Generali provides comprehensive global health insurance with a focus on service. It has over 85,000 employees serving over 70 million clients in over 90 countries. Generali values innovation, flexibility, reliability, and professionalism. It offers worldwide health coverage with benefits like maternity care, medical evacuation, and optional dental and vision coverage. Generali simplifies processes and provides 24/7 customer service and claims management through online tools and multilingual support.

1. Local protection, global connection
The Generali Mobile Health Plan
Presented by Craig Cornwell – Corporate Mobile Benefit Unit
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2. What are the 3 most important attributes of an insurer?
1.Service
2.Service
3.Service
Service is required for:
- Policy issuing
- Plan set up
- Claims handling
- Client Management
- And of course, our service to you!
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3. Our Values
Innovation: Leads to us continuously searching for new and
improved solutions to benefit our clients
Flexibility: That allows every member of the Generali group to
capitalise on change. We always remain open to fresh ideas and
adapt to suit each and every client we work with.
Reliability: We consider ourselves to be a trusted resource in an
ever-changing market.
Professionalism: Driven by a strong commitment to keep
improving our knowledge and technical expertise to assist our
clients wherever and whenever we may be needed.
Passion: Which is at the very heart of everything that we do
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4. Some statistics for you
 Founded in 1831 ; Largest European Life Insurance company
Leading insurer
 2011: € 70 billion GWP (70% Life - 30% Non Life )
 Presence in > over 90 countries ; > over 85,000 employees ; > 70 million
clients
International  Historical leader in Italy ; Top-tier presence in all key European markets
player  Strong presence in emerging markets (CEE & Asia)
 Over 40 of the top 100 companies listed in the Fortune 500 list are insured
with Generali
 Traditional: agents & brokers, tied sales force
Multi distribution
 Alternative channels: Banc assurance, IFAs & Direct clients
Strong capital  Strong rating from key agencies (S&P’s: A ; AM best: A ; Fitch: A-) ;
base S1:132% ; S2: 141%
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5. The Generali Advantage
• Comprehensive plan design
• Worldwide, Worldwide Excluding USA
• Optional benefits for cost management
• Annual Limits of €1.5million, €2.5million
• Medical History disregarded as standard
• Online claim submission and claims look up
• Hospital finder and document download section
• Local regional services centres for claims handling
• Global presence with a long history
• Well respected leader in insurance, long-term financial stability
• Full range of coverage's including Health, Life, Disability & Pension
• Global captive or pooling arrangements
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6. Highlighted benefits in addition to our standard benefits
Alternative Therapies, Chronic Conditions,
Oncology, Aids & HIV, Psychiatric and
In-patient Care
Counselling, Hospice & Palliative & Accidental
Dental
Alternative Therapies, Chronic Conditions,
Oncology, Speech Therapy, Durable Medical
Out-Patient Care
Equipment, Psychiatric and Counselling and
Hospice & Palliative
Routine Health Checks, Hearing Checks,
Cancer Screening, Pap Smear Tests, Well-
Routine Health Management
Child Examinations & Vaccinations all as
standard
C-Sections Emergency & Elective are
Maternity Benefits covered, Congenital Conditions all as
standard
Ground & Air Transportation, Clinical Escort,
Evacuation & Repatriation
Repatriation of Mortal Remains
Routine Dental, Basic & Major Restorative,
Dental (Optional)
Preventative & Orthodontics
Eye Exam, Prescribed Glasses & Prescribed
Vision (Optional)
Contact Lenses
Cost Management (optional) Deductible Variations & Co-Pay Options
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7. Clear and concise documentation
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8. Strong Claims Processing: fast, accurate claims payment
• Centralised IT / Experts & High • Experienced claims processors
Values • find bill errors and fraud
• 1 central Hub • Most claims paid within 5 days
• High Value Claims Payments • Ability to pay or reimburse in
• Premium Collection policy or local currencies
• Technical Data warehouse • Accurate adjudication against
• Network Management policy and application of contracted
• Service 24-7 / 365 or discounted rates
• Toll Free numbers available • Negotiations and bill audits as
• Online interactive claims submission required
• Document download area and • Integrated cost containment
hospital / facility finder leveraging information from medical
management, networks and prior
history
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9. Processes simplified
MINOR OUT PATIENT CLAIMS IN PATIENT CLAIMS
BENEFICIARY CMN BENEFICIARY EA / CMN GCS
Visit to a GP or to a Admission to the
specialist hospital
Cashless or pay-out of
pocket Emergency: control of
eligibility
For out of pocket Programmed treatment:
expenses. Back home, checking the pre-
connect on CMN© web authorization
portal
Upload the invoice, the Case management by
Check on line receipt of payment and
the status of coordinators with nurses
any other supporting and medical doctors in
his / her claim
documents direct relation with the
medical provider
Claims adjudication
Invoices controls
Investigations
Agreement for payment
and payment
Agreement for payment
and payment to the
provider directly
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10. 24 Hour management and customer service
 24/7, 365-days-a-year access to
multilingual case management and
customer service teams
 Process, benefits and claims enquiries
 Over 22 nurses and 3 doctors providing
medical management
 Medical Precertification to ensure
appropriate utilization
 Steerage of patients, pre-authorizations,
coordination of admissions, monitoring of
treatment, patient support
 Global coverage for clients and their
beneficiaries
 Manage eligibility and policy considerations
 Support emergency, routine and planned
tertiary care
 Strong patient care while managing costs
 Rapid response improves outcomes and
ensures appropriate care levels and
locations
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11. Web Portal Services & Online Claiming
Before During After
ADVICE ON H24 EMERGENCY SUBMIT A CLAIM
HEALTH & SECURITY CENTER
RISK MANAGEMENT CUSTOMER SERVICE MY CLAIM HISTORY
SERVICES
NURSE HOTLINE
MY HEALTH VIRTUAL DOCTOR
PLAN & COVER
FIND A PROVIDER
PRINT MY ID CARD
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12. Thank you
Craig Cornwell
Healthcare Business Development Officer
Generali Employee Benefits
149, Avenue Louise
1050 Brussels, Belgium
Email cornwell@generali-international.be
Tel +32-2- 535- 71- 78
Mobile + 32-491-72-22-61
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