Partners
Outstanding Ecosystem
As part of our constant quest to offer more to our customers, 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.
- Industry challenge
- The solution
- Business benefits
Automation has created efficiencies to medical bill processing that have had an opposing effect to the management of high dollar medical bills. Faster turn-around time, siloed adjudication tools, and minimal human touch have left a status quo where the market has accepted that casualty medical payments will have a high degree of overpayment.
S1 Medical’s bill review program & complex bill strategies brings the necessary balance of available tools, clinical competency, and communication to produce clinically reviewed, accurately coded, and competitively fair medical payment allowances.
- Every medical bill submitted to Complex Bill Strategies begins with an exhaustive review of every line of supporting medical notes
- Rather than a predetermined “pend queue” hierarchy, S1 takes all options into consideration and chooses the most effective strategy, bill by bill
- Real-time claims status & updates
- Our solution involves people, who are available and ready to speak in detail with complete familiarity on every bill
- This intense effort found in S1’s Complex Bill Strategies generates medical bill savings that far exceed the market-standard bill adjudication reductions
- Industry challenge
- The solution
- Business benefits
Insurance administration systems were not built to engage directly with a policyholder on his, often now mobile, device of choice, yet policyholders want a personalised experience with a consistent brand experience when and where they wish to engage.
Hence, on-boarding new customers and processing renewals, MTAs & payments processes are often cumbersome, expensive and inconvenient.
Cloud-hosted SDX Engage is already used across multiple policy lines by TIA administration users to seamlessly digitise customer engagements – automating full process flows between the administration system and the policyholder’s device of choice.
With our established APIs, Insurers and Brokers can very quickly on-board customers, exchange documents and receive customer payments or confirmations (by simple acknowledgement or multi-party eSignature) with a consistent brand experience.
- Simply automate customer engagements, including documents, customer confirmations, eSignatures and payments, throughout your on-boarding, MTA, claims, renewals and payment processes
- Digitise your product lines without any changes to your administration system
- All activities and data exchanged through any customer engagement workflow are automatically recorded in the customer’s vault and back into your administration system
- Improve your customer experience whilst reducing inbound and outbound call volumes.
- Industry challenge
- The solution
- Business benefits
- Hear from our partners
In today’s competitive environment, carriers, state funds, MGA’s, MGU’s, premium finance companies+ need to be able to offer Pay -As- You- Go solutions on lines of insurance with variable exposures such as payroll, sales, insurance values, etc. Building these capabilities and developing systems to gather the variable data necessary to calculate and collect premiums, is a daunting and time- consuming task that most carriers+ are not prepared to do on their own.
- Easy implementation within Sapiens’ platform based on a flexible, carefully developed approach to a PayGo solution that fits your processes and your needs
- Reductions in billing and collection expenses
- Various options of direct data collection of multiple exposures such as payrolls, sales, insured values, etc.
- Maximum transparency on exposure data during the policy period, helping to reduce audit and bad debt expenses, saving you time and money
- Industry challenge
- The solution
- Business benefits
- Hear from our partners
Property and Casualty insurance companies and claims adjusters need location data to exactly identify the structure they’re insuring. An address alone is insufficient for risk analysis. Many insurance companies struggle with large mapping providers that may only deliver a street front and sometimes not even the correct address. These errors lead to lost business, higher loss runs, and adjusters dispatched to incorrect locations.
- Carriers improve their loss ratio with accurate risk analysis with Smarty’s US Rooftop Geocoding
- Claims adjusters expedite First Notice of Loss (FNOL) and arrive at the right location with Smarty’s US Address Autocomplete
- Insurance agencies get more quotes and online conversions with Smarty’s US Address Autocomplete
- Industry challenge
- The solution
- Business benefits
- Hear from our partners
Digital disruption in today’s Insurance Industry has forced many companies to rethink traditional business models and processes. Due to the rise of mobile smartphones, tablets, apps, cloud computing capabilities, and privacy and security concerns, consumer expectations have shifted towards a need for communication, payment and information immediacy and safety. It is now time for insurers to evolve and harness this digital shift in order to attract and retain new and old customers.
Sapiens and SPLICE Software partner to provide streamlined billing, claims, marketing and customer experience communication solutions to insurers, that are automated through Sapiens property & casualty, and life, pension & annuities platforms. This partnership enriches the customer experience and gives insurers more direct control of their customer relationships, drives engagement, increases loyalty and operational savings.
- Decrease the time and costs associated with the claims process
- Increase the speed of payment on overdue accounts
- Decrease inbound call volumes
- Gather customer feedback with surveys at different customer
touchpoints - Improve the overall customer experience
- Offer choice and Opt-In and preference management
- Be up and running and see significant results within 90 days
- Industry challenge
- The solution
- Business benefits
Modern insurance companies are built on enterprise software. Technology adoption challenges with insurance applications and frequently changing rules and regulations significantly impact productivity and processing policies or claims errors. This results in higher-than-planned operational costs & low technology returns for insurers. Insurance companies also face challenges like:
● A lack of self-service experiences for agents & customers, resulting in a loss of productivity and higher support volumes.
● Slow, ineffective management of changes in internal processes, rules, and external regulations leading to errors.
● High employee churn that requires focused agent training experiences.
Insurance applications click better with Whatfix. Whatfix is the AI-native Digital Adoption Platform built for the modern insurance enterprise. It’s the only platform to unify pre-production simulation training, in-workflow guidance and support, and adoption analytics for continuous optimization, driving business outcomes like faster quoting, accurate claims processing and reduced training costs.
- Accelerated time-to-proficiency for new insurance agents and policyholders with hands-on training
experiences - Maximize insurance technology ROI by achieving optimal end-user adoption
- Easily facilitate change
- Defect support issues and enable end-users with on-demand self-service experiences
- Reduction in insurance technology training costs
- Track and analyze end-user behavior to identify areas of improvement and optimize workflows
- Industry challenge
- The solution
- Business benefits
Pricing sophistication and agility is increasingly key to success in personal and commercial lines insurance. Insurers often need the ability to deploy rates and algorithms in real time, to test their performance against strategic objectives and to deploy at scale, all within a tightly governed process. They also need to exploit the benefits of machine learning models in the pricing process, from rate calculations, to demand and retention models, and be 100% sure that deployed rates are exactly what they had planned.
Radar enables prices, rules, adjustments, scores and other metrics to be developed and deployed 100% accurately, directly to a rating system and calculated in real time. In markets where regulation permits, this can include policy or risk-level optimisation.
- Pricing sophistication, permitting both simple and highly complex pricing methodologies
- Rapid reaction to market developments
- System scalability that can cope with hundreds of millions of quotes per year
- Protection of robust audit and governance controls
- Direct and error-free rate deployment