International Claims Processing Solutions for Connecting, Centralizing, and Empowering Payers

“More and more insurance companies are realizing the benefits of using advanced analytics for designing products, segmenting markets, developing distribution strategies, and managing inforce business, setting assumptions for financial reporting, and developing metrics for risk management.”–PwC (PricewaterhouseCoopers) “Top Issues: The Insurance Industry in 2015.”

As multi-national insurers expand into developed and emerging markets such as Asia, the Middle East, Latin America, and Africa, the accumulation of disparate operating units and fragmented IT systems present discontinuity obstacles that result in incomplete analytics and reporting, significant duplication of resources, and the implicated costs these barriers pose. International insurers are quickly adopting flexible, yet centralized technology platforms that enable inter-organizational collaboration, comprehensive analytics and reporting for better decision making, and ultimately, greater business efficiencies.

Modernizing international insurance

PLEXIS has over 14 years of experience implementing our integrated clinical, financial, and administrative payer platform for international customers in over fifteen countries. PLEXIS provides international insurers, cost containment companies, and national health plans with the technology and services to modernize and grow in the business of healthcare.

PLEXIS empowers multi-national insurance organizations with the flexibility needed to adapt to unique markets while standardizing global operating processes. Organizing and automating manual processes is a crucial strategy for creating essential administrative efficiency and cost-savings. Emerging payer-provider collaborations and new benefit-plan models reflect the risks and opportunities of a rapidly evolving international healthcare environment where only PLEXIS’ innovative, best-of-breed platform delivers the competitive edge that you need.

The PLEXIS Platform empowers expansion and collaboration in the evolving global landscape:

  • Coordinate multiple lines of business: Including major medical, fully-insured products, disability, life, travel assistance, and other benefits. Flexible functions are included for commission support and premium billing.
  • Automate workflows and enhance processes: Reduce and eliminate paper and manual processes through online DDE (Direct Data Entry), customer service portals, email notifications, and more.
  • Harvest actionable insights from advanced analytics: Aggregate actionable information with advance BI/BA capabilities.
  • Solve unique international complexities: Automatically integrate multiple currencies and exchange rates. Utilize “native” currencies for payer and payees.
  • Enhance customer engagement and satisfaction: Process claims more quickly, deploy proactive notifications, improve communication, and increase the ease of doing business.
  • Grow to meet market challenges and opportunities: Electronic adjudication, auto-adjudication, claim repricing, and other solutions make it easier to scale transaction volumes. Innovate to provide customer-centric solutions.
  • Lower costs: Greater administrative efficiencies result in lower costs per member/per claim.

PLEXIS Healthcare Systems partners in your success

For nearly two decades, PLEXIS has partnered in the success of healthcare payers throughout all major healthcare markets. PLEXIS’ benefits administration solution serves international organizations, TPAs, health plans, government healthcare payers, and more. PLEXIS’ 95% lifetime customer retention rate and over 100 completed implementations illustrate our position as an industry leader in core administration solutions.

Our platform is supported by a seasoned team of international subject matter experts that have delivered similar solutions to numerous organizations over the last decade and architected by technologists who build data-driven user experiences and functionality for our clients year after year. PLEXIS’ suite of readily-configured business apps complete the package of a technology vendor that goes the extra mile to partner in your success.