Alamere Insurance

Choose Your Role: AGENTS & BROKERS | BUSINESSES | INDIVIDUALS


Oracle Insurance created Alamere as a fictional insurance company to demonstrate potential Oracle product uses. Click here for complete disclaimer.
What's New Oracle Insurance Launches Solutions for Risk and Solvency Read how European insurers can comply with Solvency II mandates, improve their financial health and speed implementation times with a ready-to-deploy suite of applications. READ THE PRESS RELEASE Oracle Launches Oracle Insurance Claims Adjudication for Health Learn how healthcare payers like Alamere are automating claims adjudication, reducing administrative costs and improving customer service. READ THE PRESS RELEASE Special Report: The Oracle Insurance Industry Survey What do insurance companies want? To offer better customer service, introduce new products faster, and do it all with more modern technology. READ THE REPORT

Alamere Insurance has provided a full range of insurance products and services to individuals, families, and companies across North America for more than a century. Our promise is to deliver high-quality products at the best prices.

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AGENTS & BROKERS

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Irena is an agent at an independent insurance company.

When she logs onto Alamere.com, she can click the “Agents and Brokers” link to enter the agent’s self-service portal. Here, she can fill out new policy applications for her customers, check the status of existing applications, update client information, and more.

Behind the scenes, Alamere uses Oracle's CRM solutions to keep track of customer information. When Irena wants to fill out a new policy application for an existing customer, Oracle's CRM applications finds the customer's existing file and serves it up to her. If the customer is a new customer, Irena enters the prospect's information into a web form, and the information is routed into the CRM system.

When getting a quote, Oracle's CRM systems pass the customer's information to Oracle Insurance Insbridge Rating and Underwriting. Insbridge automatically rates the policy, based on the information that Irena provides, and other information gathered from third parties. Insbridge sends an accurate quote back to Irena via Alamere's web portal. Insbridge uses business rules to determine whether the policy can be written immediately, or requires underwriting approval.

If it's a life or health policy, Alamere writes the business using Oracle Insurance Policy Administration for Life and Annuity. Irena can also look up her commission and sales data with Alamere using Oracle Insurance Data Exchange and the Oracle Insurance QuickView portal.

Once the policy is bound, Alamere uses Oracle Documaker Enterprise Edition to let Irena print policy documents from her desktop. Alamere also uses Oracle Documaker to provide compelling marketing and sales collateral to support its sales channels, including agents like Irena.

When it's time for Alamere to review agent productivity, the company uses Oracle's business intelligence applications for insurance – including Oracle Insurance Insight and Oracle Business Intelligence Enterprise Edition – to determine the profitability of agents and channels.

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Policy Documents

Marketing and Sales Collateral

Interactive Dashboards

BUSINESSES

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Owen is an operations manager at a construction company.

He wants to get information on several different types of insurance – including motor vehicle insurance for the company's truck fleet, workers' compensation for construction jobs, group life and health insurance for employees, and commercial property insurance for the company's assets.

When Owen requests a quote, Alamere uses Oracle Insurance Insbridge Rating and Underwriting to handle the complex rating logic required for commercial lines, workers' compensation, and group coverage. To write group life business, Alamere uses Oracle Insurance Policy Administration for Life and Annuity.

For employers who decide to self-fund their healthcare plans, Alamere must issue reports from its claims system so that the employer can see how much it’s spending on healthcare claims. Alamere can do this using Oracle Health Insurance Business Intelligence.

Alamere Insurance understands the importance of providing high-touch service to its business clients like Owen. With the easy-to-use features in Oracle Documaker Enterprise Edition, the company can quickly create complex communications, such as group policy documents and explanation of benefits, using standard business software such as Microsoft Word.

Behind the scenes, Alamere Insurance relies on Oracle to manage its own operations with Oracle E-Business Suite, Oracle's PeopleSoft Enterprise Financial Management, and Oracle's PeopleSoft Enterprise Human Capital Management. For its European operations, Alamere uses Oracle Insurance solutions for risk and solvency to comply with region-specific regulations such as Solvency II and better manage its capital.

And when it comes to finding out which commercial clients are the most profitable, Alamere uses Oracle Insurance Insight to aggregate policy and claims data, giving managers information about line-of-business profitability.

Sample
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Group Policy Documents

Explanation of Benefits

Loss vs. Premium Summary

INDIVIDUALS

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Connie is a customer at Alamere Insurance.

She already has her auto insurance with Alamere, but she’s just bought a new home. Now she wants to buy home and life insurance from Alamere. When she logs onto Alamere.com, she can click the “Individuals” link to enter the customer self-service portal. Here, she can fill out a new policy application.

Behind the scenes, Alamere uses Oracle's CRM solutions to look up Connie's existing information. Connie answers a series of questions about the location of her new house, its age, and so on. She also answers questions for her life insurance policy, such as her age, number of dependents, medical history, and so on.

For the home application, Alamere uses Oracle Insurance Insbridge Rating and Underwriting to provide a quote. Since this is a low-risk policy, Insbridge automatically approves the new policy, based on business rules written into the system. For the life application, Alamere writes the policy using Oracle Insurance Policy Administration for Life and Annuity.

