• A New Ecosystem

    "We're creating a new ecosystem with automated, electronic solutions for group health insurers and self insurers that eliminates manual processes, paperwork, human error and inconsistencies and speeds up payment and settlement."

  • Narrowing the Gap

    "A good insurer is constantly straining to narrow the gap between premiums and costs. They want to lower administration costs, pay out less in claims by improving their accuracy and handling, manage external costs and incentivise brokers to continue to sell their products year in year out."

  • Online Collaboration

    "The OMNIQ system allows online collaboration between key stakeholders – insurer, broker, employer, member, health providers."

  • Reduce Risk and Cost

    "While many insurance companies realise they need to implement new business processes, they also discover that their systems have become overly complicated and cumbersome, increasing both risks and delivery costs."

  • Transparency

    "The insurance world is changing. The old model is broken. The silos are going. The cloud creates a transparent, seamless collaboration from end to end and exposes the traps where money and inefficiencies are locked."

OMNIQ Benefits

OMNIQ Group Health's system is fully integrated to support every step in the health insurance value chain. It is based on self-service to share the information and the workload with underwriters, groups and members.

Its straight‐through processing environment enables administrators to concentrate on claims and case management instead of routine administration activities as external parties can update and maintain their own information.

By dramatically reducing administration costs and ensuring that claims are swiftly and objectively processed, insurers can manage risk and keep loss ratios at optimum levels.

The proprietary health insurance software has been designed using the combined expertise of OMNIQ Group Health's senior executives and technical team, utilising their combined 75 years knowledge from working in the international health insurance sector.

Built on WebSphere® and DB2® and validated for the IBM Insurance Industry Framework, OMNIQ Group Health is the only IBM accredited group health insurance software in Asia and has the potential to be expanded into other insurance markets.

The Old
A Mess

The Now
Over Simplification

Omni
Risk Performance

A multitude of complex, random insurance products

Massive simplification of products

Product/benefit configurator allows for specialisation and rapid generation – hours to create.

Often cobbled together customer by customer

Products becoming generic and hard to distinguish any competitive advantage

Rules based adjudication removes any interpretation issues and confusion

Extremely complex to administer and drives high overhead and centralised administration

Premium returns flattening and provider costs are climbing

Customers get specific products to suit their needs – the insurer is able to offer unique, case by case products

Claims intervention is very high, benefit schedules complex, hard to comprehend and mistakes are made

Claim loss ratios area break point high and admin costs are too high

Claims are processed in real-time with no human interpretation of benefits or policy attributes

OMNIQ Group Health
Administration System

  • Share the information and the workload
  • Self service on line
  • Integrated cloud-based package solution
  • Flexible, scalable and fully configurable
  • Automated rule-based claims adjudication
  • IBM validated and accredited health insurance provider
  • Expert implementation advice on hand

Contact OMNIQ Care Consultant

Contact Us
+64-9-915-3518
enquiries@omniq.co.nz
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