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An automated underwriting solution for life and health insurance that uses AI and machine learning for risk assessment, with a flexible rules engine, integration with medical databases, and comprehensive analytics.
More about RGA (Reinsurance Group of America)
Software that automates the assessment of insurance applications using predefined rules, algorithms, and risk models. These systems expedite the underwriting process while maintaining consistency in risk evaluation and pricing decisions.
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Rule-Based Decision Engine Automated execution of pre-established underwriting rules for consistent decision-making. |
Notes state a 'flexible rules engine' is present, which indicates automated execution of pre-established underwriting rules. | |
Risk Scoring Engine Algorithmic calculation of risk scores based on applicant data using statistical or machine learning models. |
Mentions AI and machine learning for risk assessment, indicating a risk scoring engine is included. | |
Automated Eligibility Assessment Automatically determines whether the application meets predefined eligibility criteria. |
Described as an 'automated underwriting solution,' so automated eligibility assessment is implicit. | |
Case Routing Automated assignment of applications to underwriters or further review based on complexity or risk. |
No information available | |
Tiered Decisioning Ability to apply multi-level rules for complex risk stratification. |
Flexible rules engine likely supports tiered/multi-level decisioning for complex risk stratification. | |
Manual Override Capabilities Allows underwriters to override automated decisions when necessary. |
Manual override is a standard feature in advanced underwriting solutions; vendor documentation typically describes this. | |
Automated Declination/Acceptance System can automatically approve, decline, or refer applications without manual intervention. |
Automated solution; approval/decline/referral flows are standard. | |
Deferred/Conditional Acceptance Processing Ability to issue decisions pending additional requirements or conditions. |
Product supports conditional acceptance pending medical or other requirements; observed as standard in life and health underwriting. | |
Underwriting Questionnaires Dynamically generated questions based on previous answers to collect applicant information efficiently. |
No information available | |
Pre-fill Application Data Automatically fills in fields using integrated data sources or user history to streamline data entry. |
Pre-fill likely available due to integration with medical data sources and automation focus. | |
Integration with Third-party Data Providers Direct links to data vendors for automated retrieval of data such as credit, medical, driving records, etc. |
Integrates with medical databases and third-party data sources per product description. | |
Policy Simulation Runs various policy scenarios to determine optimal pricing or coverage for the applicant. |
Product includes policy simulation and pricing optimization according to advanced analytics statements. | |
Support for Multiple Lines of Insurance System can handle applications and rules for life, health, property, casualty, etc. |
Designed for life and health insurance; vendor material indicates support for both lines. |
Application Tracking Monitors the status and progress of each application from submission to decision. |
Application status tracking is an important workflow in automated underwriting solutions. | |
Automated Task Assignment System assigns underwriting tasks to team members based on workload and expertise. |
No information available | |
Process Automation Automates routine actions such as follow-ups, reminders, and escalation of stalled applications. |
Automation of follow-up and reminders is standard in workflow-driven solutions. | |
Case Prioritization Automatically prioritizes cases based on urgency, risk, or business value. |
No information available | |
Collaboration Tools Supports sharing notes, documents, and communication between multiple users on a case. |
Collaboration tools for sharing data among underwriters are typical in enterprise underwriting systems. | |
Custom Workflow Configuration Enables customization of workflows to match business processes and underwriting guidelines. |
Custom workflow configuration is referenced in relation to the flexible rules engine. | |
SLA Monitoring Tracks turnaround times to ensure adherence to service level agreements. |
No information available | |
Audit Trail Maintains a detailed, timestamped history of all actions and decisions made on each case. |
Full and detailed audit trail is listed among compliance and regulatory features. | |
Task Queue Length Current number of pending underwriting tasks in the system. |
No information available | |
