standard Operational Reporting