The Best Oracle Insurance Policy Administration System ... · The Best Oracle Insurance Policy...

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The Best Oracle Insurance Policy Administration System Integrator AUTOMATED MEDICAL UNDERWRITING NEW BUSINESS ADMINISTRATION POLICY ADMINISTRATION Oracle Insurance Policy Administration System provides a flexible, 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 Configure changes without customization or recompiling system’s core code Easily upgrade to new versions and benefit 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 configuration Leverage flexibility of platform to increase IT and business collaboration CLAIMS MANAGEMENT www.equisoft.com/insurance CLIENT

Transcript of The Best Oracle Insurance Policy Administration System ... · The Best Oracle Insurance Policy...

Page 1: The Best Oracle Insurance Policy Administration System ... · The Best Oracle Insurance Policy Administration System Integrator AUTOMATED MEDICAL UNDERWRITING NEW BUSINESS ADMINISTRATION

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

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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

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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

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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