Abibl intro 4

Copyright Aditya Birla Insurance Brokers Ltd 2010

Aditya Birla Insurance Brokers

INTRODUCTIONAditya Birla Insurance Brokers Limited



The Aditya Birla Group is India's first, truly multinational corporation.

A US $ 61 billion conglomerate, the Aditya Birla Group is in the league of Fortune 500.

An extraordinary force of over 125,000 employees from 25 nationalities – a GLOBAL culture.

Over 50 per cent of its revenues flow from its operations across the world – 72 manufacturing locations in 4 continents.

Beyond Business – the group is a caring, responsible corporate citizen actively engaged in welfare programs for the benefit of marginalized people.

The Best Employer in India and among the Top 20 in Asia adjudged by the Hewitt-Economic Times and Wall Street Journal study 2007.

Our Group

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ADITYA BIRLA FINANCIAL SERVICES GROUP

BRAND PRODUCT

Aditya Birla Finance Ltd. Non-Banking financial company (NBFC )

Birla Sun Life Insurance Company Ltd. Life Insurance Solutions

Birla Sun Life Asset Management Company Ltd. Mutual Fund

Aditya Birla Money MartFinancial Planning, Wealth Management,

Investment Solutions.

Aditya Birla Insurance Brokers Limited Non-life Insurance Advisory Services

Aditya Birla Capital Services Private Equity

Aditya Birla Money Share Broking & Depository



Aditya Birla Insurance Brokers Limited is a leading General Insurance Intermediary in India.

We handle an annual premium in excess of Rs.300 Crores. Headquartered in Mumbai, we have branches in Delhi, Kolkata, Hyderabad,

Chennai, Pune, Ahmedabad, Bangalore,

Bhubaneswar – more are planned. ISO Certified for General Insurance Broking Operations Optimum employee strength to deliver dedicated result oriented service at

client’s doorstep - more than 130 employees across the country Technical expertise in insurance as well as risk management – with more

than 250 years combined domain experience.

ABOUT ADITYA BIRLA INSURANCEBROKERS LIMITED

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Mission statement – To deliver superior value to Mission statement – To deliver superior value to our customers, shareholders, employees and our customers, shareholders, employees and

society at largesociety at large


Copyright Aditya Birla Insurance Brokers Ltd 2010 3 of X

ROLE AS A SPECIALIST BROKER



OUR SPECIALIZED OFFERINGS

•Specialized verticals for Liability & Credit Insurance and Employee Benefits

• Insurance Audit With Industry Benchmarking

• Policy Structuring

• Quote Procurement, Negotiation & Comparative Analysis

• Insurance Placement: Assistance in choosing a credible Insurance Partner as well as TPA

• Policy Due – Diligence & Administration

• Claims Management

• Exclusive Client Based Services



OUR SPECIALIZED OFFERINGS Insurance Audit:

We will understand your risk, insurance programme philosophy and Audit the

policy in the light of the same.

Policy Structuring:

We will assist in structuring the policies based on a systematic approach. Quote Procurement, Negotiation & Comparative Analysis

Prepare comprehensive Underwriting Submission to best represent you in the

Insurance market.

Our long standing relationship with various Insurers and high volume business serves

us with an upper hand in the process of negotiating the best terms for you in order to

finally present you a value proposition.

Presentation with Comparative Analysis comparing Programme Cost quoted by various

Insurers, Terms offered, Carriers, Strength & Credentials of the Insurance Carriers.



OUR SPECIALIZED OFFERINGS (cont..)

Insurance Placement: Assistance in choosing a credible Insurance Partner

Based on comparative analysis of quote submissions of various insurance carriers we will

work closely to finalize the Insurance Carrier(s) for various Insurance covers.

Policy Due – Diligence & Administration

Policy Issuance - The Policy documents will be delivered within 15 days from the receipt of

the complete information & Payment. In the interim we will arrange for a Held Cover Letter as

per the policy conditions.

Due Diligence - Policy once issued will be ratified to confirm adherence to the “Scope of

Coverage”.

Review Meetings: We will meet every Month to take an update on the service quality.

Database Management: We will assist in the entire database management as follows: Enrollment Processing

Addition & Deletion Endorsements

Data Mapping



Claims Management : We work on the philosophy of One Stop Solution in claims

management i.e. from intimation to settlement by our specialized claims department.

• Ensure Claim Settlement within set TAT

• Scrutiny at first level is done by us.

• Deficiency Intimation over mail.

• Liasoning with the all parties concerned.

