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The Best Oracle Insurance Policy Administration System ... · The Best Oracle Insurance Policy...
Transcript of The Best Oracle Insurance Policy Administration System ... · The Best Oracle Insurance Policy...
The Best Oracle Insurance Policy AdministrationSystem Integrator
AUTOMATED MEDICAL UNDERWRITING NEW BUSINESS ADMINISTRATION POLICY ADMINISTRATION
Oracle Insurance Policy Administration System provides a � exible, rules-based policy administration solution that offers full record keeping and support for all policy lifecycle transactions, while better servicing customers and sales channels.
■ Bring new products to market faster through collaborative development
■ Consolidate on a single platform for life, annuity & group products
■ Con� gure changes without customization or recompiling system’s core code
■ Easily upgrade to new versions and bene� t from oracle product investment
■ Support compliance through a detailed audit trail
■ Simplify the data migration from legacy with viewable historical transactions
■ Integrate in multiple hardware, middleware and database platforms
■ Become 100% autonomous with regard to system con� guration
■ Leverage � exibility of platform to increase IT and business collaboration
CLAIMS MANAGEMENT
www.equisoft.com/insurance
CLIENT
OIPA: The Best Life, Annuity and Health Policy Administration System
Support for Life, Annuity and Group Products from a Single Platform
Life ■ Term ■ Whole Life ■ Universal ■ Variable UL ■ Joint ■ Survivorship ■ Unit Linked ■ Other
Annuities ■ Fixed ■ Variable ■ Immediate ■ Deferred ■ Equity Indexed ■ Payouts ■ Other
Riders ■ Accidental Death ■ Spouse/Child ■ Long-Term Care ■ Return of Premium ■ Accelerated Death
Bene� t ■ Other
Group ■ Term Life ■ Disability Income ■ STD/LTD ■ Critical Illness ■ Dental/Vision ■ Other
■ Unique architecture of con� gurable rules engine provides the right balance between features, � exibility, performance and long-term upgradability
■ No source code change will be required to implement any type of life and annuity product
■ Rapid con� guration allows business involvement during implementation to ensure business and IT objectives are met
■ Supports multiple languages and currencies, and already in production in many countries
■ Active Client Advisory Board for OIPA provides continuous visibility of the platform evolution and a platform for each insurer to in� uence the orientation of major ongoing R&D investment from Oracle
■ Leading policy admin solution in North America according to Gartner and other industry analysts
Provides unparalleled � exibility for joint business and IT con� guration. Enables changes using business rules. Eliminates customization to system’s core code or database structure. Streamlines product development.
Innovate on Products
■ Combine product features to create hybrid products
■ Collaborate across retail and group businesses
■ Flexible, rules-based con� guration speeds up creation and launch of products
■ Unlimited rules con� guration provides � exibility to create the most complex product or business process
■ Product cloning promotes reuse of rules and decreases development time
■ Powerful calculation engine and integrated debugger tool
■ Rules Palette con� guration tool manages con� guration and migration between environments
EquiSoft: The Largest and Most Experienced ORACLE OIPA Integrator
EquiSoft is the only certi� ed Oracle Insurance Policy Administration integrator. For EquiSoft to be certi� ed, EquiSoft had to certify its employees and lead and successfully complete multiple implementation projects without Oracle Support. EquiSoft is currently working on OIPA implementations and upgrades in the United States, Canada, Latin America, the Caribbean and South Africa.
EquiSoft has developed implementation blueprints to guide the discovery phase, quickly assess project scope and reduce implementation risks. EquiSoft has
developed risk and annuity transaction blueprints. EquiSoft has also developed con� guration templates for important business processes.
