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
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
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)
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