• Troubleshooting in denial / partial authorization or a delay in reply.

• With our in depth experience on handling such matters coupled with the access

& relationship we share with the Insurers & Surveyors / Loss adjusters helps in

getting quick & fair addressing of any escalation.

• All MIS reports like Premium Register & Claims Tracker will be maintained by

us on your behalf and will be presented with great detail once in a quarter.

OUR SPECIALIZED OFFERINGS (cont..)



ABFSG Distribution Network

1400 + contact pointsCan help in training, claims management, renewals, etc.



ABIBL Future Plans - Motor

Non-Life end to end online sales portal supported by a dedicated 24*7 call

center

24*7 Claim Management System for the retail channel

Distribution through Aditya Birla Money Mart & Aditya Birla MORE stores at

250 locations

Geographical expansion for the retail direct business.

Online portal for policy issuance



Support From ABIBL - Motor

Dedicated Manpower/Team for Training, Distribution & Management

Help desk

4 Pronged Service Interface - Branch, Email, Letter, Customer Service Desk

Renewal Management

Claim Servicing & Data Management

Part investment and assistance in software development and installation.

Lucrative Customer loyalty programme



Insurer selection - process

1. Quantitative data:• Market presence • Presence in Mis-D space • Solvency margin • Claim settlement

2. Dealers survey

3. Qualitative data:• Local support• Support from senior management• Business assertiveness

4. ABIBL Analysis and Recommendation



Corporate Clients - Motor



Claims Servicing Constant coordination with Insurance Company for Float Fund

arrangement / Endorsements / Claim discussions.

Constant coordination with TPA for claims settlements / data

management.

Frequently Asked Questions prepared for client’s employees which could

be referred through intranet.

PowerPoint Presentation on Health Insurance designed client’s

employees to understand Cashless / Reimbursement claims procedures in

detail along with the policy coverages.

Physical ID Cards / E-Cards to be arranged on timely basis through TPA.

Deficiency Letters/Claim Settlement Letters routed to client

coordinator/employees (e-mail id’s of employees required) via mail/hard

copy with a copy marked to client coordinator.



Claims Servicing - GMC

TAT – Cashless Claims – 2 to 3 working hours from the time of receipt of

Completely Filled Pre-Authorization / Cashless form.

TAT – Reimbursement Claims – 10 to 15 working days from the receipt of

Complete Claim File.

Re-imbursement Claim File Submission – ABIBL shall submit the

complete claim file within 1 working day to TPA

Duplicate / Correction ID-Cards – ABIBL shall arrange for the same from

TPA within 3 working days

Admission in Non-Network Hospital – An intimation is a must to ABIBL /

TPA



Claims MIS & Analysis Cashless v/s Reimbursement Age Group wise Disease category wise Top Ten Disease category wise (Age Group Wise) Relationship Category wise Top Ten Disease category wise (Relationship Wise) Gender wise Category (Male v/s Female) Network City wise State wise category Hospital wise Category Expenses wise category Top Ten Duration of stay (Approximate no. of days employees were hospitalized) TAT for Settled Claims Claims Status Reasons for Deficiency Reasons for Rejection Reasons for Deductions in claims Amount Bifurcation Disease category for Claims (Amount wise break up)



Services- General Insurance

1. Understanding the business2. Competitive quotes3. Tailor made risk covers4. Management of risk5. Liaison between insurance company and the insured6. Maintain the data7. Premium reminders8. Claims facilitation (Help Desk)9. Claims service10.MIS analysis, suggestions to curtail claim ratio



Major Clients – Employee Benefit

1. Rolta Group of Companies

2. IDBI

3. Yes Bank

4. ACG

5. Kale Logistics

6. Roche

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Our Focus is to render value added services, help in optimizing risk coverage, negotiate most competitive rates & terms AND assisting in claims settlement

Thank You



Federation of Medical Practitioner is a Non-Profit-Non-Governmental organization (NGO), Registered with Department of Charity Commissioner. Federation of Medical Practitioner is the representative, national voluntary organization of Medical Practitioner of Modern Scientific System of Medicine, which looks after the interest of medical practitioner as well as the well being of the community at large. Our Objective is to promote the welfare of the medical profession and the health of the public. The Federation purpose is to provide leadership within the Medical community and to promote a positive vision for Medical and its holistic approach to health and wellness. We offer help with legal and ethical problems that arise from the medical professional practice. This includes clinical negligence claims, complaints, medical council inquiries, legal and ethical dilemmas, disciplinary procedures, inquests and fatal-accident inquiries.

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