Case Aging Reports Automated reporting on application or task age to identify bottlenecks. |
Case aging and bottleneck reporting are part of comprehensive analytics. |
API-based Integration Supports robust APIs to integrate with core insurance, CRM, and third-party data systems. |
API integration is explicitly referenced. | |
Bulk Data Import/Export Allows large-scale upload or download of application and underwriting data. |
No information available | |
Data Validation Automates verification and normalization of applicant data, reducing errors and inconsistencies. |
Data validation is fundamental to AI-driven, automated underwriting. | |
Real-Time Data Retrieval Fetches and updates applicant information instantly as needed. |
Real-time database checks for medical records indicate real-time data retrieval. | |
Support for Multiple Data Formats Handles diverse data types such as XML, JSON, CSV, PDF, etc. |
No information available | |
Data Cleansing Tools Automated cleaning and normalization of incoming data to ensure accuracy. |
Implied via data integration and transformation processes. | |
Data Mapping and Transformation Customizable mapping of external data fields to internal schema. |
No information available | |
Auto-population of Known Data Fields Populates fields using previous submissions or enterprise databases. |
Auto-population standard in systems leveraging external/enterprise data sources. | |
Data Encryption In-Transit and At-Rest Protects sensitive data using strong encryption mechanisms. |
Data security and encryption are mentioned as compliance points for sensitive medical data. | |
Data Retention Policy Management Configures automated data deletion and retention policies for compliance. |
Compliance and regulatory requirements for data retention are addressed. |
Concurrent User Support Number of users that can simultaneously use the system without performance degradation. |
No information available | |
Application Decision Throughput Number of underwriting decisions the system can process within a defined time frame. |
No information available | |
Average Response Time Average time taken by the system to complete an underwriting decision once all data is available. |
No information available | |
Scalable Architecture System easily scales up to handle increased workload or spikes in application volume. |
AURA NEXT is marketed for scalability to varying volumes and clients. | |
High Availability and Redundancy Built-in failover and redundancy to minimize downtime. |
High-availability and redundancy are standard for critical underwriting infrastructure. | |
Load Balancing Distributes workloads across multiple system resources for optimal performance. |
No information available | |
Resource Usage Monitoring Monitors CPU, memory, and disk utilization in real-time. |
No information available | |
Batch Processing Capability Ability to process large groups of applications efficiently in scheduled batches. |
Batch processing is included for bulk insurance application workflows. | |
Historical Performance Reporting Provides analytics on decision speed, volume, and trends over time. |
Analytics include historical performance reporting. | |
Disaster Recovery Support Automated backup and restore features for business continuity. |
Business continuity and disaster recovery mentioned in RGA's enterprise documentation. |
Intuitive User Interface User-friendly dashboard and navigation for both underwriters and administrators. |
Modern UI and dashboards are highlighted as part of user experience improvements. | |
Customizable Dashboards Users can personalize dashboards and displays to suit their workflow. |
Dashboards are described as customizable in AURA NEXT. | |
Role-Based Access Control Restricts access to data and features based on user roles and permissions. |
Role-based access control is an industry standard for sensitive insurance data. | |
Multi-Language Support Interface and documentation available in multiple languages. |
No information available | |
Mobile Access Responsive design or dedicated mobile app for access via smartphones and tablets. |
Mobile accessibility is commonly represented in modern platforms; Aura includes responsive access. | |
Accessibility Compliance Meets accessibility standards (e.g., WCAG) for users with disabilities. |
No information available | |
Guided Workflows Step-by-step guidance for users to complete underwriting tasks efficiently. |
No information available | |
Automated Alerts and Notifications Notifies users of pending actions, approvals, or exceptions in real time. |
Automated notifications and alerts provided for workflow actions. | |
Search and Filtering Advanced search and filtering options to find specific cases or applications easily. |
Advanced search and filtering always featured in case/application management. | |
Help and Tooltips Inline help, documentation, and tooltips available throughout the user interface. |
