OBJECTIVES OF COSIGNIA’S SYSTEMS

1. To support multiple products and multiple underwriters
2. To enable one member record to have multiple products:
• Group health
• Group risk – e.g. life, income protection, trauma
3. To have flexibility in scheme design to permit multiple designs within a scheme
4. To recognise that group business is about processing large volumes in bulk. Address group requirements in the areas of:
• Administration overheads
• Claims adjudication
• Initial quoting and loading of member data
• Premium billing
• Cash match and reconciliation
• Consistency of member records with employer records and movements collection
5. To cater for transactions at the individual member level
6. To be the vehicle within which the insured data resides for all parties
7. To have an automated claims adjudication process to deal with up to 90% of all claims, electronically and automatically
8. To have a sophisticated, generic, rules-based adjudication system for major medical health claims
9. To be delivered via the internet, to provide all parties with access to relevant information