Analytics

we can provide a market analysis for related products which are updated based on our market mapping as well as our own experience

Technology

we have established our health insurance system which can support and run smoothly both for individual and group business

Training

we can provide and support training courses about the products, procedures including but not limited to sales strategies which are related to the products for operations team as well as training of trainers (TOT).

Overseas Assistance

together with our provider, we can provide assistance for customers who have treatment overseas including concierge and any related help

TPA

We may help in maintaining close working relationship with the chosen TPA provider to ensure an effective claim management process

NB and UW

we can help manage NB and UW processes including but not limited to providing UW guidelines

Web Service

we have web-based services including online products and claims processes

Claims Administration

This is including but not limited to data validation and claim analysis processing – starting from daily case monitoring, claim adjudication, until claim approval process, for both reimbursement and cashless procedures

Policy administration

This is including but not limited to new business data entry, data enrollment, policy fulfillment, and ongoing administration

Customer service

Provision of all customer service functions as needed, would include for instance customer care hotline number, claims and complaints handling

Emergency assistance

we can provide this service which can include bundling to your related product in any emergency situations through our emergency assistance provider.

Product development

we can provide design features and tailor-made products to meet a set of needs and also give advice about how the product design looks like.

Reinsurance program

Our close relationship with reinsurance company allows us to participate in any reinsurance plans in this product scheme. For this, our partner will have a reinsurance treaty with reinsurance, and Pacific Cross will have a Pacific Cross act as retrocessionaire for reinsurance

Case management

we have hotline service dedicated to help manage claim services among customers, TPA providers as well as hospitals

Relationship Management

We will provide a dedicated relationship manager to maintain this partnership

System analysis

we will help in analyzing procedures or business process in order to identify its goals, purposes and procedures that will be achieved in an efficient way

Product

we will develop products which are suitable to the partner’s needs and competitive in the market.

IT system

Our health insurance management system will be used  to support the policy administration and claim analysis processing, ensuring that partners data will be recorded correctly

Billing network

we can help our partners with their billing settlement to the hospital without having direct agreement among partners and the hospital providers

Medical Team

we have our own medical team both in UW and claims department to ensure that all the medical issues can be more accurate to process both areas including but not limited to supporting partner’s events such as Health Talk and free medical checkup.

Actuarial

we can help our partners in providing the assistance concerning the pricing, benefit table, and the terms and conditions of the product that we develop

Investigation Team

we can develop and provide a dedicated claims investigation team for claim cases which need a further investigation

Marketing information

we can provide all information related to our product branding, campaign, company’s positioning and also marketing strategies

Financial Administration

we can help in supporting all financial data and reports for both parties; the partner and also the reinsurance company

Sales support

we can provide support to you together with our partner’s sales team by giving sales training, making sales strategies and also developing our dedicated sales team for our partners