Claims processing, member services, compliance workflows, and operational coordination — built for health insurance organisations navigating complex regulatory landscapes.
Activate specialist modules as your operational requirements evolve. All modules connect seamlessly to the universal foundation.
End-to-end claims ingestion, triage, adjudication, and payment processing with fraud detection and audit trails.
Member journey management from onboarding through renewal, including policy changes and benefit queries.
Loss ratio tracking, claims frequency analytics, and regulatory reporting for FCA compliance.
FCA, GDPR, and Solvency II compliance workflows, policy management, and regulatory submission tools.
Hospital and specialist network management, pre-authorisation workflows, and network performance monitoring.
Machine learning-powered anomaly detection for claims fraud with investigation workflow integration.
FCA, GDPR, and Solvency II compliance is embedded across every module. Additional specialist hubs are in active development.
Every Health Insurer Cloud deployment includes both universal hubs as a mandatory baseline — ready to extend with specialist claims and compliance modules.
Operational workflow management for insurance teams — coordinate claims handlers, underwriting workflows, and compliance activities with full audit trail capability.
Member and broker service desk management. Centralise queries, complaints, and policy service requests with full SLA visibility.
Pre-built connectors to insurance systems, clinical networks, and regulatory platforms.