PROFIDA Administrator Edition

Find a detailed overview of PROFIDA^®'s facilities and features below:

Repository for any individual, company or organisation
Unlimited storage and history of different types of addresses and contact numbers per client or per broker
Storage of employers' details and employee numbers
Support for more than one policy per policyholder
Verification of ID numbers, which also serves as duplicate client check
Verification of postal codes
Verification of bank account and credit card details
Repository of broker's FSB License as well as description and status of license

Administration of all types of medical plans (individual, family and group schemes)
Issuing of Benefit Statements or Policy Schedule in Afrikaans or English with automatic generation of statutory notice and/or welcome letter
New business, amendments, cancellations and lapses
Premium increase facility
Setting up of standard letters and reports
Parameter driven product and group scheme design
Dependant Code Auto-Assignment
Card Printing Data Feeds

Automated debit order collection procedures via any of 9 preset money collection bureaux
Processing of third party payments via any of 9 preset money collection bureaux
Processing of EasyPay payments
Manual capturing of premiums paid (cash payments, EFT, inhouse staff salary deductions, bulk payments)
Processing of electronic unpaid files (RDs) or the manual capturing of unpaids
Correspondence triggered to be automatically printed or emailed based on RDs reasons.
Time based transactions with ability to display status at any given date
Bordereau providing detailed report on amendments of cover, collected amounts, amended premiums, underwriting premiums, fees
Commission and fee administration

For more details click on Financial Accounting.

Valid insured to exist at date of accident or sickness in order to register a claim
Consideration of pre-conditions
Changing of payment of claim, finalisation and reopening of claim
Multiple insureds / different cover within same claim number
Various conditions for claim settlement like Ex-Gratia, Agreed Settlement, Goodwill, TCF, Ombudsman, Complaint, Restricted Cover
Payment requisition and authorisation procedures
Fully integrated with workflow and document management facility

Standard baseline suite of reports
Various statistical reports
All reports available by various criteria and for any selected period
List integration with MS Excel
Income statement:
- Premium and commission written by underwriting year
- Incurred claims figures compared to earned premium
- Calculation of reserves
Claim statistic:
- Calculation of incurred claims
- Calculation of outstanding claims
- Claims paid and outstanding by underwriting year as well as claim ratio
Data mining and segmentation
Databased marketing with integrated labels and (e-)mail merge functionalities
Third party integrations and interfaces for medical checks and authorisations

Record keeping as required by FAIS
Task management and To-Do-Lists
Dairy management
Bulk processing of reports or standard letters
Reminders for tasks and follow-ups
Emails can be sent from and received within PROFIDA^®
Tasks triggered to be automatically created based on events like 'new claim' (send out claim form) or 'change quotation status to accepted' (print/email: policy schedule)
Correspondence triggered to be automatically printed or emailed based on events like new business captured (print/email: welcome letter) or policy cancelled (print/email: confirmation letter)
Printed reports can be auto-archived
Documents are attached to client, policy or claim records

Access and data exchange is encrypted
Login is password protected with parameterised rules
All changes made are user name, IP address, date and time stamped (in-depth audit trail)
Different levels of securities for groups of users, fully customisable
Automated Backups:
- Realtime Backups
- Additional automated snapshot backups
- Additional offsite backups

For details on hardware and software requirements please click on Installation and Setup.