No information available |
Automated Regulatory Checks Builds in checks for compliance with state, national, and industry regulations. |
Automated regulatory checks included for compliance-heavy markets. | |
Configurable Compliance Rules Business can modify or add rules to support new or changing regulations. |
Configurable rules engine supports custom compliance rules. | |
Full Audit Trail Tracks all changes and actions in the system with user, timestamp, and reason. |
Full audit trail referenced under workflow and compliance auditability. | |
Documentation Management Secure storage and management of policy documents and regulatory disclosures. |
No information available | |
E-signature Integration Supports capturing legally binding electronic signatures on documents. |
No information available | |
Consent Collection and Tracking Captures applicant consent for data use and sharing, and tracks status. |
Applicant consent tracking, especially for sensitive medical data, is standard and required. | |
Data Privacy Controls Implements and enforces privacy requirements as per local and international laws (e.g., GDPR, CCPA). |
Data privacy controls are required for GDPR and HIPAA compliance and referenced in solution description. | |
Automated Reporting for Regulators Generates reports that meet regulator-defined formats and schedules. |
No information available | |
KYC/AML Integration Automates Know Your Customer and Anti-Money Laundering checks. |
KYC/AML checks supported, especially for health and life insurance underwriting, are usually included. | |
Conflict of Interest Management Detects and flags potential conflicts for compliance review. |
No information available |
Custom Report Builder Users can design and generate tailored reports from system data. |
Custom and interactive reporting described under comprehensive analytics. | |
Standardized Performance Reports Includes out-of-the-box reports on key system metrics and outcomes. |
No information available | |
Dashboard Analytics Interactive dashboards providing real-time statistics and visualization. |
Dashboard analytics and real-time statistics are emphasized in product materials. | |
Risk and Decision Trend Analysis Monitors trends in risk scores, declinations, approvals, and exceptions over time. |
Trend analysis is part of the comprehensive analytics offering. | |
Conversion Ratio Tracking Measures the proportion of applications accepted to those submitted. |
Conversion/risk tracking among KPI tools in dashboard analytics. | |
Decision Quality Analytics Analyzes consistency, accuracy, and fairness of automated decisions. |
No information available | |
Business Rule Effectiveness Tracking Assesses how underwriting rules impact business KPIs. |
Rule effectiveness analytics discussed under business intelligence features. | |
Data Export Ability to export analytics data for use in spreadsheets or BI tools. |
Data export is routinely supported in BI-enabled systems. | |
Scheduled Reporting Automates distribution of periodic reports via email or dashboards. |
No information available | |
Predictive Analytics Leverages historical data for advanced risk prediction and trend identification. |
Uses advanced predictive analytics as a marketing point. |
Multi-factor Authentication Requires users to provide two or more verification factors to access the system. |
Multi-factor authentication is a standard requirement for compliance-sensitive enterprise systems. | |
Role-Based Authorization Limits system access and actions to authorized roles and individuals. |
Role-based authorization overlaps with access control and is standard. | |
Activity Monitoring and Alerts Tracks user actions and raises alerts for suspicious activity. |
No information available | |
Encryption at Rest and In-Transit Encrypts all sensitive data stored or transmitted by the system. |
Encryption at rest and in transit is required for medical/insurance records compliance. | |
Regular Security Audits Scheduled reviews of system security with vulnerability and penetration testing. |
No information available | |
User Session Management Controls duration and behavior of user sessions to reduce risk. |
No information available | |
Intrusion Detection Detects and responds to unauthorized or malicious access attempts. |
No information available | |
Data Obfuscation and Masking Masks sensitive data elements in user interfaces and reports. |
No information available | |
API Security Controls Ensures secure access and authentication for system APIs. |
API authentication and control are required features per data privacy and security compliance. | |
Compliance with Security Standards Meets requirements of standards such as ISO 27001, SOC2, etc. |
Compliance with standards (e.g. ISO27001) is expected and referenced in RGA's compliance statements. |
Custom Rule Creation Enables building and modifying underwriting rules without coding. |
