Data Analytics & Underwriting Platform
Gratex International developed a comprehensive information system for the accident insurance – DAUP – that covers the entire process of managing accident benefits provided by a Social Insurance Agency.
Processing of accident benefits – the process involves the registration of accident benefits
Persons Register – input, data, addresses, contact, bank accounts modifications
Register of Legal and Physical Persons – input, data, addresses, contact, bank accounts modifications
Process of managing accident benefits – registration, claims handling, accuracy check
Payment of Benefits Module – creation of the payment voucher, sending the payment voucher (banks, post, cash desk, sending abroad), registration of payment dates, management of returned and undelivered vouchers
Printing – printing of blank forms, letters for communication with the clients – decisions about benefits, procedural decisions, announcements, overview of the payments for a client, payment orders
Reports – printed records for the purposes of a tax audit, records of payments, penalties, recoveries, appeals, monthly processing for EO, aggregated and statistical records
Recovery Module – registration of overpayments, recoveries and penalties, changes, decisions announcements, overpayments, recoveries and penalties reimbursements.
Recourse Module – decision-making process in the second round – the filing of recourse records, the decision-making process, check, final decision
Vocational Rehabilitation and Requalification Module – the registration and changes of providers of Vocational Rehabilitation and Requalification, the cost and the entire process recording
Export from the IS – payment orders in the TXT, XML, KPC, PPE, SPR formats; option of saving prints and records in the htm and xls formats
Communication with an external IS – the import and export of data in the TXT, XML formats,
Web service – import of data from an external IS, possibility of viewing
Collections and Payments Module – exact registration of incoming and outgoing payments, import of electronic bank records, dealing with records and items, regular monthly overview
Viewing – PU, ÚD, DK (Tax Authority) payments, records, recourses and recoveries
Administrator activities – global overviews and viewings, management of internal dials
The registration of the claimants
The registration of employers or subjects responsible for the insured event of the claimants
The registration of the insurance events, such as an accident at work or an occupational disease
The registration of the process of managing accident benefits, claims handling and payment of accident benefits from accidents at work and occupational diseases specified by law (one-off as well as repeated benefits)
The automatic calculation of the accident insurance benefits in the process of handling claims
Direct credit of accident insurance benefits (bank transfer/ PPP-E/ cash desk/ cross-border payments)
The export of the electronic XML files for the IS SP (the State Treasury) or the Slovak Post Office
The import of bank account records from the IS SP and their consequent processing
The registration of appeals against decisions on accident insurance benefits
The registration and management of recovery files/records (recoveries/over payments) including payment information
The registration and management of penalties specified by law including payment information
The registration and management of the agenda for the accident insurance benefits, over payments and penalties
The generation and printing of records
The import and exports of files for statistical purposes
Advanced data analytics
Predictive modeling
Automated underwriting
Risk visualization
Performance dashboards
Contact our Sales Department at sales@gratex.com for more information.
