Management

Prima L&H

The Cloud Platform for Life & Health Insurance

Prima L&H

Prima L&H is the cloud platform for life, health, and mortgage insurance, which supports the entire lifecycle of individual and group insurance products, with total security and traceability across the entire value chain.


Innovative, flexible, and powerful, the Prima L&H platform is designed for insurance companies, mutual companies, life insurance institutions, and brokers. Prima L&H increases agility, improves operational efficiency, and streamlines all life and health insurance business processes.

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Prima L&H

distribution
Policies
Services
Integration

Distribution

Simplified online underwriting of Life and Health products

With Prima L&H, you can speed up your digital transformation by rapidly designing innovative new life and health insurance products. Take advantage of the platform’s openness and intuitive setup capabilities to expand your service offering.

  1. Rapid creation of life and health insurance products

    Prima L&H’s distribution module is a real game changer for the launch of your new health insurance, pension (individual and group), and mortgage insurance products. Your business teams can fully configure your products in just a few weeks, from creation and pricing to marketing. Prima L&H’s configuration studio strikes exactly the right balance between ease of use and configurability. Its high degree of adaptability also makes it possible to develop products at a lower cost when regulatory changes affect coverage.
  2. Faster time to market

    Prima L&H help you reduce your time to market while meeting the expectations of today’s demanding and highly competitive market. The configuration studio empowers users to create new products independently in order to meet consumer expectations and new consumption patterns. Your business teams improve their speed and flexibility, and they shorten their time to market. They can freely configure the repositories, coverage, and all information related to the insured party’s risks, as well as the entire client journey, from the quote to underwriting, policy management, and services, without any additional development.
  3. Simplified online underwriting

    Prima L&H also provides any outside party with the ability to produce quotes, sign electronically, and take on new business in real time on behalf of the insurance company via B2B/B2C sales portals with configurable workflows. To protect your sensitive data, it is possible to set up access rights for the agent/broker network based on the portfolio.

Prima L&H

distribution
Policies
Services
Integration

Policies

Intuitive life, health, and mortgage insurance policy management

Prima L&H is a comprehensive tool for managing individual and group life and health insurance policies, as well as mortgage insurance, including contributions, endorsements, payment schedules, cash-ins, commissions, disputes, limits, third-party payment cards, invoicing, and more.

With its integrated workflow and rules engine, this module automates decision-making and optimizes personalized policy management.

  1. 360° vision

    With Prima L&H, managers can access the insured’s identity card, along with all of the information relating to policies and clients, cash flow, a summary of the client’s situation, and more. Prima L&H includes advanced analysis capabilities as standard to help with policy monitoring. Managers can create and view reports directly in the software or use the extensive exploration capabilities in Prima Analytics. Prima L&H also integrates with third-party solutions (actuarial, accounting, etc.).
  2. Direct or delegated management

    Prima L&H can be used for both direct and delegated management. The platform is widely proven for managing delegates for small- and medium-sized structures and market leaders due to flexible configuration options. The issues addressed by Prima L&H in this area include partial or total delegation, technical reporting, history recovery, and portability in the event of a transition from delegated management to direct management.
  3. Improved productivity

    The highly versatile Policies module delivers guaranteed productivity by automating management tasks through assisted controls and ensuring proper load balancing and process compliance.
  4. Regulatory Compliance

    Health insurance is constantly evolving, and you need to keep up by adapting, reviewing your processes, and innovating. With Prima L&H, you can relieve your teams while also benefiting from regular updates (2 versions per year) that follow the regulatory schedule and support all exchange standards: DSN, NOEMIE, 100% health, RIA, PUMA, PASRAU, Eckert, PSC, etc.

Prima L&H

distribution
Policies
Services
Integration

Services

The new generation of simple,optimized claims management

The Prima L&H Services module is the all-in-one management solution for all processes related to health, life, and mortgage compensation, including quotes, reporting, processing, policyholder statements, third-party statements, disability, death, annuities, long-term care, automatic accounts receivable adjustments, claims, audits, management transfer, and more.

  1. Policyholder autonomy

    Our Prima Selfcare portal provides users with autonomy and peace of mind. For example, they can access information online about their policy, reimbursement requests, and service statements.
  2. Automation and productivity

    Free up time for your management teams by automating tasks with low added value and increasing productivity with automatic accounts receivable adjustments, functions for transferring current input to another manager, and limit reservations.
  3. Fraud detection

    A large volume of data is exchanged in the life and health insurance sector. An increasing amount of processing can be automated—including payments—while minimizing the risk of fraud. Prima L&H assists you in preventing and detecting abuse, as well as in underwriting and reporting. The solution is compatible with specialized anti-fraud solutions, resulting in faster decision times, increased trust in legitimate payments, and decreased losses and overdue payments.

Prima L&H

distribution
Policies
Services
Integration

Integration

Openness with the insurance ecosystem

You can connect your partners’ applications to the Prima L&H platform to meet the needs of your policyholders and provide them with additional services, ultimately providing a better customer experience. Whether it is prevention, teleconsultation, physical activity monitoring, or access to care networks, Prima L&H facilitates the creation of your ecosystem so that you can provide your clients with a service that is tailored to all of their life events.

  1. Integrate with the healthcare system

    Prima L&H is built on an open application architecture, allowing for rapid API catalog expansion. APIs and web services are available to connect your partners’ portals and care networks or to facilitate the addition of innovative services to your offer, so that you can retain your policyholders. Prima L&H integrates with MédecinDirect, Santéclair, SPsanté, Almerys, TP+, Carte Blanche, and other systems.
  2. Centralized cash flow management

    Prima L&H can handle both incoming flows (DSN, NOEMIE, RNIPP, PASRAU, third-party payers, and delegation) and outgoing flow (financial flows: sent and received payments, check remittances, scheduling of transactions to be issued on a given date, delegated flows, regulatory flows, etc.).
  3. Publishing and EDM

    Prima L&H is compatible with a variety of market solutions for document management and electronic signatures for membership contracts. The software also includes standard features for document archiving and viewing, as well as the creation of personalized mail (third-party payer cards, cancellations, certificates of rights, statements, etc.).
  4. Security and Traceability

    Prima L&H’s shares data with your general accounting, using analysis operations converted into accounting entries. This module makes it possible to flexibly follow up with premiums and disputes and can be configured for each product and policy. It can also calculate various commissions. Such automation ensures that all accounting documents are tracked.

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