Abibl intro 4

Copyright Aditya Birla Insurance Brokers Ltd 2010
Aditya Birla Insurance Brokers
INTRODUCTION
Aditya Birla Insurance Brokers Limited

 The Aditya Birla Group is India's first, truly multinational corporation.
 A US $ 61 billion conglomerate, the Aditya Birla Group is in the league of
Fortune 500.
 An extraordinary force of over 125,000 employees from 25 nationalities – a
GLOBAL culture.
 Over 50 per cent of its revenues flow from its operations across the world –
72 manufacturing locations in 4 continents.
 Beyond Business – the group is a caring, responsible corporate citizen
actively engaged in welfare programs for the benefit of marginalized people.
 The Best Employer in India and among the Top 20 in Asia adjudged by the
Hewitt-Economic Times and Wall Street Journal study 2007.
Our Group
3 of X

ADITYA BIRLA FINANCIAL SERVICES GROUP
BRAND PRODUCT
Aditya Birla Finance Ltd. Non-Banking financial company (NBFC )
Birla Sun Life Insurance Company Ltd. Life Insurance Solutions
Birla Sun Life Asset Management Company Ltd. Mutual Fund
Aditya Birla Money Mart
Financial Planning, Wealth Management,
Investment Solutions.
Aditya Birla Insurance Brokers Limited Non-life Insurance Advisory Services
Aditya Birla Capital Services Private Equity
Aditya Birla Money Share Broking & Depository

 Aditya Birla Insurance Brokers Limited is a leading General Insurance
Intermediary in India.
 We handle an annual premium in excess of Rs.300 Crores.
 Headquartered in Mumbai, we have branches in Delhi, Kolkata, Hyderabad,
Chennai, Pune, Ahmedabad, Bangalore,
Bhubaneswar – more are planned.
 ISO Certified for General Insurance Broking Operations
 Optimum employee strength to deliver dedicated result oriented service at
client’s doorstep - more than 130 employees across the country
 Technical expertise in insurance as well as risk management – with more
than 250 years combined domain experience.
ABOUT ADITYA BIRLA INSURANCE
BROKERS LIMITED
3 of X
Mission statement – To deliver superior value toMission statement – To deliver superior value to
our customers, shareholders, employees andour customers, shareholders, employees and
society at largesociety at large

Copyright Aditya Birla Insurance Brokers Ltd 2010 3 of X
ROLE AS A SPECIALIST BROKER

OUR SPECIALIZED OFFERINGS
•Specialized verticals for Liability & Credit Insurance and Employee Benefits
• Insurance Audit With Industry Benchmarking
• Policy Structuring
• Quote Procurement, Negotiation & Comparative Analysis
• Insurance Placement: Assistance in choosing a credible Insurance Partner as well
as TPA
• Policy Due – Diligence & Administration
• Claims Management
• Exclusive Client Based Services

OUR SPECIALIZED OFFERINGS
 Insurance Audit:
 We will understand your risk, insurance programme philosophy and Audit the
policy in the light of the same.
 Policy Structuring:
 We will assist in structuring the policies based on a systematic approach.
 Quote Procurement, Negotiation & Comparative Analysis
 Prepare comprehensive Underwriting Submission to best represent you in the
Insurance market.
 Our long standing relationship with various Insurers and high volume business serves
us with an upper hand in the process of negotiating the best terms for you in order to
finally present you a value proposition.
 Presentation with Comparative Analysis comparing Programme Cost quoted by various
Insurers, Terms offered, Carriers, Strength & Credentials of the Insurance Carriers.

OUR SPECIALIZED OFFERINGS (cont..)
 Insurance Placement: Assistance in choosing a credible Insurance Partner
 Based on comparative analysis of quote submissions of various insurance carriers we will
work closely to finalize the Insurance Carrier(s) for various Insurance covers.
 Policy Due – Diligence & Administration
 Policy Issuance - The Policy documents will be delivered within 15 days from the receipt of
the complete information & Payment. In the interim we will arrange for a Held Cover Letter as
per the policy conditions.
 Due Diligence - Policy once issued will be ratified to confirm adherence to the “Scope of
Coverage”.
 Review Meetings: We will meet every Month to take an update on the service quality.
Database Management: We will assist in the entire database management as follows:
 Enrollment Processing
 Addition & Deletion Endorsements
 Data Mapping

 Claims Management : We work on the philosophy of One Stop Solution in claims
management i.e. from intimation to settlement by our specialized claims department.
• Ensure Claim Settlement within set TAT
• Scrutiny at first level is done by us.
• Deficiency Intimation over mail.
• Liasoning with the all parties concerned.
• Troubleshooting in denial / partial authorization or a delay in reply.
• With our in depth experience on handling such matters coupled with the access
& relationship we share with the Insurers & Surveyors / Loss adjusters helps in
getting quick & fair addressing of any escalation.
• All MIS reports like Premium Register & Claims Tracker will be maintained by
us on your behalf and will be presented with great detail once in a quarter.
OUR SPECIALIZED OFFERINGS (cont..)

