Benefit Net Introduction

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    Agenda

    Who are we?

    What is BenefitNet

    How BenefitNet Works

    Sample workflows

    HR System

    Key Benefits

    Implementation

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    BenefitNet was conceived in a workshop session in theMiddle East attended by insurance industry experts andIT system designers

    From that initial meeting, the product was developedand a proof of concept version was tested

    A company was formed and the management teamcontinued to support the development to the launchdate.

    The Sales and Implementation is now provided by Pat

    Luby Consulting FZ LLC in Dubai, the development andsupport by Noblet Group in Karachi, Pakistan.

    Who are we?

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    24/7 Real Time Online System for administrationand management of your employee benefitsprogramme

    System provides

    Census reconciliation Claims management

    Provision of management reports

    Premium reconciliation

    Employee benefit reward statements

    System automatically connects HR with members,broker & insurance companies

    What is BenefitNet

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    Access to member data

    Management of additions and deletions

    Automatic census reconciliation and export

    Claims overview and statistics

    Benefit Reward Statements

    HRDepartment

    Access to personal data and policy information

    (essential documents, networks)

    Automatic notification of status of

    reimbursement claims

    Request dependant additions, deletions or

    modifications

    Members

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    Claims management

    Policy administration

    Census reconciliation

    Communication and collaboration with

    client

    Brokers

    Automatic notification of additions,deletions or modifications

    Electronic data processing

    Improved policy administration and service

    levels

    Insurer

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    Sample workflows

    Employee requesting addition of a dependant

    Claims management

    How BenefitNet Works

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    Member Addition

    Employer

    Employee requestsaddition of dependant

    HR Reviews and rejectsthe request

    Request is sent via

    email to HR andlogged in system as apending task

    Rejection email is

    sent to member

    HR Reviews andapproves the request

    InsurerRequest is sent forprocessing to Insurerand Broker andlogged in the systemas a pending task

    Broker

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    InsurerBroker

    Addition is processed

    by Insurer

    Membership pack issent to broker

    Employer

    Broker updates the

    system

    Membership Pack issent to HR or member

    Notification is

    automatically sent

    to HR and member

    S i A i

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    System in ActionMember logs in to systemMember selects Your Membership DetailsMembers personal details openSelect Add Dependant at bottom of the pageFill in the dependants detailsClick on the policy/ies to which the dependant will be included and submit to HRYour request is automatically forwarded to HR for approval

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    Claims Management

    MedicalProvider

    Employee visits amedical provider

    Employee pays forservices provided

    Broker

    Insurer

    Employee sends

    medical claim form andreceipts to the broker

    Broker receivesclaim and registersit in the system andit is logged as a

    pending task

    Notification isautomatically

    sent to the

    member via email

    Broker handles

    settlement of

    claim with insurer

    Broker updates

    status of claim

    regularly in the

    system. Member isautomatically

    notified via email

    of all changes.

    On claim

    settlement,

    Broker updates

    system, memberis notified and

    settled amount is

    sent to member

    C

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    Claims in ActionBroker registers a new claim in the systemBroker completes details of the claimand the system automaticallyinforms the member that their claim has been registeredMember logs on and reviews claim details and the progress of the claim

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    HR System

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    Proprietary ownership of data Removes dependence on insurers for data

    Consolidation of all data across all policies

    Improves HR and employee communication Employees are better informed of their overall

    package

    Employees have active role subject to HR approvals

    Dramatically increases efficiency Reduced administration overhead

    Faster processing of requests and documentation

    Key Benefits

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    Policy setup

    Census

    Employee photos (optional)

    Policy documents

    HR Training

    Cost

    For further details contact

    Pat Luby Consulting

    [email protected]

    www.patlubyconsulting.com

    Implementation

    mailto:[email protected]://www.patlubyconsulting.com/http://www.patlubyconsulting.com/mailto:[email protected]
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    www.benefitnet.com