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8/4/2019 Benefit Net Introduction
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8/4/2019 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
www.patlubyconsulting.com
Implementation
mailto:[email protected]://www.patlubyconsulting.com/http://www.patlubyconsulting.com/mailto:[email protected]8/4/2019 Benefit Net Introduction
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www.benefitnet.com