Partners

Proud to partner with innovative companies that expand and refine our offerings, scale up to meet even the largest and most daunting implementation challenges, and enter new markets

Outstanding Ecosystem

As part of our constant quest to offer more to our customers and grow, Sapiens is proud to partner with innovative companies that help us expand and refine our offerings, scale up to meet even the largest and most daunting implementation challenges, and enter new markets and locales.

The Imburse platform connects any organization to the entire global payments ecosystem

  • Life
  • P&C
  • WC
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Industry challenge

Industry challenge

Insurers struggle to access multiple payment providers and technologies to cover their complex needs. Their legacy IT systems make these integrations a long, expensive, and resource-draining process. On top of that, insurers lack the payment know-how and specialist resources needed to optimise their payments system in-house.

The solution

The solution

Through one single connection to us, Imburse connects any organisation, regardless of its existing IT infrastructure, to the entire global payments ecosystem. We do all the heavy lifting of connecting to payment providers and technologies around the globe, making it easy, fast and inexpensive to deploy new technologies, for both collections and pay-outs.

Business benefits

Business benefits

  • Improve speed-to-market
  • Maximise payment options
  • Improve customer experience
  • Reduce costs
  • Access unified reporting and payment analytics
  • Traditional integrations are complex, expensive and time consuming. The Imburse solution looks to remove this obstacle of by offering enterprises a single, convenient entry point to the entire global ecosystems of payments.

Providing a complete, simple, & secure electronic bill presentment and payment solution

  • WC
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Industry challenge

Industry challenge

Insurance organizations face many payment processing challenges from improving reconciliation efficiencies, reducing policyholder churn and keeping costs low. Add to that the burden of compliance liability, the pressure of ever-changing customer expectations and the need to reduce policyholder churn. The challenges may well seem insurmountable.

The solution

The solution

The joint Sapiens and Invoice Cloud solution delivers a streamlined omni-channel payment experience that improves operational efficiencies by simplifying the payment process and increasing self-service adoption. Invoice Cloud’s tight, real-time integration with Sapiens’ industry leading software solutions accelerates reconciliations, while providing a seamless payment process for policyholders. Invoice Cloud provides a simple, secure online billing and payment solution for insurers.

Business benefits

Business benefits

  • Rapid personalization of both claims and policy correspondence reduce cycle times by utilizing previously generated templates
  • Easy access to a central repository of templates, plus automated data and content prefill document templates, save agents time
  • Built-in document preview capability during authoring facilitates a quick turn-around from edit to production

ODG’s is the one-stop location for workers’ compensation, disability, and auto liability claim management support

  • WC
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Industry challenge

Industry challenge

Used by claims and case managers, healthcare providers, employers, insurance carriers, third-party administrators, managed care organizations, and attorneys, and adopted by more state regulators for state workers’ compensation systems than any other guideline. ODG by MCG’s goal is to help provide you with the right care, return-to-work plans, and job modifications, with the right resources to the right patient at the right time – with minimal waste and streamlined automation where recovery and guidelines align.

The solution

The solution

ODG provides unbiased, evidence-based guidelines and technology solutions that support payers, providers, and employers in their efforts to effectively return people to health in workers’ compensation. The clinical guidelines and analytical tools within ODG help improve and benchmark return-to-work performance, set reserves, facilitate quality care (including auto-authorization by CPT-ICD), and assess the level of claim risk for interventional triage.

Business benefits

Business benefits

    ODG for Workers’ Compensation solutions include:

  • TAO Index (Treatment Analyzer on Outcomes): measures the correlation of each medical intervention with timely return-to-work
  • Treatment Guidelines: ODG evidence-based treatment guidelines are designed for clinical practice as well as utilization review and medical management
  • Return-to-Work Guidelines: ODG evidence-based return-to-work guidelines and predictive modeling are designed to impact as well as forecast time away from work for prospective
    case/claims management and retrospective benchmarking

Improve claims efficiency by structuring unstructured data & automating claims processes

  • P&C
  • WC
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Industry challenge

Industry challenge

Most insurers today have a highly manual claims process which leads to substantial process costs, lengthy response times and disgruntled customers.
Customer expectations regarding communication are moving in a direction that requires digitization inside of the insurance companies.

The solution

The solution

The joint Sapiens and omni:us solution allows insurers either to automate the claims handling process or to suggest “Next Best Actions” to the claim’s processor.
Cognitive and deep data extraction of all incoming documents (structured, unstructured, continuous text, handwriting, etc.) is interpreted and translated into fully contextualized claims scenarios which prepares the ground for an AI-based decision framework for automation and decision support. Our solution minimizes the manual data processing and forms a basis for straight-through processing at scale.

Business benefits

Business benefits

  • Process complexity reduction
  • Claims decision support for claims adjuster
  • Real-time claims status & updates
  • Personalized claims experience
  • Fast & transparent settlement
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