Management

Prima L&H

The Cloud Platform for Life & Health Insurance

Prima L&H

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


Designed especially for insurance companies, mutual companies, large brokers, and life insurance institutions, the innovative, versatile, and efficient Prima L&H platform improves the flexibility and efficiency of management operations by simplifying business processes.

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Prima L&H

Overview of modules

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Prima L&H

distribution
Policy
Claims
Billing

Distribution

Simplified online underwritingof Life and Health products

Prima L&H’s Distribution module allows any outside party acting on behalf of the insurance company to produce quotes, enter new business data in real time, and include supplemental benefits in customer policies. The module is also a group or individual policy tool, that includes a workflow for selling products and a comparison feature with the NCCs (collective).

Multichannel interactions can be adapted to suit your needs, including B2C, B2B2C, and traditional networks (agents/brokers).

  1. Shorten your time to market

    The complete product engine can be fully customized by your business teams for the fasted possible time to market.
  2. Improved productivity

    This all-in-one distribution tool encompasses all of your group and/or individual policies so that you can manage portfolios (agents, brokers, and intermediaries) while maximizing access security in order to limit file transfers between the company and third parties.
  3. Secure customer portal

    This module is for your customers (or any other outside party) who want to view information about the status of your policies or any other data or document you manage. It can be used for updating and managing all data and for transmitting customer requests electronically.

Prima L&H

distribution
Policy
Claims
Billing

Policy

Intuitive life and health insurance policy management

Prima L&H’s Policy module is a complete tool for managing individual and group life and health insurance policies.  Using product settings fully in the hands of  the insurer, it can be freely configured to ensure that your time-to-market meets the expectations of today’s demanding and highly competitive market.

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

  1. Flexible customization

    The Policy module makes it possible to manage all individual and group life and health policies, as well as authorization groups and supplemental services included in your customers’ policies.
  2. Management and decision support

    Workflow and rules engines are integrated to automate tasks among your managers. The business management module helps managers make decisions. You can configure automated processes to apply to a policy without the need for software development.
  3. Improved productivity

    The highly versatile Policy module delivers guaranteed productivity by optimizing policy management through assisted controls, automatic load balancing, configurable workflows, and decision-making processes.

Prima L&H

distribution
Policy
Claims
Billing

Claims

The new generation of simple,optimized claims management

Prima L&H’s Claims module is the complete solution for managing life and health coverage for all of of your life and health benefits, including policyholder quotes, servicing, policyholder statements, third-party statements, disability, death, annuities, long-term care, and more.

Prima L&H’s Claims module automates your management processes to optimize your reporting and monitoring. This simplified management integrates required standards, such as Noemie, B2, Viamedis, and Almerys.

  1. Policyholder autonomy

    The availability of online data and functionalities gives users autonomy and peace of mind. Natively supported in the application, it is possible to input and manage claims (with fully configurable controls), produce quotes, and access third-party statements and claims.
  2. Automation and productivity

    Free up time for your management teams by automating tasks with low added value and make your teams more productive with automatic accounts receivable adjustments, functions for transferring current input to another manager, and limit reservations.
  3. Fully integrated into the healthcare system

    Web services are available to your networks to view reimbursement rights, such as Carte Blanche, Médecin Direct, and Santé Clair. Manual data entry and remote transmission are fully supported, along with general support for third party payers.

Prima L&H

distribution
Policy
Claims
Billing

Billing

Centralized cash flow management

Prima L&H’s Billing module manages all cash flows, from the issuance of premiums to collections, reimbursements, and slip management. It supports all payment methods, including SEPA transfers and direct debits, money orders, and checks.

  1. Flexible cash flow management

    You can set up any installment frequency and issue premiums automatically. You can also manage all types of cash flows, including sent and received payments, check remittances, scheduling of transactions to be issued on a given date, etc.
  2. Complete SEPA management

    Prima L&H’s Billing module supports SEPA order management, generates transfers and debit files, and automatically integrates SEPA rejection files.
  3. Protect your cash flow

    For expanded analysis and operational efficiency, the module supports instances and operations, and it records discrepancies in collections and disbursements pending processing. This monitoring feature generates reminders until cleared.
  4. Automate collections

    Prima L&H’s Billing module lets you configure an automatic reminder schedule, possible follow-ups by regular mail, email, and text message, and reminders and terminations by registered mail. The faster collections are handled, the more effective they are and the better your results.
  5. 100% traceability

    Prima L&H’s Billing module 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.