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Deliver insurance solutions and digital customer experiences that build your customers’ confidence and keep them loyal. Easily roll out new offerings, implement necessary changes from your sales channels to the back office, and get real-time analytics to better understand your business.
Humana and Blue Shield of California: How a cloud-first strategy facilitates claims adjudication
Deliver a great experience for members. Simplify enrollments, premium billing, and claims adjudication on a core insurance system. Administer and automate new provider contract models so your members benefit from lower costs and a higher quality of care.Explore Health Insurance Solutions
Consolidate underwriting, policy processing, billing, and claims for individual and group insurance, all on a single insurance management system. Streamline operations to reduce operational costs, and gain flexibility to adapt quickly to changing business needs.Explore Life Insurance Solutions
Easily support the entire bancassurance lifecycle with real-time connectivity between banks and insurers to accelerate every step of the process, from point of sale to policy servicing to commission reconciliation.Explore Bancassurance Solutions
Automate processes and deliver tailored policyholder responses, while balancing self-service and assisted customer service models on a digital insurance platform. Allow customers to buy insurance and receive service when and where they need it.Explore Customer Experience Solutions
“Oracle Health Insurance enables flexibility for our business, while allowing for growth and change while we are undergoing that transformation.”
CIO and Senior Vice President, Operations, Harvard Pilgrim Health Care
Centralize ratings to create a single set of data between quoting engines and policy administration on your insurance management system. Integration with federal and private exchanges helps you bring new products to market faster.Explore Enterprise Rating
Enhance the experience for your members. Help them gain operational efficiency by managing pricing, billing, and collections for exchange, individual, group, government, and ASO with stop loss on a single core insurance system.Explore Revenue Management and Billing
Meet global regulatory requirements with an approach that incorporates risk assessments as part of your compliance strategy. Link data, models, systems, and processes between actuarial and accounting functions and review analytical requirements without the need to build integrations between various point solutions.Explore IFRS 17 and LDTI Solutions
Recruit, develop, and motivate the people who will move your business forward. Build an employee experience to attract the next generation. Manage compliance requirements and make better decisions with a single source of truth for HR data.Explore HCM for Financial Services
Srini Venkat, group VP of insurance product development at Oracle, spoke with Mike Wheatley, AVP of IT at Humana, at the HLTH webcast. They discussed Humana’s process of moving its claims system into the future to enable real-time claims adjudication. Here is an excerpt from the webcast.Read the complete post
Understand how a cloud-based architecture for your core insurance system and mobile health platform can modernize operations, enable better member understanding, and help predict risk.
Oracle was cited for a wide internal ecosystem of complementary products and preintegrated services such as risk, finance, and customer experience.
Celent named Oracle a winner in its Health Policy Administration Systems: 2020 XCelent Awards. Among the 22 health and medical product insurance management systems reviewed, Oracle Health Insurance earned the award for having the greatest breadth of functionality.