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Sunday, February 24, 2008

Insurance Domain

Quote

Quote is a process of keying in the Customer’s Requirement on to the UWS products to assess the risks and calculate the premium required to cover the risks? The User’s requirements are nothing but the risks they need to be covered and to what extent (Sum insured).

 

At this time the Customer is called the ‘Proposer’ and the insurance contract has not been signed. During the quote process the insurance company analyses the risks involved and few important decisions are made:

1. Can the risk be accepted?

2. What is suitable premium needed to cover the risk?

The Proposer is informed of the Premium calculated. If the Customer is satisfied and accepted to pay the quoted premium, then the quote gets converted to ‘New Business’. Henceforth, the Customer is called as the ‘POLICY HOLDER’.

What about Back dated/Future dated/Normal Quote based on the user (Internal/External)?

A quote can be effective from a back date or a future date. This however, depends upon the user authority. If the user has the authority of keying a back/future dated quote then only this can be done.

 

Quote amendments

Once the quote has been made and the Proposer has been informed of the premium; the customer’s need might change for e.g.: - James now wants his friend Hanna to be covered under the Annual Travel Policy, which he had quoted earlier only for him. In that case, the Insurance Company makes the modifications to the already existing quote and re-assesses the risks involved and re-calculates the premium.

This process of changing the already existing quote is known as the Quote Amendment.

 

Can we include some points about Guaranteed and Non Guaranteed Quote?

If the customer cannot make up mind for converting quote to policy, then the quote can be saved. The customer can come later and then the saved quote can be reopened. A quote can be saved as guaranteed quote, which means that the rate will be valid for certain period of time (normally 60 days).

For non guaranteed it is possible that rating the save quote may result in a different premium.

 

New business

Once the Proposer is satisfied with the Premiums, then, the quote is converted to New-Business. That means:

1. The Proposer has now become the Policyholder.

2. The contract has been signed.

3. The Risks have been accepted.

4. The customer has accepted the Premium.

5. The customer is covered for the risks involved (which the insurer has accepted) from the Effective date of the policy.

 

Mid-term adjustments

When some modification has to be done to the Policy after the inception date of the Policy, it will be termed as Mid-term Adjustment.

It can be anything like:

1. Change of the Personal details,

2. Addition of details,

3. Adding additional Covers,

4. Adding another vehicle on to the same Motor Policy, Adding an additional traveler to the same Travel Policy. (I.e. adding an insured unit). Etc.

The effective date of the MTA is entered and any further MTA’S can be done only with an effective date, which falls after the effective date of MTA1.

 

Can we include some points about the transaction?

Inception Amendment/Cancel Rewrite

If an amendment to the policy needs to be done from the same date as its inception, then this is accomplished through Cancel/Rewrite. It is not advisable to do an MTA on the inception day.

There are two types of cancellations, which can be processed:

 

Flat cancellation

This might be made due to various reasons:

1. The Customer has not responded.

2. The Customer is unhappy with the insurance Company.

3. The Property has been stolen i.e. Total Loss….

4. The Policyholder is dead.

5. The Object to insured has been sold out.

Etc.

Ideally, total amount of the Premium Paid less processing charges is refunded to the customer.

 

Pro-rata cancellation

This is nothing but the Mid-term Cancellation i.e. cancellation in the middle of the Policy term. The reasons may be the ones specified above in the case of FLAT CANCELLATION.

The premium paid for the date after the Cancellation Effective date less the processing charges is refunded in this case.

Cancel /rewrite

The purpose of Cancel/Rewrite is to revert the policy to its state at the start of the current policy period (New Business or Renewal) to allow the content of the policy to be corrected.

For example, a Major change in the cover has to be made effective to the Policy from the Inception date, then the already existing new business row has to be cancelled and a new row is rewritten.

Renewals

There are two types of Renewals:

1. Unattended Renewals,

2. Attended Renewals.

 

Unattended Renewals

Usually the Renewal activity (if the Policy Renewal option was selected as ‘To be Renewed’) is scheduled while creating the New-Business itself.

Renewal Period time Stamp = Current Time Stamp + Policy Term Period.

The Unattended Renewal is the automated CICS Online batch process without any user intervention; it is triggered via the Deferred Activity Queue and scheduled via the Legal Notice Days table. Usually it is 33 days before the Actual renewal day and this window is utilised for sending the ‘Renewal Documents’ to the policyholder.

 

Attended Renewals

The attended process is a manual process of renewal done via the workstation.

The user selects the Open policy and click on Renewal.

The renewal date has to be filled in and also the term has to be provided.

After this the renewal process will be done without the issue. The renewed policy will be down loaded to the workstation, can be reviewed, rated and issued again. This process will be used for policies on stop and conversion policies.

 

Reinstatement

Reinstatement is the process of bringing back the policy into IN-FORCE status (i.e. active status) after it has been cancelled.

For example:

The workstation user might have cancelled a Policy in Mistake and wants to bring back the policy into active state.

Other cases might be re-instating the Policy not in Active State due to non-payment of the Premium.

 

Out of Sequence [OOS] Processing

It is that kind if processing when an MTA has an Inception/Start date before the last amendment. For example: if an MTA has been done on 01-05-2004 and after it has been completed, another MTA is done with effective date 01-03-2004.

This might happen in the following scenarios:

· The issued MTA of the Policy is still in the Queue to be processed and another MTA is issued prior to that.

· Due to Data fix Errors leading to Date inconsistencies.

· Unprocessed Print Triggers.

Main processes involved:

- User issues the policy, upload of the policy.

- Workstation distinguishes if the amendment is out-of-sequence or not.

If yes

The OOS program is called which rates as well

If successful (i.e. the issue process is not out of sequence), then the issue program is called.

 

Premium Override

Even after the rating has been done and the Premium has been calculated the underwriter has the privilege of overriding the premium.

It can be discount/Loading.

There are two types of overriding:

APO- Annual Premium Override.

TPO- Transaction Premium Override.

APO

Should only be used at NB or Renewal Stage.

TPO

Should only be used Mid Term. It should not be used at NB or RN stage.

Main difference is that APO will remain on policy for year and is used in future calculations. TPO is not.

 

Renewal

The continuation of risk coverage under a policy beyond its original term by the acceptance of a premium for a new term

For e.g.: Policy Inception Date: 01/01/2007 Expiry Date: 31/12/2007

The Renewal Date: 01/01/2008

 

Types of Renewal:

Manual Renewal (Attended Renewal/Forced Renewal) –

The process by which user manually renew a policy within 90 days of its expiry date.

Automatic Renewal (Unattended Renewal) -

It’s an automated process by which policy is automatically Renewed on the 32nd day from date of expiry of policy, where a renewal stop indicator has not been set to prevent renewal.

Where the previous payment method is Direct Debit policy will automatically continue unless the policyholder advises otherwise.

 

Renewal Invite Issue

Renewal Invite is issued when a policy term is within 90 – 32 days from its expiry. This Renewal Invite is sent to the customer stating the renewal premium amount

Manual: User can also issue a Renewal Invite manually by clicking on ‘Issue Renewal Invite’ hyperlink present on Premium Results screen within 90 days from date of expiry of policy.

Automatic: Automatically generated on 32nd day from days of expiry.

 

Fresh Renewal

Any MTA, change, amendment done from the Renewed date is said to be Fresh Renewal. The effective date of the change is the renewed date.

For e.g.: Policy Inception Date: 01/01/2007 Expiry Date: 31/12/2007

The Renewal Date: 01/01/2008

MTA date: 01/01/2008 is said to be Fresh Renewal.

 

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