Once the new policies are bound, Alamere uses Oracle Documaker Enterprise Edition to create policy documents. These are sent to Connie in PDF format via email. With Oracle Documaker, Alamere Insurance can create personalized correspondence for each of its customers. Welcome letters and bills can include personalized cross-selling messages, letting Alamere turn every communication with Connie into a sales opportunity. Oracle Documaker also lets Connie choose electronic delivery of correspondence and invoices, helping the company go green while reducing costs and improving its corporate image.

Connie’s husband is self-employed, so he decides to purchase an individual healthcare policy with Alamere Insurance. When he needs to make a healthcare claim, Alamere can evaluate and process the claim automatically using Oracle Insurance Claims Adjudication for Health. Higher auto-adjudication rates help Alamere keep its overhead costs low, which in turn allow it to offer more competitive pricing to customers like Connie’s husband.

Alamere also uses Oracle Insurance Revenue Management and Billing to improve the customer billing experience – it provides a single bill for all of Connie's policies. The billing system is tied into Alamere's back office financial systems, such as Oracle E-Business Suite. Connie's bank account is already on file with Alamere, so she can choose to make monthly electronic payments for her new life and home policies.

Sample
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Welcome Letters

Billing

Correspondence

Invoices

New and Renewal Business
Summary

PERSONAL PROTECTION

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Marketing and Sales Collateral

CUSTOMER SERVICE

Whether to support home, auto, or other personal coverage, Alamere Insurance uses Oracle Documaker to produce personalized marketing and sales collateral, correspondence, invoices, ID cards and more to strengthen customer relationships and build its brand. And the company relies on Oracle CRM solutions and Siebel Claims to provide rapid, seamless service to customers in the call center and whenever they make a claim.

Correspondence

Invoices

MARKETING AND SALES

Alamere uses Oracle Insurance Insbridge Rating and Underwriting to provide quick quotes to customers from its Web sites for personal lines such as auto and home.

Loss vs. Premium Summary

CORPORATE SUPPORT

Alamere Insurance relies on Oracle to manage its operations with Oracle
E-Business Suite, Oracle's PeopleSoft Enterprise Financial Management, and Oracle's PeopleSoft Enterprise Human Capital Management.

PERFORMANCE AND COMPLIANCE

Alamere uses Oracle Insurance Insight to determine the profitability of consumer channels, measuring claims and policy data together. For example, it can analyze which groups of individuals have the highest loss ratios, letting Alamere adjust its rates accordingly.

HEALTH

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Betty is a benefits manager for a U.S. manufacturing plant with 10,000 employees. In recent years, the plant’s healthcare costs have been rising, and Betty is on the hunt for a more competitive group healthcare plan.

Fortunately, Alamere Insurance is able to offer Betty’s company a comparable plan at a lower cost, because Alamere has lowered both its administrative and medical costs using Oracle applications. The straight-through processing capabilities of Oracle Insurance Claims Adjudication for Health have helped Alamere increase auto-adjudication rates for claims, leading to lower administrative costs. And the rules-based fraud detection capabilities in the application have helped Alamere lower its medical costs and offer more affordable premiums.

When it comes time to give Betty a quote, Alamere relies on the complex rating and underwriting capabilities of Oracle Insurance Insbridge Rating and Underwriting to accurately rate and price group plans.

Alamere can provide outstanding service to the employees at Betty’s plant. When a plant employee wants to follow up on a healthcare claim, Alamere’s customer service representatives can look up their information using Oracle’s CRM solutions, which are tied in with the claims system. This gives Alamere’s customer service reps clear visibility into the status of a member’s claim.

In addition, employees at Betty’s plant can manage their own healthcare needs cost-effectively through a web portal. Alamere uses Oracle Documaker Enterprise Edition to produce clear, personalized documents – such as explanation of benefits or group policy documents – and present them online. And for the complex billing requirements of group healthcare plans, Alamere relies on Oracle Insurance Revenue Management and Billing to improve the customer experience.

To comply with country-specific regulations, Alamere uses Oracle Health Insurance Business Intelligence to create reports legally required by inspection bodies, and to analyze policy and claims data for healthcare procurement, premium calculation, and further process optimization.

Alamere Insurance relies on Oracle to manage its healthcare operations with Oracle E-Business Suite, Oracle's PeopleSoft Enterprise Financial Management, and Oracle's PeopleSoft Enterprise Human Capital Management. For its European operations, Alamere uses Oracle Insurance solutions for risk and solvency to comply with region-specific regulations such as Solvency II and better manage its capital.

Sample
Documents
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Group Policy Documents

Explanation of Benefits

GET A QUOTE

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Alamere Insurance relies on Oracle Insurance Insbridge Rating and Underwriting to provide online quotes to customers, agents, and brokers.

The front end of Oracle Insurance Insbridge provides an interface with intelligent questioning so that agents and customers can fill out applications online, and high-risk business is automatically disqualified based on the answers provided.

Information collected during the quote process can be stored in Oracle's CRM solutions, where a combination of rules can automatically recommend other products based on customer responses.

GO MOBILE

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Mobile technologies are among the hottest areas of demand for customers.

Using Oracle Insurance Revenue Management and Billing and Oracle Documaker Enterprise Edition, Alamere customers can receive monthly bills, financial statements, and other correspondence securely on their smart phones. This not only increases customer satisfaction, it also reduces mailing and printing costs for the insurer.

Sample
Documents
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Correspondence

Invoices