Our services

We have the latest infrastructure and technology with stringent security measures in place

Our Software solutions cater the various business categories of general insurance covering marine cargo, marine hull, motor, travel, fire, engineering, aviation, property, Group & Individual Health Insurance, individual life, group life, broker/agent management. The General Insurance specific solution named “LIMRA” is flexible, robust and user friendly that allows easy customized policy setup, rating & underwriting, claims, reinsurance, accounting with easy multiple currency transactions and reporting generation for various business customers. We help the clienteles business achieve uniformity and integrity, curtail the operational cost and have a significantly reduced system maintenance costs.

LIMRA is extremely capable in handling the various facets that involve Financial accounts Payables and Receivables, Reconciliation, Reports & MIS, Financial and Management Assessment, Customer Administration managing application Processing, customer Verification, Underwriting, Policy Statement Insurance policies/ Certificate Printing, Payment Processing, Billing & Payment. It also covers Policy Administration, Endorsement, Query Management, Policy Cancellation and Renewal, Renewed Policy Issue and Delivery, Prospectus or Statement Issue and Delivery.

LIMRA aids in management of underwriting quotation, proposal, policy conditions, loading, discounts, deductibles for product section, endorsements, renewal processing; entry, processing and settlement of claims; helps setup of proportional and non-proportional treaties under reinsurance module by defining their treaty limits on the sum insured in percentages/ flat amount. The reporting module allows the generation of reports of underwriting, claims, and policy premium calculations, accounts, reinsurance process related to reports for various lines of business and for different clients with personalization. We bring a whole variety of insurance claims processing solutions to help clients manage claims efficiently with billing and payment processing.

Our Claims Management Services provides efficient initiation of emergency and repair services, automated adjudication, skills and rules based routing, automated claims profiling and process driven review, settlement and subrogation which includes monitoring and escalation of differed work items. We provide a comprehensive interoperable, robust, user friendly Solution named “TOSHFA” to manage health insurance. The system creates a brand by personalization and helps to resolve the major interoperability managerial challenges of faced by Insurance market in various countries that use disparate and fragmented IT systems.

The following are the salient operational features:

The system supports the Client, provider and product set-up including definition of benefits/ sub-limits/Coverage’s and hospital contract details, maintenance and mapping of medical and treatment codes, uploading of provider service data/ member’s data by Standardized excel templates.

The system also supports the assigning of various fiduciary arrangements for the product setup. The system allows tracking of medical costs and the utilization pattern at various core levels of probabilities of risks enabling the generation of accurate statistics required for optimal underwriting of various Insurance Products.

Our Software solutions cater the various business categories of general insurance covering marine cargo, marine hull, motor, travel, fire, engineering, aviation, property, Group & Individual Health Insurance, individual life, group life, broker/agent management. The General Insurance specific solution named “LIMRA” is flexible, robust and user friendly that allows easy customized policy setup, rating & underwriting, claims, reinsurance, accounting with easy multiple currency transactions and reporting generation for various business customers. We help the clienteles business achieve uniformity and integrity, curtail the operational cost and have a significantly reduced system maintenance costs.

Enrolment and administration of members, including policy assignment, eligibility rules and production of health programme membership cards.

The system allows online submission of pre-authorisation where the system checks the requirements of the policy, all deductible/ co-insurance, limits, sub-limits, covered and not covered, applying provider contracts etc., will be reviewed online reducing human involvement to make intelligent decisions and reducing hospital fraudulence.

The system supports Claims data entry, Claims uploading through a standardized excel format and enables Claims review under a particular claim batch with capacity of huge claims displaying the influential factors related to Claim rejections and adjudications. The system resolves the major Utilization management issue related to Claims management that includes –Claims cash, delayed claims, increased pended claims volumes and claims expense, increased appeals and adjustment volumes; processes claim payments and customer service administration.

We provide highly innovative and productive approach to managing interactive eligibility, authorization, referrals, benefits verification, claims status and claims filling and claims/encounters.

Salient Features of our technology includes:

  • Integrated system which processes all the business elements

  • Customized Software Application.

  • Automated claims editing.

  • Complete Claims Adjudication.

  • Provider Remittance and Checks.

  • Explanation of Benefits (EOBs).

  • Coordination of Benefits (COBs).

  • Online Acess to Insurers.

  • Claim Management Reporting.

We are service conscious and are always trying to improve our service towards excellence.

Our highly skilled professionals constantly enhance the systems' performance and capabilities through the periodic evaluation of results aiming to deliver uncompromising high levels of client satisfaction.

We allow insurers to make better decisions related to claims profiling, risk assessment, targeted marketing offers and resource optimization. Active decision management enables the clientele to track down information about the policyholders services, purchasing, retention and risk-related behaviors.

Insurers can fully automate processes from front to back office, such as new business initiation, claims management, policy reinstatement and beneficiary changes. Using our solutions, insurers can gain higher marketing response rates as well as better underwriting outcomes and fraud detection.

Our seamless integration into existing claim flows and the application of intelligent, rules-based pre adjudication and routing logic results in higher first- pass rates, reductions in manual handling, and significant financial savings from streamlined administration.

Our Web-based application offers payers claim level views into the electronic claim filing process from claims submission to the payer organization. With Our Software solutions, payers have the ability to perform claim searches, verify claim status and generate a variety of claim trending and summary reports.

Sophisticated yet user-friendly information technology is at the heartbeat of the AMTPL’S solutions. It is the key tool that makes our conceptual approach practical, feasible and reliable, thus allowing us to better serve the stakeholders and build solid relationships with them.