ALLIANZ PARTNERS HEALTH INSURANCE - CCRTitle Microsoft PowerPoint - sem2017-1.pptx [Lecture seule] Author wazouaou Created Date 11/16/2017 3:33:08 PM

© Copyright Allianz

CCR Seminar Simple Risks and Insurance

Christian GregorowiczCEO Allianz Partners MEA

Algiers, Algeria / 8 November 2017

ALLIANZ PARTNERSHEALTH INSURANCE


0102030405

TOPICS

16-Nov-17CCR Seminar | Simple Risks and Insurance | Algiers

Who we are: Allianz Group and Allianz Partners

NEXtCARE experience in health insurance

Our experience in developing products

Reinsurance @ Health

Our perspective on the TPA project in Algeria


Christian GregorowiczCEO Allianz Partners MEA

MY ROLE ATALLIANZ PARTNERS



We are part of Allianz GroupWe are innovation drivers and are future readyWe exceed expectations and never stand still

WE AREALLIANZ PARTNERS

© Copyright Allianz 16-Nov-17CCR Seminar | Simple Risks and Insurance | Algiers


A UNIQUE COMBINATION OF SERVICE, INSURANCE AND TECHNOLOGY

We are there for our clients’ customers and employees in all eventualities of on the move and abroad.

Assistance Automotive


A UNIQUE COMBINATION OF SERVICE, INSURANCE AND TECHNOLOGY

our clients’ customers and employees in all eventualities of their daily life, at home,

Health Travel


INNOVATIVE SERVICE FROM THREETRUSTED BRANDS

Assistance and travel insurance solutions for large corporate clients and their customers.

International health, life & disability solutions & global

health & protection services.

Three global commercial brands that make Allianz Partners

ComprehensiveProtection & Care:

Insurance & assistance

Fast claims processing


FROM THREE

Assistance and travel solutions for

large corporate clients and their customers.

Integrated products & services for

automotive brands.

Three global commercial brands that make Allianz Partners

Anytime, anywhere, 24/7

RenownedAllianz quality


A TRULY GLOBAL PRESENCE, DELIVERED LOCALLY OR GLOBALLYEurope, Middle East & AfricaGroup Offices: Austria, Belgium, Czech Republic, France, Germany, Greece, Ireland, Italy, Lebanon, Mauritius, Netherlands, Poland, Portugal,Spain, Switzerland, Turkey, UAE, UKCommercial Activity: Algeria, Bahrain, Belarus, Bosnia-Herzegovina, Bulgaria, Croatia, Denmark, Egypt, Estonia, Finland, Hungary, Kuwait, Latvia, LibMorocco, Mozambique, Norway, Oman, Qatar, Serbia, Slovakia, Slovenia, South Africa, Sweden, Tunisia, Ukraine, Uzbekistan

AmericasGroup Offices: Brazil, Canada, Mexico, USACommercial Activity: Argentina, Chile, Columbia, Costa Rica, Panama, Peru


, DELIVERED

Austria, Belgium, Czech Republic, France, Germany, Greece, Ireland, Italy, Lebanon, Mauritius, Netherlands, Poland, Portugal, Reunion Island, Romania, Russia, Saudi Arabia,

Herzegovina, Bulgaria, Croatia, Denmark, Egypt, Estonia, Finland, Hungary, Kuwait, Latvia, Libya, Lithuania, Luxembourg, Moldova, Morocco, Mozambique, Norway, Oman, Qatar, Serbia, Slovakia, Slovenia, South Africa, Sweden, Tunisia, Ukraine, Uzbekistan

Asia PacificGroup Offices: Australia, China, India, Indonesia, Japan, Malaysia, New Zealand, Singapore, ThailandCommercial Activity: Laos, Philippines, South Korea, Taiwan, Vietnam


36 global Offices

Over 17,500employees

Serving customers in over

70languages

Revenue 2016

EUR 7,893mn

PUSHING BOUNDARIES FOR CUSTOMERS & EMPLOYEES FOR OVER 90 YEARS

Over 17,500employees

39million

calls handled

806,901 global medical providers in our

network

Operating profit 2016

EUR 417mn

PUSHING BOUNDARIES FOR CUSTOMERS & EMPLOYEES


ALLIANZ PARTNERSMEA


International Health

Travel

Health TPAHealth Reinsurance

IPMI

Travel Assistance

Event Protector

Revenues (FC 2017)

$~600M

A landmark region with a global business model

Travel Assistance Global Automotive

Travel Insurance / Assistance

Event Protector

Roadside AssistanceAppliance Protection Extended Warranty

Operating profit (FC 2017)

$~25.0M

A landmark region with a global business model

© Copyright AllianzFile name | department | author

16-Nov-17

ALLIANZ PARTNERS HEALTH TPANEXtCARE HAS A LONG SUCCESSFUL HISTORY

1999 – Lebanon

Leading TPA in the market.

Almost 50% as market share.

2000 - United Arab Emirates

Leading TPA in the market.

25% market share.

2009 - Kingdom of Saudi Arabia and Oman

21% market share in KSA and 3rd place in NEXtCARE’s portfolio.

2012 - Qatar and Kuwait

20.000 lives in NEXtCARE’sportfolio in Qatar.

