ESKADENIA Software | Medical Insurance

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Accelerating the health insurance industry

A changing landscape for a better tomorrow

Insurance is undergoing some major changes. Thanks to globalization, deregulations, and many other factors, insurance is headed towards a transformative state. This is especially true when it comes to health. With some of the highest growth rate globally in the last years, health is becoming one of the main sectors within the insurance industry.

With uncertainty and risks occurring every day, medical insurance is an important aspect to retain and develop, this is why many insurance companies today are shifting towards innovative means enabled by insurtech to receive the most accurate premium and policy results.

Looking into more definite and personalized policies, how can the health insurance sector sustain the demands of the insured today? Thus, the rise of technology. Utilizing information systems, wearables, social media, and more are shifting health insurance companies into more than your traditional means of insurers. ESKA® Medical is our health insurance management system, as part of our insurance management suite ESKA® Insures.

This comprehensive system functions to streamline your medical insurance processes from start to end. It enables the digital transformation of medical insurance companies. With features such as production activities, medical networks management, claims processing, and more, ESKA Medical covers all your medical insurance requirements.

Catering to all parties involved within the health insurance sector, this inclusive system supports individuals, SMEs, and corporations. Transform your policy administration and claims processing into an easy and direct flow.

ESKA Medical covers a range of functionalities related to

Flexible system configuration
Medical networks management
Comprehensive sales network
Underwriting and pricing
Comprehensive production process
Claims processing
Reinsurance treaties
Queries search
Mobile and portals access
Reporting and analysis

Discover the possibilities with ESKA Medical

Keeping healthcare needs fully automated

Uncover how ESKA Medical can help fulfil your insurance obligations

Multiple access options

Finding contracts, policies, and other essential documents can be a hassle. This is especially true when you are dealing with multiple parties. ESKA Medical provides a mobile and portal access for the convenience of different parties, from providers to the policyholders.

Flexible Medical Networks

Now you can manage all your medical providers through one automated platform. From doctors and hospitals to pharmacies and laboratories. Organize and structure your networks of providers and their services through a dynamic digital database.

Expand your sales network

ESKA Medical makes issuing quotes and policies faster with the Quotation Builder, augmented by agent access portals. Together with customizable incentive strategies and sales analysis, ESKA Medical helps you engage customers with purpose and insight.

Bancassurance

Bancassurance opens the door to a new frontier of possibilities by bringing your insurance products to bank-affiliated customers. ESKA Medical empowers you to expand your market reach by building mutually fruitful relationships with banking institutions and the clients they serve. Bancassurance automates and accelerates the process of creating quotations, and issuing policies, alterations, and renewals. Customers can additionally file claims information and receive updates on their claim statuses right from their local bank.

Providers’ pricelist and agreements

Manage all your procedure and medicine prices with a convenient price list form. Now you can set your pricelist benchmark, as well as have all agreements and prices, including any discounts, directly imported according to your rules and preferences.

Underwriting taken care of

Handling all underwriting services in no time. ESKA Medical is an all-in-one system ready to impress. By digitizing tasks like assessments and ratings, you can easily get your underwriting tasks done.

Production made easy

Generate quotes, set up plans, register policies, import member list, and more with this fully comprehensive system. Automating various production tasks according to your standards, production can now be effortless and direct.

Monitoring and control

ESKA Medical enables you to monitor and control the daily transactions and operations of your insurance processes based on your pre-configured authority matrix, guidelines, and procedures. This allows you to enforce your specific business flow and can be applied to all system processes in all areas.

Claims processing under control

Turning your claims management into an easy activity by automating the whole claim management process, from submission to adjudication and settlement. ESKA Medical provides convenience for all your claims handling.

Made according to the rules

ESKA Medical follows all standards and regulations from both the medical and insurance industry. Following ICD-9, ICD-10, ICD10AM, ICD10CM, and CPT codes, as well as other rules made for your claims processing and third-party integrations.

Seamlessly handle reinsurance

Mitigate risks by creating a safe and conducive relationship between your insurance company and your reinsurance or co-insurance company. Helping to create secure and accurate treaties directly and digitally for full convenience.

Configurable KPIs

Configure various system KPIs to monitor your team’s performance, whether it’s related to production, claims handling, or any other system-related activities. Create a conducive platform to monitor your goals.

Managing your medical needs digitally

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flexible-configuration

ESKA® Medical’s medical networks function looks to define and manage all your network providers. With a range of providers to choose from, such as doctors, hospitals, pharmacies, radiology centres, and more, you can directly and easily organize your list of networks.

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Medical Networking

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Takaful

In addition to its conventional configurations, ESKA® Medical enables you to build Takaful-based insurance schemes.

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Comprehensive Sales Network

ESKA Medical features comprehensive sales network management that enables you to clearly understand and adjust your sales channels for optimal effectiveness.

The integrated Insurance

Connect with other ESKADENIA systems!

Digitizing your medical insurance operation

ESKA Medical is a standalone Medical Insurance Management system that is also part of ESKA® Insures®, ESKADENIA’s end-to-end Insurance Management Software Suite that also contains the

following core insurance systems:

ESKA® General: a comprehensive General Insurance Management System
ESKA® Life: a comprehensive Life Insurance Management System
ESKA® Travel: a comprehensive Travel Insurance Management System

ESKA Insures provides a fully-integrated package of tailored insurance support systems and functionalities to augment every insurance operation.

Integrate your insurance systems with the rest of the organization

ESKADENIA ensures that your potential grows within a unified operation

ESKADENIA provides an array of complementary software systems, so you can extend the core capabilities of ESKA Medical throughout the rest of your company’s operations and customer relationships.

ESKA® Business Manager is our ERP software suite that comprises:

ESKA® Financial, our management software that enables you to track transactions and organize assets and provisions within a unified financial system.
ESKA® HR, our human resources management software that administers all employee needs and personnel activities.

ESKA® CRM, our customer relationship management software that covers sales force automation, marketing management, and customer care.
ESKA® DOCS, our flexible document management system that organizes, stores, digitalizes, and retrieves your entire document library to help you maximize the accessibility of your files and information.
ESKA® Workflow, our work process system that clarifies and automates your workflow processes and procedures.

Third party systems

ESKA Medical can easily connect with other third-party external systems, covering the various company functions across all industry sectors, whether financial services, insurance, supply chain, hospitality, or more. This system is made to provide business process automation for all sectors.

ESKA Medical covers a range of functionalities related to

A complete insurance system

Uncover how ESKA Medical can help fulfil your insurance obligations

Connect with other ESKADENIA systems!

Integrate your insurance systems with the rest of the organization

Third party systems

Embrace a digital insurance operation!