Web-Based Health Insurance System

Managed the full delivery of a core system for a small insurance enterprise – automating processes for policy issuance and administration, census data import and remediation, claim management, billing and invoicing and compliance with the legislation

My  Role

Implementation Project Manager

Industry

Finance / Insurance

Platform

Web Application + CORE system

Key Technology

Health insurance

Project Overview

The project covered CORE business processes for individual and group health insurance in the company – product definition, policy issuance and administration, census data import, riders, document management, commissions, billing, claim management, payment of compensations, reporting, actuarial calculations, compliance with the legislation and accounting.

The system ensures complete process and data integrity, delivers easy to configure capabilities to the business, communicates easily with legacy and external applicaitons, reduces the complexity of IT environment and provides cross business support via integration with SAP FI&CO modules

Scale & impact: The system serves a small insurance enterprise. The business growth of the insurer was boosted by increasing the GWP with 20% in the first year after Go-Live

Skills & Deliverables

Team ManagementTrainingBusiness AnalysisTestingStakeholder ManagementSCRUMRequirements & Wireframes

Core System Modules

  • Policy issuance and administration
  • Census data import and remediation
  • Commission management
  • Claim processing and approval
  • Document management
  • Accounting - collections and disbursements
  • Business intelligence tools
  • Compliance with legislation requirements

My Responsibilities

  • Agile Project Manager taking full ownership for the delivery
  • Organised the development process based on SCRUM
  • Research the market for competitive insurance software solutions
  • Identify key business and IT challenges of the potential customers
  • Define an optimized logical operating model of the insurance business
  • Describe the target business processes and explain their added value
  • Create product strategy and roadmap
  • Transform strategic goals in epics and user stories
  • Taking end-to-end ownership of the product delivery
  • Present product milestones to the stakeholders