Today the insurance industry across the globe is facing multifarious challenges on account of both dwindling
premium receipts (due to a highly competitive market) and rising operating costs, increased cost per member/
policy holder and higher loss ratios, fragmented and broken processes resulting in duplicate & missing records,
use of legacy systems increasing manual interventions, lack of skilled resources to manage and handle seasonal
fluctuations for any spikes in new business inflows and increasing pressure and strictures from the regulatory &
compliance authorities. It has therefore become imperative for the insurance carriers and the third party
administrators to look for more cost-effective options to improve the diminishing bottom-lines and operational
efficiencies.
Insurers are becoming increasingly aware that their ability to focus on their core competencies will be key to
success in an increasingly tight and competitive field. By outsourcing non-core operations, insurers can focus on
what they might consider most strategic, i.e. the external marketplace and its customers.
Insurers are using outsourcing to help them improve their business processes while reducing costs - thus
ensuring continued success. RANSI Insurance Services helps insurers standardize, simplify and automate, to
achieve high performance and competitive differentiation with minimal upfront capital investment.
RANSI helps insurance companies identify non-core yet critical business processes that can be outsourced,
allowing for increased focus on the bottom line and on staying competitive. We offer solutions in the areas of
underwriting, claims and accounts, and knowledge-based services such as analytics, cat modeling and actuarial
analysis.
Service Offerings
RANSI BPO cover the following industry segments.
Life Insurance & Pensions : Protection, Investmenst, Pensions & Annuities
Property & Casualty : Personal, Commercial, Liability & Speciality
Insurance Offerings
New Business
- Quotes / illustrations
- Application data entry
- Underwriting
- Requirements processing
- Policy issue
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Accounting & Reporting
- Premium accounting
- Reinsurance accounting
- Commission accounting
- Benefit payouts
- Reconciliations
- Financial reporting
|
Claims Administration
- FNOL / claims intimation
- Pre-processing
- Validation
- Pre-adjudication
- Claims payment processing
- Post settlement
|
Contact Center
- Outbound services
(customer acquisition, lead generation, customer service, requirements follow up)
- Inbound services
(customer service, complaint resolution, product support, claims intimation)
Policy Owner Services
- Policy inquiry
- Policy change
- Renewal processing
- Billing
- Cancellation
- Loans / withdrawals
- Adjustments
- Disbursements
Healthcare Offerings
Claims Processing Service
- Manual processing of claims
- Claims adjudication
- Subrogation
- Underwriting
- Premium administration
- Policy administration
- Enrollment services
|
Credentialing Service
- Data collection verification
- Contract management
- Network maintenance
|
Voice based customer service support
- Queries related to benefits and eligibility and claims from providers, hospitals and members
- Follow up with providers
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