SISnet Claims

 

Insurance software for the comprehensive management of claims and benefits in insurance or mutual insurance companies.

 

SISnet Claims features

Core

  • Engine
  • Task diary BPM
  • Clients CRM
  • Document management
  • Datawarehouse
  • Content management

Claims

  • Claim Opening:
    • Opening refusal
    • Agent assignment
    • File assignment
    • Initial reserves
    • Other openings
  • ILCS: Fraud detection and management
  • Claim Processing:
    • Claim diary
    • Claim agenda
    • Processing blocks
    • Correspondence
    • Documentation
    • Rejections
    • Annotations
  • Claim closure
  • Claim reopening
  • Events:
    • Catastrophic
    • Linked claims

Third parties

  • Third parties management
  • Third parties portal
  • Order management:
    • Order generation
    • Order acceptance
    • Order resolution
    • Order closure

Administration

  • Payment circuit
    • Authorization
    • Confirmation
  • Accounting interfases
  • Reserves, payments and recoveries:
    • Initial reserves
    • Reserve modification
    • Recovery expectations

Functionalities regarding Core and Claims

  • Excess of loss reinsurance
  • Provisions

Functionalities regarding Core, Third parties and Administration

  • Self-billing
  • Provisions
  • Multiple payments