JAG

Back Office System For Health & Insurance Management

Overview

jag

JAG is an integrated solution for the insurance system which consists of New Business, POS, Billing & Collection, Claim, Customer Service, Product Management, Finance Reporting, and Delivery Management.

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JAG Solution Framework & Architecture

Product

Flexible & Parameterized : Age Band, Plan, Premi, Benefit, Risk Factor, UW Questionnaire, Claim Parameter, Billing & Payment, Discount, Bonus, and Sponsor Commission

Customer Care

  • Product Inquiry
  • Info Policy Profile : Claim history, Billing History, Policy History
  • Complain, call cote , reminder / appointment
  • Request Cancel, Change Policy, Reinstate
  • CR : Cancel Confirmation ,Conservation

New Business

  • Upload
  • Review
  • Underwriting Questioner

POS

  • Change Policy
  • Cancel Policy
  • Benefit Payment, Reinstatement Policy

Billing

  • Generate Billing, Over Payment, Under Payment, Refund, Auto Cancel/Lapse
  • Send File Billing (To Bank Partner)
  • Payment Monitoring
  • Update Payment
  • Collection

Claim Management

  • Claim Capture
  • Diagnosis, Review & Analysis
  • Claim Approval, Pending, Rejection
  • Generate Claim Letter (Approve/Reject/Pending)
  • Claim payment status

Letter & Reporting

  • Report
    • Operational Report
      • Policy Report
      • Claim Report
      • Cancellation Report
      • Cancellation Summary
      • Production All
      • Production Summary
    • Collection Report
      • Billing Collection Report
  • Letter
    • POS
      • Endorsement letter
      • Policy lapse letter
      • Cancel policy
    • Claim
      • Approval Payment
      • Rejection Letter
      • Pending Letter

Screenshots

Clients