Comarch Insurance Underwriting

Key business advantages

Process automation

Minimized number of cases requiring manual underwriting

Risk reduction

Support for complex decision rules, control over limits

Advanced reporting

Source data for generating reports and comprehensive analysis

Time & cost saving

Shorter sales process, enhanced customer service, reduced workload, lowered costs

Product features

  • support for all stages of the underwriting process
  • built-in engine for advanced rule-based risk assessment
  • one tool for collecting, storing, analyzing and processing medical information
  • significant minimization of possible human error
  • easy configuration in line with reinsurer‘s requirements
  • reporting and enhancing the decision-making process
  • management of underwriter’s assignments 

Modules

  1. 1. Comprehensive dashboard
  2. The underwriting dossier presents:
    • set of key information on the insured 
    • view of the underwriting history
    • basic data on insured policies and proposals
    • updated data on active covers and sums at risk 
    • comments to current underwriting cases 
    • data on defined and fulfilled requirements 
    • basic information on related claims
    • correspondence with insured 
    • defined loadings and clauses
  3. 2. Automatic reasoning
  4. The automated process of risk assessment covers:
    • risk assessment questionnaire configuration:
      • question content
      • question attributes (required, available, editable)
      • answer types (incl. numeric, text, checkbox, radio button, dictionary)
      • relation with other questions (parent question)
      • formula to calculate the answer
      • validation rules (visibility, editability, etc.)
    • automatic decision based on configurable rules considering:
      • personal details (age, sex, profession, hobby, localization)
      • medical questionnaire results
      • aggregated data on the insured (claims, covers)
      • medical history
    • types of automatic decisions:
      • standard terms
      • non-standard terms (i.e. loadings added to cover)
      • transfer to manual underwriting
      • rejection
  5. 3. Requirement management
  6. Complex management of requirements is ensured by:
    • automatic (based on the insured’s age, sum at risk etc.) and manual assignment of underwriting requirements management of requirements
      • requirement registration 
      • requirement fulfillment
      • requirement cancellation 
      • requested documents and examinations lists printouts 
      • reminders of requirements 
      • reminder letters on requirements
    • management of medical examinations
      • adding medical examination requirement
      • fulfillment of medical examination requirement 
      • data on a historical medical examination (validity dates, comments)
  7. 4. Manual decisions
  8. Tools supporting the underwriter in a decision making process include:
    • introduction of underwriting results:
      • management of covers i.e., declining, postponement, modification of the sum assured 
      • management of loadings (permanent and temporary loading registration)
      • management of clauses
    • support for additional consultations on an underwriting case (doctor, another underwriter or medical committee) 
    • entering the underwriter's decision (acceptance of standard terms, acceptance of sub-standard terms, cancellation, refusal, postponement, withdrawal)
    • decision validation based on the other underwriter’s decision 
    • generation of an acceptance letter to the customer in case of required approval of insurance conditions 
    • registration of the customer’s decision

Comprehensive dashboard

The underwriting dossier presents:
  • set of key information on the insured 
  • view of the underwriting history
  • basic data on insured policies and proposals
  • updated data on active covers and sums at risk 
  • comments to current underwriting cases 
  • data on defined and fulfilled requirements 
  • basic information on related claims
  • correspondence with insured 
  • defined loadings and clauses

Automatic reasoning

The automated process of risk assessment covers:
  • risk assessment questionnaire configuration:
    • question content
    • question attributes (required, available, editable)
    • answer types (incl. numeric, text, checkbox, radio button, dictionary)
    • relation with other questions (parent question)
    • formula to calculate the answer
    • validation rules (visibility, editability, etc.)
  • automatic decision based on configurable rules considering:
    • personal details (age, sex, profession, hobby, localization)
    • medical questionnaire results
    • aggregated data on the insured (claims, covers)
    • medical history
  • types of automatic decisions:
    • standard terms
    • non-standard terms (i.e. loadings added to cover)
    • transfer to manual underwriting
    • rejection

Requirement management

Complex management of requirements is ensured by:
  • automatic (based on the insured’s age, sum at risk etc.) and manual assignment of underwriting requirements management of requirements
    • requirement registration 
    • requirement fulfillment
    • requirement cancellation 
    • requested documents and examinations lists printouts 
    • reminders of requirements 
    • reminder letters on requirements
  • management of medical examinations
    • adding medical examination requirement
    • fulfillment of medical examination requirement 
    • data on a historical medical examination (validity dates, comments)

Manual decisions

Tools supporting the underwriter in a decision making process include:
  • introduction of underwriting results:
    • management of covers i.e., declining, postponement, modification of the sum assured 
    • management of loadings (permanent and temporary loading registration)
    • management of clauses
  • support for additional consultations on an underwriting case (doctor, another underwriter or medical committee) 
  • entering the underwriter's decision (acceptance of standard terms, acceptance of sub-standard terms, cancellation, refusal, postponement, withdrawal)
  • decision validation based on the other underwriter’s decision 
  • generation of an acceptance letter to the customer in case of required approval of insurance conditions 
  • registration of the customer’s decision

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