Challenges Insurers Face

Insurers face a diverse range of market challenges—increasing competition, demand for new products, new ways of interaction with consumers, and regulatory compliance. Insurers also face the risk of losing their competitive edge by not keeping pace with advances in technology. Further, they are burdened with complex, disconnected IT systems that create inefficiencies in their day-to-day operations. Yet, many Insurers allocate a major portion of their IT investments in managing and maintaining their existing systems, at the expense of strategic initiatives that are vital to their long-term competitiveness.

Prithvi Insurance Solutions is a leader in providing innovative technology solutions for insurers that help optimize and improve quality of operations. Our service offerings are backed by in-depth experience in the insurance domain and expertise in the areas of:

• Business Rules Management Systems (BRMS)
• Business Intelligence (BI)
• Business Process Management (BPM) and
• Service-Oriented Architecture (SOA)
• Leading edge Prior Authorization Software and Call Center support services

Prithvi offers our StepITup™ suite – a suite of technology services aimed at unlocking the full potential of an Insurer’s IT investments and maximizing their business value. Backed by years of research and experience in Insurance and technology, Prithvi Insurance Solutions delivers significant business value to Property and Casualty, Life and Health Insurers across the entire Insurance value chain.

Our Solutions

StepITup™ Services enables Insurers to address their challenges in three steps:

Extend

Extend the value of existing IT applications at reduced maintenance costs, by streamlining maintenance processes.

Enhance

Increases operational flexibility and reduce process latency by making existing IT applications interoperable. Rapidly deliver new capabilities by leveraging existing functionality as business services to create a service-oriented connected enterprise. Utilizing our Application Development and Management Services  to reduce the total cost of ownership (TCO) of development and maintenance of existing systems by outsourcing development and maintenance to our global delivery teams, allowing Insurance IT staff to focus more on long term, strategic business initiatives.

Excel

Accelerate your path to an agile enterprise and achieve success beyond the ordinary by leveraging advances in technology. Anticipate and respond to possibilities, speed ahead of competition through rapid introduction of new and innovative products, improve underwriting results and reduce claim leakage.
 
SOA Enablement Services

SOA Enablement Services enables Insurers to create a connected enterprise that supports continuous business innovation and optimization. Our enterprise architects apply their in-depth knowledge of Service Oriented Architecture (SOA), Web services, ACORD XML and Enterprise Portal technologies, and leverage existing core systems and packages to expose a set of services that allow Insurers rapidly to introduce new business capabilities.

State-of-the-art PBM Software Suite and Support Services

We offer PAHub™ - a web-based feature rich software solution that simplifies and automates end-to-end Prior Authorization management of healthcare services. Industry recognized drug databases and standards such as CPTs, HCPCS II, and ICD9 are integrated into PAHub™ to simplify service selection and customization. Its framework enables customization of Clinical Rules, Criteria, Workflow, Authorizations, and Notifications at client, plan and group levels. PAHub is readily available through our on-demand, secure, HIPAA compliant, load-balanced, web servers.

With Prithvi Insurance Solutions, Insurers are able to:

Achieve straight-through processing for new business transactions.

Use Business Rule Management Systems (BRMS) to automate underwriting, bind and issue policies in real time.

Make intelligent and informed decisions.

Use Business Intelligence (BI) and advanced analytics to carry out what-if analysis to predict impact of pricing changes and introduce new products.

Gain valuable insight and respond to possibilities.

Use Data Warehouse and data mining technologies to deliver management reports and scorecards to front-line decision makers through executive dashboards.

Improve service and reduce processing costs.

Automate manual processes by leveraging Business Process Management (BPM) technologies.

Benefit from our State of the art, Industry leading, End-to-End Prior Authorization software to your PMB business.

Achieve operational PBM efficiencies through Built-in Queue Management & Clinical Decision Rules Engine, Integrated faxing, and open Integration to your Enterprise systems.