Provide policy, billing, and claims data to policyholders and agencies through intuitive dashboards.
PN InsuranceExpert™ is an insurance value chain software platform that includes core policy administration, billing, claims management, a rating/underwriting engine, business rules and workflow engines, document management, agency portal, policyholder/customer portal, claimant portal, business partner portal, reinsurance, and business intelligence modules. Additionally, the platform integrates with our InsurePay Pay-As-You-Go and DecisionUR Utilization Review products.
Features of PN InsuranceExpert™ include:
Multi-Company Support - Supports multiple underwriting and claims processing companies
One-Stop Agency Portal - Provides easy and consistent access to prospects, applications, quotes, policies, commissions, renewals, cancellations, and claims summaries
Robust claims management with 50-state EDI and reporting compliance
Business Rules Engine
Reporting and Job/Task Management Engine
Customer, Claimant and Business Partner Portals
Real-time business analytics and enterprise reporting
The PN InsuranceExpert™ suite consists of the following modules: PN PolicyExpert™, PN QuoteExpert™, PN BillingExpert™, PN ClaimsExpert™, PN ReinsuranceExpert™ and PN PortalExpert™ along with our Customer, Claimant and Business Partner Portals.
Carriers, MGAs/MGUs, TPAs, and self-insured's/municipalities can either implement the full PN InsuranceExpert™ suite, or implement modules individually and interface with existing solutions based on need. This state-of-the-art modular approach provides custom-matched functionality that:
Provides better support for the agent distribution network
Increases operational efficiencies
Increases customer acquisition and retention
Improves claims handling
Reduces ongoing cost of ownership
PN PolicyExpert™, the underwriting and policy administration module of PN InsuranceExpert™, provides insurance carriers and MGAs/MGUs with comprehensive underwriting and policy administration tools.
The PN PolicyExpert™ underwriting engine is highly configurable and supports algorithms for all 50 states. The easy-to-use system enables administrators to quickly add new insurance products, since no additional programming is required.
PN PolicyExpert™ users can easily manage the policy lifecycle by utilizing integrated dashboards and comprehensive views of all policy transactions, including policy issue, endorsements, internal changes, out-of-sequence endorsements, cancellations, reinstatements, renewals, and audits.
PN QuoteExpert™ provides insurance carriers and MGAs with a one-stop portal for their agents. .
Out-of-the-box integration with underwriting, policy administration, billing, and claims means that the carrier or MGA is able to offer its agents a 360-degree view of their business. Agents are presented with comprehensive dashboards that provide summary and detail views of quotes, applications, policies, endorsements, bills, payments, commissions and claims.
PN BillingExpert™ provides powerful billing and accounting tools to insurance carriers and MGAs/MGUs.
Policy lifecycle transactions generate billing transactions ensuring that the two never get out of sync. Premium audit transactions and audit reversals also generate billing transactions. Dynamic billing plans and pricing rules provide flexibility in supporting various business arrangements. Comprehensive reporting tools provide transactional reports, business summary reports, customer statements, AR ledgers, and aged trial balance.
With complete support for bills, credit memos, manual invoices, bill reviews and approvals, cash application, refunds, EFT and lockbox processing, collections, write-offs, commission payables, and GL support, PN BillingExpert™ maximizes efficiencies within carrier and MGA/MGU finance departments.
PN ClaimsExpert™ is our claims administration and loss reporting module providing insurance carriers, TPAs, and self-insured's with robust claims management utilities, PN ClaimsExpert™ provides support for all IAIABC levels and EDI edits for all 50 states.
A Claim is automatically created when an injury and notice is first reported. Claims lifecycle transactions are maintained and viewed in an innovative, floating dashboard that provides one click access to all claim detail, including compensability, awards, reserves, subrogation, litigation, bills, drug bills, payments, diary, notes, document management, claims transfer and excess. PN ClaimsExpert™ supports medical case management, nurse billing, third-party bill review, and drug bill review. Automated reserving, diary entry, and claims notation ensure up-to-date data.
PN ReinsuranceExpert™ module integrates seamlessly with PN PolicyExpert™ and PN ClaimsExpert™ for fast and accurate calculations of ceded premiums and losses. It provides a robust capability to generate cession statements and bordereaux reporting. PN ReinsuranceExpert™ is loosely coupled with PN InsuranceExpert™, allowing it to be easily integrated or interfaced with policy and claim solutions from other vendors.
PN PortalExpert™ allows carriers to interact with policy holders, claimants, law firms, independent attorneys, fraud investigation companies, health care providers, third-party auditors, MGAs, agencies, producers, and more. PN PortalExpert™ proprietary technology allows carriers to benefit from significant efficiency gains by extending self-service capabilities to outside entities. The full insurance value chain is addressed by processing the needs of carriers beyond the four walls of their enterprise.
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PN InsuranceExpert™ is proud to have successfully completed the SOC 1 Statement of Standards for Attestation Engagements No. 16 (SSAE 16) audit.