Tia Enterprise (Policy, Billing, Claims)

Tia Enterprise is a comprehensive P&C core software platform that serves as the foundation for digital engagement. It seamlessly integrates with Sapiens' ecosystem tools, Tia APIs, and third-party applications and devices. Tia Enterprise handles core processing functions such as:

• Customer 360
• Product management
• Policy administration
• Billing
• Claims
• Communication

while consuming and storing data from multiple sources. The platform is open, scalable, functionality rich, and designed to optimize sales, claims, and billing processes. With a focus on configuration over coding, Tia Enterprise empowers business users to create unique, optimized customer journeys without the need for complex programming. Tia Enterprise supports all aspects of P&C insurance, covering a huge portfolio of personal, commercial, and specialty lines of business (LOBs).

Insurance logic and business intelligence are integrated into the core system in near real-time, enabling more effective decision-making. Additionally, the digital engagement layer ensures that the right information is delivered to the right person, at the right time, and in the right format.

A standout feature of Tia Enterprise is its new role-based workbenches & dynamic react widgets, which provide tailored user experiences for various insurance professionals, as well as easy customization capabilities with a low-code/no-code approach. These portals enhance efficiency and collaboration across the organization, ensuring that each user has access to the specific tools and data they need to succeed.

Tia Enterprise offers advanced functionality across key application modules, including product definition, policy administration, claims management, and billing.

• Product Definition - low-code/no-code product-definition tool empowers business users and developers to create and implement insurance products that support multiple versions and product lines, incorporating tariffs, risks, and clauses.
• Policy Administration - the module manages all aspects of the policy lifecycle, including issuing quotes, converting quotes to policies, making amendments, and cancelling policies. It also handles referrals to underwriters and posts premium receivables to the billing system.
• Claims Management - claims managers can oversee the entire claims process, from the first notification of loss to the payment of the claim or the repair of the damaged item by a supplier. Configurable workflow rules enable automation, from full straight-through claims settlement to a combination of human tasks and automated processing.
• Billing - this module handles financial transactions, including defining the reminder process and configuring instalment methods used in the policy module.

Tia Enterprise's user interface is composed of role-based workbenches tailored to specific insurance personas, such as customer-service representatives, underwriters, system adminstrators and claims handlers. This modern design enhances efficiency, promotes collaboration, and reduces the learning curve. The clear separation between core transaction-centric business functionality, the user interface, and integration points makes the individual system components easier to maintain and update.

The application is highly customizable for a company, brand, group, role, or even a specific user. Customization layers are kept separate from the core and can be reapplied after an upgrade, making customizations more cost-effective. Furthermore, a high priority is given to user interface configuration rather than coding, empowering business users to make changes without the need for programmers.

Tia Enterprise is configurable to meet the specific needs and requirements of insurance companies. Its flexible integration options, including REST APIs, allow external products such as portals and custom end-user applications to connect and consume enterprise data.

Tia Enterprise is a cloud-based solution supported by Sapiens Cloud Services (SCS), which provide all the necessary services to deliver Tia Enterprise in an operational setup that adheres to industry standards. It is designed to support a range of client solutions, from a complete solution to more targeted subsets.

• Comprehensive policy processing - manage the entire insurance policy lifecycle with a single, integrated solution. This includes tasks such as quoting, requoting, policy conversion, issuing policies, mid-term adjustments (MTA) with retroactive or future changes, handling multiple policy lines with different start dates in one transaction, cancellations, and more.

• Multisite installation - Tia Enterprise is designed to support multisite business operations with the possibility to run multibrand, multicountry, multilanguage as well as multicurrency installations & legal entities.

• Self-sufficiency - empower users with a high level of independence, enabling them to create and manage product portfolios and tasks with minimal reliance on external support or IT teams.

• Product agility and profitability - build and maintain a flexible and profitable product portfolio that can quickly adapt to market demands, regulatory changes, and customer needs.

• Enhanced business sustainability and profitability - optimize processes to drive long-term business success, improving both operational efficiency and financial performance.

• Flexible system architecture with seamless integration options - leverage a robust system architecture that supports best-practice integration patterns, allowing for seamless connections with Tia add-ons and third-party solutions, ensuring smooth data flow and interoperability.

• Efficient and transparent workflows - harness powerful automation features to simplify product updates, streamline policy adjustments, and reduce the need for manual oversight, ensuring timely execution and more efficient processes.

• Best-in-class self-service capabilities - Sapiens’ tailored portal solutions offer a superior self-service experience for different user types, including consumers, agents/brokers, and corporate clients, enabling them to access the tools and information they need independently.

• Persona-based portals for tailored eser experiences - role-based portals ensure that each user has a personalized, efficient interface designed to match their specific needs and responsibilities. This customization improves productivity, enhances collaboration, and ensures that the right tools and information are accessible to the right professionals at all times.

• High Levels of automation and enhanced customer satisfaction - by standardizing user interfaces and automating key processes, Tia Enterprise not only boosts operational efficiency but also significantly improves customer satisfaction by delivering consistent and timely service.

• Actionable business insights - advanced data extraction and reporting capabilities provide insurance professionals with real-time, actionable insights, enabling data-driven decision-making and ensuring the right choices are made at every level of the organization.