Tia Enterprise (Policy, Billing, Claims)

Tia Enterprise is a P&C core software platform that forms the foundation for digital engagement through Sapiens’ ecosystem tools, Tia APIs, or through third-party applications and devices. Tia Enterprise handles the core processing (product, policy, billing, and claims) while consuming and storing data from multiple sources as well as provides an open, scalable software platform to support and optimize sales, claims and billing processes with the focus on configuration options rather than coding that empower business users to create unique and optimized customer journeys.

Insurance logic and business intelligence enrich the core in near real time, enabling more effective decision making. Furthermore, the digital-engagement layer ensures delivery to the right person, at the right time, in the right format.

Tia Enterprise features advanced functionality in the application modules, product definition, policy administration, claims management and billing.

• Product-definition tools enable product developers to define and implement insurance products that support multiple versions and containing one or more product lines with tariffs, risks, and clauses.
• Policy administration manages policies, including issuing quotes, converting quotes to policies, making amendments, and cancelling policies. It also includes handling referrals to underwriters and posting premium receivables to the billing system.
• Claims management enables claims managers to handle the entire claims process, from the first notification of loss till the claim payment has been made or the supplier has fixed the damaged item. Configurable workflow rules allow to reach the desired level of automation. Either as a complete straight-through claims settlement or via a combination of human tasks followed by automated processing.
• Billing is used for settling financial transactions, for defining a reminder process and for setting up instalment methods used in the policy module.

The Tia Enterprise architecture is multitier with clear separation between core transaction-centric business functionality and user interface and integration points. The modular approach makes the individual system components easier to maintain and update. The application can be customized for a company, a brand, a group, a role, or even for a specific user. Customization layers are separate from the core and can be applied again after an upgrade, contributing to making customizations less expensive. To enable business users to make changes without involving programmers. Tia Enterprise generally favours configuration in the user interface rather than through code.

Tia Enterprise is configurable to meet insurance company needs and requirements and the different integration options, including REST APIs, enable external products like 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 cover all services needed to deliver Tia Enterprise in an operational setup based on industry standards. It is designed to cover different client solutions, a complete solution, or only a subsets.

• One-stop policy processing - comprehensively manage insurance policies supporting one-stop processing. The tasks that can be performed on policies cover everything from quotation, requotation and conversion to issuing policies, mid-term adjustments (MTA) (retroactive or future), with different start dates for several policy lines in one transaction, cancellation, and much more.
• High degree of self-sufficiency
• Product agility and profitable product portfolio
• Better business sustainability and profitability
• Flexible system architecture with best-practice integration patterns - seamless integrations with other solutions – both add-ons from Tia and in integration to third parties
• Efficient and transparenty workflows - powerful automation features make it easy to migrate product changes, as well as reduce the need to manually monitor changes in policies that need to take effect
• Best -in-class self-service capabilities - dedicated portal solutions by Sapiens can be optimized for specific personas and use cases, inlcuding consumers, agents/brokers and corporate customers
• High levels of automation and customer satisfaction with a standardized user interface
• Business insight - advanced data-extraction features enable insurance professionals to analyze, obtain insights, and report on data to ensure that the right decisions are made