COMPLIANCE

Broker/ Agent information

Broker Structure

The system has the functionality to capture and structure broker and agents in branches and business units as
required. The structure is very flexible and can be made as complex or simple as required. Detailed information
is captured for each broker including type of entity, and all qualifications, banking and personal indemnity
information where applicable. The system allows for the linking of specific insurers and products to a broker, that
way the broker can be managed to only sell and advise on products that they are allowed to sell.

Reporting

The ISSUE reporting module has been developed to supply required reporting in terms of legislative formats
including SAM, TCF and POPI.

ANALYTICS

ISSUE Advanced Analytics empowers decision makers to extract knowledge, discover new insights and make
predictions—working directly with live large data volumes in the operational database.

ISSUE Advanced Analytics enables our clients to rapidly analyse and deploy remedial actions and new business
processes ultimately leading to higher profitability.

Making Better Decisions with Deeper Insights and
Predictive Analytics

ISSUE Advanced Analytics in-database implementation
of high performance data mining and statistical
functionality extends your operational database into a
powerful advanced analytical platform. It allows you to
solve business problems
Some of the functionality available:
• Loss ratio’s – available from a company to individual
policy holder with a multitude of options including
triangulations.
• Live claims incurred information.
• Trend analysis.
• Premium and claims detailed information formatted
to be useful for portfolio analytics.

Lowest Total Costs of Ownership

With ISSUE Advanced Analytics’ in-database
architecture, there is no need for separate analytical
servers. The Oracle Database platform is the analytical
platform.

ISSUE’s architecture eliminates the need for dedicated
hardware systems for analytics as well as the
administrative overhead of managing separate systems.

POLICY ADMINISTRATION

Intelligent, Rules-based Data Capture

The ISSUE policy capture wizard is a user friendly
solution making the process of rating, quoting, and
accepting of policies easy. It provides a front-end tool
for our product configuration engine to generate
quotes. The wizard interfaces were designed to
eliminate redundant data entry and to provide
immediate feedback to the user.

THE ISSUE policy administration module is driven by the
product configuration engine. Information is captured
via wizard driven interfaces for ease of use. Client
documents like policy schedules are visually appealing
and also completely user configurable.

Put Underwriting Expertise to Better Use

While the ISSUE policy capture wizard can be used
for all lines of business, it excels in the complexity
required for niche product lines that can involve
intricate questioning, which the ISSUE policy
capture wizard is poised to handle effortlessly.

Intelligent, reflexive questioning asks only the
appropriate questions per applicant, while
knockout questions automatically disqualify some
applicants. These automated features allow
underwriters to focus more time on identifying risks
and properly underwriting new business.

The ISSUE policy capture wizard provides a
consistent rating through our product configuration
engine and removes the need for duplicate data
entry. It tracks applications for accuracy and
completeness and provides straight-through
processing for common risk types. This eases the
workload on underwriters.

Some major advantages:

• Extensive client information can be captured thus adding to the statistical and cross selling possibilities.
• Personal and company information can be verified.
• Bank details can be verified for existence and good standing.
• Policy risk information can be user modified to only capture the information needed and can be as simple or complex as the product being sold or quoted on.
• Any term policy can be issued.
• All client communication is user configurable.

ISSUE FINANCIALS

Premium Collection

ISSUE Premium Management and Collection is an adaptive, flexible solution to suit the high demands and risk
associated with debiting clients with a function rich, and easy to use solution.

Major features include:

• Improve revenue management and cash flow through accurate management of debiting and supplier payments.
• Support multiple lines of business, products and services
• Support multiple distribution channels, including captive agents, independent agents/brokers and wholesalers.
• Manage high-volume billing.
• Implement rules-based collections.
• Reduce manual processing.
• Support geographic variations and local regulations.
• Improve customer relationships.

Bordereaux and Third Party Collection

Managing receivables with brokers and agent’s collection on your behalf is critical especially when a claim occurs. Reduced manual intervention and automated discrepancy resolution rules help improve turn-around time in bill and/or statement finalization resulting in better premium management and stronger relationships with brokers and agents.

General Ledger

The ISSUE General ledger module is completely integrated with both the underwriting and claims modules, this results in a seamless and automated interaction between the roles. IFRS accounting standards are maintained throughout the financial module including functionality like multiple levels of release and individual user limits. A fully configurable set of accounts is possible right through the spectrum of control, bank, income, expense and general accounts.

CLAIMS

Premium Collection

The ISSUE Claims module delivers an enterprise wide claims platform that helps risk carriers dramatically improve
claims efficiency and lower claims costs while improving customer satisfaction. It accomplishes this by cutting
claims resolution times, improving adjuster productivity, ensuring consistent claims adjusting and managing the
hand-offs between different claims roles within your company.

Solutions for all claims staff

The claims module has interfacing to a variety of roles
in your company, including customer service
representatives, claims adjusters and managers,
agents and brokers, claims partners, such as repair
shops, glass vendors, independent adjustment firms,
insured parties, third-party claimants, thus enabling
fast and easy access to “single source of truth” claims
information.

Claims Lifecycle Management

The module supports the entire claim lifecycle, from
the initial claim report through to settlement and
analytics. With this single solution, our clients can
manage all of the actions involved with a claim, capture
the necessary data to settle the claim, and ensure that
all adjustment activities such as reserving and
payments are assigned and completed.

Recoveries

Recognition of recovery potential, such as salvage
and subrogation potential, can be automated with
the Business Rules Processor. Additionally, once
recovery potential is identified, the claim file can be
automatically forwarded to the appropriate
department or person by use of Assignment
Manager. This functionality reduces missed
opportunities and can significantly increase the
amount recovered.

Settlement

Claim settlement activities such as expense and
indemnity payments, repeating payments like legal
cost, and closeout of reserves is streamlined. Our
functionality provides the ability to make claims
payments in bulk via electronic payment
functionality and track them to the appropriate
insurer, insured, claimant, service providers, or
other involved parties. All settlement activities flow
seamlessly into the ISSUE. Financial module.

ISSUE MOBILE / WEB INTERFACE

Web Forms

We have a number of pre-configured web forms
available as a part of the ISSUE SDE, these forms are
white labelled and can be customised to suit the needs
of the specific client.

Forms Include:

• Quotations
• Claim Forms
• Requests for Amendments
• Balance Enquiries
• Cancellations

Information captured within these forms are auto
uploaded to the ISSUE Core Custom functionality can be
designed on request.

Mobile Applications

We have a number of pre-configured application forms
available as a part of the ISSUE SDE, these forms are
white labelled and can be customised to suit the needs
of the specific client.

These forms include:

• Login
• Update client information
• View policy
• Amend Policy
• Request Quotation
• Register Claim
• Interactive Forum

Custom functionality can be created per request.

USSD Applications

Introduction

USSD has the unique advantage of offering a simple
browsing experience through a menu system.
• The interface works on all handsets and all cellular
networks.
• It has a distinct advantage over SMS as it is cheaper
for the consumer and offers a “session” based
interaction similar to browsing a Mobi site.
• No internet connection is required and no App needs
to be installed.

Technical

• Costs: R0.20 per 20 seconds which can be reverse
billed to the supplier or charged to the consumer.
• Network time outs range from 3-5 minutes.
• Characters are limited to 160, just like SMS.
• It works best with quantitative feedback
• Words and sentences are accepted as user input.
• We are able to link it on a data level to the ISSUE
Core, we have also created a Microsoft CRM Add On
• Functionality requests for USSD applications are all
bespoke due to the nature of the interfaces.