ABFSG Distribution Network
1400 + contact points
Can help in training, claims management, renewals, etc.

ABIBL Future Plans - Motor
 Non-Life end to end online sales portal supported by a dedicated 24*7 call
center
 24*7 Claim Management System for the retail channel
 Distribution through Aditya Birla Money Mart & Aditya Birla MORE stores at
250 locations
Geographical expansion for the retail direct business.
Online portal for policy issuance

Support From ABIBL - Motor
 Dedicated Manpower/Team for Training, Distribution & Management
 Help desk
 4 Pronged Service Interface - Branch, Email, Letter, Customer Service Desk
 Renewal Management
 Claim Servicing & Data Management
 Part investment and assistance in software development and installation.
 Lucrative Customer loyalty programme

Insurer selection - process
1. Quantitative data:
• Market presence
• Presence in Mis-D space
• Solvency margin
• Claim settlement
1. Dealers survey
2. Qualitative data:
• Local support
• Support from senior management
• Business assertiveness
1. ABIBL Analysis and Recommendation

Corporate Clients - Motor

Claims Servicing
 Constant coordination with Insurance Company for Float Fund
arrangement / Endorsements / Claim discussions.
 Constant coordination with TPA for claims settlements / data
management.
 Frequently Asked Questions prepared for client’s employees which could
be referred through intranet.
 PowerPoint Presentation on Health Insurance designed client’s
employees to understand Cashless / Reimbursement claims procedures in
detail along with the policy coverages.
 Physical ID Cards / E-Cards to be arranged on timely basis through TPA.
 Deficiency Letters/Claim Settlement Letters routed to client
coordinator/employees (e-mail id’s of employees required) via mail/hard
copy with a copy marked to client coordinator.

Claims Servicing - GMC
 TAT – Cashless Claims – 2 to 3 working hours from the time of receipt of
Completely Filled Pre-Authorization / Cashless form.
 TAT – Reimbursement Claims – 10 to 15 working days from the receipt of
Complete Claim File.
 Re-imbursement Claim File Submission – ABIBL shall submit the
complete claim file within 1 working day to TPA
 Duplicate / Correction ID-Cards – ABIBL shall arrange for the same from
TPA within 3 working days
 Admission in Non-Network Hospital – An intimation is a must to ABIBL /
TPA

Claims MIS & Analysis
 Cashless v/s Reimbursement
 Age Group wise
 Disease category wise
 Top Ten Disease category wise (Age Group Wise)
 Relationship Category wise
 Top Ten Disease category wise (Relationship Wise)
 Gender wise Category (Male v/s Female)
 Network City wise
 State wise category
 Hospital wise Category
 Expenses wise category
 Top Ten Duration of stay (Approximate no. of days employees were hospitalized)
 TAT for Settled Claims
 Claims Status
 Reasons for Deficiency
 Reasons for Rejection
 Reasons for Deductions in claims
 Amount Bifurcation
 Disease category for Claims (Amount wise break up)

Services- General Insurance
1. Understanding the business
2. Competitive quotes
3. Tailor made risk covers
4. Management of risk
5. Liaison between insurance company and the insured
6. Maintain the data
7. Premium reminders
8. Claims facilitation (Help Desk)
9. Claims service
10.MIS analysis, suggestions to curtail claim ratio

Major Clients – Employee Benefit
1. Rolta Group of Companies
2. IDBI
3. Yes Bank
4. ACG
5. Kale Logistics
6. Roche
19

Our Focus is to render value added
services, help in optimizing risk coverage,
negotiate most competitive rates & terms
AND assisting in claims settlement
Thank You

Federation of Medical Practitioner is a Non-Profit-Non-Governmental
organization (NGO), Registered with Department of Charity Commissioner.
Federation of Medical Practitioner is the representative, national voluntary
organization of Medical Practitioner of Modern Scientific System of Medicine,
which looks after the interest of medical practitioner as well as the well being of
the community at large. Our Objective is to promote the welfare of the medical
profession and the health of the public. The Federation purpose is to provide
leadership within the Medical community and to promote a positive vision for
Medical and its holistic approach to health and wellness. We offer help with
legal and ethical problems that arise from the medical professional practice.
This includes clinical negligence claims, complaints, medical council inquiries,
legal and ethical dilemmas, disciplinary procedures, inquests and fatal-accident
inquiries.
visit us @: www.federationmp.org
Contact us @: federationmp@gmail.com
Be with us in twitter: https://twitter.com/federationmp
Join us face to face us in facebook: http://www.facebook.com/federationmp
About us

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