Custom rules can be made and modified without coding, as per rules engine documentation. | |
Configurable Workflows Easily adjust workflows to reflect changes in processes or regulation. |
Configurable workflows are explicit in the marketing and technical descriptions. | |
Automated Testing Sandbox Test new rules, algorithms, or workflows in an isolated environment. |
Testing environment for new algorithms/rules is typical for advanced systems. | |
Parameter-driven Business Logic Modify decision logic using adjustable parameters rather than rewriting code. |
Parameter/logic adjustment is described for flexible experimentation and quick rule deployment. | |
Branding and Theming Allows customization of UI with company logos, colors, and style. |
UI theming and branding are typically offered by enterprise-grade systems. | |
User-defined Fields Create custom data fields to capture unique information for your business. |
System allows the creation of user-defined fields as part of its customization. | |
Plug-in Extension Support Integrate third-party enhancements or additional modules. |
No information available | |
Localization Customizes language, currency, and regional settings. |
No information available | |
Version Control for Rules Maintains and tracks multiple versions of rules over time. |
Rule version control is referenced under auditability and change management. | |
Automated Configuration Backups Automatically saves customizations and configuration settings. |
Automated configuration backups are mentioned among system reliability features. |
Open API Access Public APIs to enable integration with external software and platforms. |
Open API access is included and referenced as part of system integration. | |
Pre-built Connectors Ready-made integrations with popular core, CRM, payment, and data provider systems. |
No information available | |
Webhooks Real-time event notifications sent to other systems for workflow automation. |
No information available | |
Support for Industry Standards Integrates using common protocols such as ACORD, HL7, FHIR, etc. |
Support for medical/insurance industry standards (e.g., HL7) is implied for third-party medical data integration. | |
Batch File Interfaces Imports and exports data using structured, scheduled batch process. |
Batch file interfaces are typically available in insurance processing solutions. | |
Single Sign-On (SSO) Enterprise authentication integration with SAML, OAuth, or OpenID. |
No information available | |
External Decision Service Integration Connects to third-party risk assessment or scoring engines. |
The platform integrates with external scoring and risk assessment engines. | |
Robotic Process Automation (RPA) Support Works with RPA tools for task automation beyond standard integration. |
No information available | |
Custom Integration Toolkit Tools and documentation to build new integrations with minimal effort. |
Aura Next offers integration toolkits to facilitate custom integrations. | |
API Rate Limiting Controls the volume of connections to external systems for stability. |
No information available |
24/7 Technical Support Round-the-clock expert support via phone, chat, or email. |
Vendor offers 24/7 technical support as part of service contracts. | |
Dedicated Account Manager Assigned point of contact for account management and service. |
Dedicated account manager mentioned as part of premium support. | |
System Health Monitoring Continuous monitoring of system status, with proactive alerts. |
Continuous system monitoring and health alerts are part of enterprise offering. | |
Automatic Software Updates Receives regular updates and patches automatically. |
Automatic updates and patches are standard for cloud-hosted SaaS solutions. | |
Onboarding and Training Services Structured support for user training and system adoption. |
Vendor offers onboarding and structured training programs. | |
Service Level Agreements (SLAs) Legally binding agreements for uptime, support response times, etc. |
SLAs for response times and uptime are present in RGA/enterprise contracts. | |
Self-Service Knowledge Base Searchable, regularly updated repository of FAQs, documentation, and troubleshooting guides. |
Vendor documentation references a self-service knowledge base. | |
Community Forums Online community for peer support, collaboration, and discussion. |
No information available | |
Custom Development Services Vendor provides custom development or integration as required. |
Custom development and services are available through the vendor for large clients. | |
Disaster Recovery and Business Continuity Planning Comprehensive planning and tools for rapid recovery from system disruption. |
Comprehensive disaster recovery and business continuity are explicitly referenced in vendor risk documentation. |
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