■ Rates, plan de� nition – SI / term products
■ Issue / activation■ Billing / money in■ Integration architecture
� nalization
■ Issue / activation - � nal■ Billing / money in - � nal■ Premium accounting■ Policy screen■ Insured screen
■ Analysis (until sprint #7)■ Form de� nition■ Server setup■ Design (until sprint #7)■ Prototype■ Overall project plan
■ Bank draft■ Grace / lapse■ Accounting■ Policy screen■ Payor screen■ Claims requirements■ Contestable claim
■ Money reversal■ Billing change■ Waiver of premium claim■ Death / ADB / CI claim■ Disability claim ■ Coverage screens■ Party screens■ Misc inquiry screens – � rst
group (assume 84 average)
■ Children term rider claim■ ABR claim■ Reinstatement■ Rider Termination / rescission■ Party Changes / updates■ Claims payee and investigation■ Anniversary
■ Non contractual changes■ Policy restrictions■ Reversal and reprocessing
general considerations■ Security roles■ Misc inquiry screens – 2nd group
(assume 4 average)■ Cancel / freelook / rescission■ Claims referral and additional
approval � ows
■ Interface smoke tests■ Remaining non-critical defects
from previous sprints
■ System integration testing■ User acceptance testing
Sprint 1Discovery Sprint 3 Sprint 5 Sprint 7Sprint 2 Sprint 4 Sprint 6 SIT/UAT
EquiSoft’s OIPA implementation methodology allows the client to test the application during its development, engaging all stakeholders involved and limiting project risk.
Based on agile practices but adapted for
■ Complex, highly integrated systems
■ A mix of remote and local teams
■ Client-vendor partnerships
■ Complex insurance company governance structures
Results in
■ Improved software quality
■ Faster implementation
■ Enhanced communications between client and team members
■ Better visibility and control of scope, budget and timeline
Daily
scrum
meeting
Requirements analysis
Test case building
Architecture and design
ImplementationQuality
assurance
Product backlog
Sprint backlog
Documentation
4 WEEKS
Testable solution
24 HOURS
■ Project ownership■ Owns the end-to-end
solution■ Business requirements■ Testing■ System integration
(loading where required)
■ End-to-end OIPA implementation (accountability)
■ Industry expertise■ Implementation of
best practices■ Product setup and
con� guration ■ System integration
(extraction)
■ Product roadmap alignment with client
■ OIPA architecture expertise
■ Product support
Client
EquiSoft
Oracle
Successfull Partnership
EquiSoft specializes in business ser-vices and solutions that address the needs of the insurance industry. It provides insurance companies with technology experience and expertise. As a Gold Level Oracle partner and a specialized integrator for the Oracle Insurance Policy Administration solution, EquiSoft has deep exper-
tise in processes within new busi-ness, underwriting, compensation management, policy service and claims management. EquiSoft also supports and integrates all of the Oracle Insurance solutions.
EquiSoft develops and markets InsuranceElements to support sales illustrations and quoting, electronic
EquiSoft provides accelerators that allow the client to integrate faster.
■ Iterative implementation methodology adapted to OIPA
■ OIPA support tools: rate loader, enhanced plan de� nition, automatic test loader
■ InsuranceElements offers front-end iIlustrations that share the calculation engine and electronic application (web and PC with full synchronization)
Supporttools
Proprietary OIPA
methodology
Interfaces
Front-endplug-ins
Equisoftaccelerators
| United States 1-267-989-3141
| Canada 1-514-989-3141
| Chile 56 2 2570 9652
| South Africa27 (0) 83 4 595 795
www.equisoft.com/insurance | [email protected] | 1-888-989-3141
application, � nancial planning and asset allo-cation, on both web-based and mobile plat-forms, thus providing solutions that span the complete chain value for life and annuity carriers.
EquiSoft has developed a data migration approach to move extracted data into OIPA.
■ EquiSoft pioneered math cycle-up practice for policy values validation and legacy mapping validation
■ EquiSoft’s tools load data in OIPA, process cycle-ups, extract the results and compare with the source
■ EquiSoft quickly identi� es data and process implementation issues to keep data migration off the critical path
Determine next extract and
con� rm results
Fix errors in data, maps and OIPA
rules
Run the data validation
process
Data load process and cycle-up
process
Functioning testing for the
block
Obtain � rst extract -very few
policies
ADS data is provided and intermediate
value
TIME
EquiSoft
Carrier
CO
NTR
IBU
TIO
N
Knowledge transferEquiSoft has a mentoring program to make each client autonomous with regard to OIPA. Transferring “system maintenance” to the client team is critical for long-term cost reduction. EquiSoft can help identify optimal client teams to take the lead.
First project phase:
■ Learn how system works
■ Help build test cases
■ Perform integration work
Transition in following phases:
■ Business rules
■ Modify existing product con� guration
■ Con� gure new products / Processes