Development of an Automated Insurance Self-Billing Platform for Enhanced Scalability and Efficiency

The client currently performs all insurance expense calculations in Excel using complex formulas, resulting in manual, error-prone process with limited automation and scalability. This hampers onboarding, increases operational overhead, and restricts growth potential, particularly when expanding to a wider customer base with diverse insurance plans and stakeholder requirements.

A mid-sized insurance intermediary specializing in managing and invoicing corporate insurance policies, aiming to expand their market reach across the country.

• Automate monthly insurance invoice calculations to improve accuracy and reduce manual effort.
• Enable secure, automated distribution of invoices to multiple stakeholders, including insurance carriers and corporate clients.
• Provide an intuitive, user-friendly web platform to facilitate onboarding and management of insurance plans.
• Support data cleansing, validation, and reconciliation with external HRIS systems via secure data transfer protocols.
• Allow customization of invoices for different stakeholders or office locations to accommodate multi-branch corporate clients.
• Scale the system to handle increasing client base and insurance plan complexity, ensuring high performance and data security.
• Transform the client from a service provider into a scalable software product owner aiming to expand nationwide.

• Input interface for detailed insurance plan configuration (policy terms, coverage limits, premiums, exclusions, renewal terms).
• Secure data import functionality supporting encrypted XML files via PGP, with data cleansing and validation routines.
• Automated calculation engine for insurance expenses and invoice outcomes, with visualized reporting on plan changes, employee status, premiums, etc.
• Interactive review module for users to verify and correct calculated data before invoice generation.
• Automated invoice creation supporting both general (consolidated) and specific (per department/location) formats.
• Automatic email or EDI-based invoice distribution to stakeholders, supporting multiple delivery options.
• User onboarding features with an intuitive interface, ensuring ease of use and minimal training.
• Data security and encryption protocols to protect sensitive employee and insurance data throughout processing.

• HRIS systems for importing employee insurance data via encrypted files
• Insurance carrier systems for invoice exchange via EDI or email
• Secure storage solutions for data encryption and backup
• Monitoring and analytics tools for system performance and error tracking

• High scalability to handle increasing client volume and insurance plan complexity
• Performance capable of processing large datasets and generating invoices within defined timeframes
• Robust security measures including data encryption, secure user authentication, and system audits
• Highly available and reliable system to support continuous business operations
• User-friendly interface with minimal training required to onboard new users

The deployment of this automated invoice management system is expected to significantly reduce manual processing time and errors, enhance data accuracy, and facilitate onboarding of new clients nationwide. The system aims to enable the client to scale operations efficiently, attract new business, and transition from a service provider to a product-based business model, thereby increasing revenue streams and market competitiveness.