New development Kenya, Italy

ALLIANZ PARTNERS HEALTH TPANEXtCARE HAS A LONG SUCCESSFUL HISTORY

2006 – ALLIANZ

Part of Allianz Partners, leading B2B2C specialist.

2008 - Egypt and Bahrain

18% of the market share and handling claims for almost 50% of the Pharmacies in Egypt.

2012 - Qatar and Kuwait

20.000 lives in NEXtCARE’sportfolio in Qatar.

2013 - Morocco

The Launch of the first Direct Billing System for local insurance companies.

2014 – Tunisia

Entry as 1st TPA to the Tunisian market.

Pioneer in innovation.

New development Kenya, Italy


18Years of experience

n MEA Region

#1 TPAFore runner in

health management

PioneerEmerging markets

+120Payers as our

Partners

HEALTH TPA: OUR EXPERIENCE IN MEA

+1,200employees

+4MNInsured members

+8.5MNMedical Claims

12Offices & 10

Countries

+1bn $ Claims under management

+120Payers as our

Partners

TPA: OUR EXPERIENCE IN MEA

+1.2bn $In premium

+500Different edits

to manage drug indications

+8.5MNMedical Claims

PartnerInsurance Companies,

Brokers, Governments,

Healthcare Providers


Medical Team: 70% Physicians, 27% Nurses,

Care Centre Team: 80% medical professionals (+21 multilingual support),

Largest cashless Network Provider (+8,000 Healthcare Providers).

Strong presence in Middle East: Lebanon, UAE, Bahrain, KSA, Oman, Qatar, Kuwait, Jordan,And in North Africa: Morocco, Egypt, Tunisia

16-Nov-17

WHAT MAKES US DIFFERENT

Markets Expertise

Built-in Automated Edit Engine E-Claims & E-bills, Providers Portal (PULSE), Mobile APP (claims submission,

appointment booking, eCall, eChat, Second Medical Opinion),

Map my ID/e-membership MyNEXtCARE website, Online Sales Portal, Auto Enrollment & Provider

Kiosk, Business Intelligence.

UAE: DHA – SAADA and Arab Orient,

Allianz OEs: Lebanon, KSA, Egypt,

UNHCR: Lebanon (+1.3MN lives),

Order of Engineers: largest scheme in Lebanon,

Qatar: Qatar General Insurance and Arabia Insurance,

KSA: Al Sagr and Saudi United.

Clients Digital


EXPERTISE IN PRODUCT DEVELOPMENT


Good knowledge and understanding of the private and compulsory insurance market,

In house built actuarial models for pricing,

Highly skilled senior team (i.e. business development, underwriters and actuaries),

Market Management competencies (i.e. data management, market analysis),

Constant trainings & development programs for our teams.

SME & Comprehensive products,

DHA basic product in UAE as pioneers,

MOH products (KSA, Bahrain),

Launch of the first International Health Insurance Plan via insurance in Morocco,

Specific products based on local regulations.

We have all necessary capabilities…

…to anticipate and respond to all needs of our business partners

EXPERTISE IN PRODUCT DEVELOPMENT

Appliance ProtectionRoadside Assistance

Health TPAHealth Reinsurance

IPMI

Travel InsuranceMedical Assistance

Event Protector

SME & Comprehensive

basic product in UAE as

MOH products (KSA, Bahrain),

of the first International Health Insurance Plan via bank insurance in Morocco,

Specific products based on local regulations.

…to anticipate and respond to all needs of our business partners

© Copyright Allianz 16-Nov-17

CCR Seminar | Simple Risks and Insurance | Algiers

REINSURANCE @ HEALTH

Capital relief, Undertake the risk from Insurance

Companies, Develop Products, Offer technical expertize and support Tools for quotations & products, Comprehensive market knowledge

and experience.



Deliver cost effective solutions, Coordinate the process of claims settlement, Bringing medical expertise to restrict

unnecessary spending, Managing policyholder records, Leveraging technology to improve quality of

service.

TPA A MAJOR LINK IN THE HEALTH INSURANCE CHAINTPA A MAJOR LINK IN THE HEALTH INSURANCE CHAIN

TPA Modular Offer with plug and play modules, Highly flexible and agile IT platform, Strong edit engines for medical claims management, Highly skilled and talented team (technical, business

development, etc.), Digital tools and services.


OUR PERSPECTIVE ON THE TPA PROJECT IN ALGERIA

16-Nov-17


OUR PERSPECTIVE ON THE TPA PROJECT IN ALGERIA

Asses market feasibility,

Find a credible partner, based on capabilities and value potential,

System is important but is not the only important element,

Have a solid but well thought of Healthcare Provider Network approach,

Build a cost effective solution with a sustainable and robust model.



Allianz Partners are the partner of choice!We have the expertise and have been working in this region for a very long time.You know now why are we different!Reinsurance and TPA are key to a successful implementation on private heath insurance

and have been working

are key to a successful implementation on private heath insurance


THANK YOU


Documents

ALLIANZ PARTNERS HEALTH INSURANCE - CCRTitle Microsoft PowerPoint - sem2017-1.pptx [Lecture seule] Author wazouaou Created Date 11/16/2017 3:33:08 PM