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Custom Applications \ Insurance Solutions

Insurance Industry custom Solutions

With strict regulations and constantly changing requirements, the insurance industry needs more than off-the-shelf software can provide. That’s why insurance companies and regulators call on Pragmatix for customized WCIO solutions.

 

Pragmatix is an integration partner for the ISO wcPrism suite of data management and compliance solutions. Pragmatix helps companies convert data between their in-house systems and wcPrism, and establishes automated workflows for exchanging data. (Click an image to view larger.)

 

Pragmatix has more than 15 years of experience working with the insurance industry, most recently in the area of Workers Compensation Compliance Reporting.

 

What else has Pragmatix custom-developed for insurance companies?

  • CDX (Compensation Data Exchange): This web-based solution can receive, validate, and distribute reporting files in multiple formats based on a receiver's stored preferences. CDX enables carriers to send files 24/7/365 in order to meet their reporting requirements.
  • BEEP (Bureau Entry and Edit Package): BEEP is designed for the effective manual entry or import, and electronic submission of, Unit Statistical Reports (USRs). Uploaded via the web or email, USRs are searched, validated, and exported to a submission file. The files can then be directly routed through CDX to the recipient bureaus. 
  • PEEP (Policy Entry and Edit Package): PEEP allows manual entry or import and electronic submission of policy information. Users can create new policy transactions online and validate their entries, or they can upload a file of transactions and run the validations on the whole batch. Transactions are stored for the user, who can then search and collect the records into a submission file that can be sent directly through CDX to the recipient bureaus.
  • EXR (Experience Rating Worksheet): The EXR application provides insurance carriers with access to their Rating Worksheets. Users have flexible options for searching worksheets. Once found, the worksheets can be viewed, printed, or exported to PDF.
  • FDRA (Financial Data Reporting Application): This lets carriers enter, edit, and submit aggregate financial reports through a web application that includes a rich spreadsheet interface for editing the calls in a browser. FDRA increases the timeliness and quality of data by eliminating paper submissions and providing carriers with immediate feedback. After uploading calls and editing the data, users can run validations and view or fix any validation errors in real time. FDRA also maintains a record of announcements, call assignments, responses, and criticisms entered and sent from the system.

Please contact Pragmatix today for more details on the Workers Compensation Insurance Compliance Reporting solution.


“We’ve been working with Pragmatix on a collaborative multi-agency, multi-state project for three years. We wanted to tailor our Financial Data Reporting Application to our own agency’s needs, and we appreciated Pragmatix’s guidance in helping us to customize it. Pragmatix also annually updated the application. When we chose to update it ourselves, the Pragmatix team showed us exactly what we needed to do. Not only were they patient and cooperative, but the project was completed on time and on budget.”

—Jon Heikkinen, Senior VP

Compensation Advisory Org. of Michigan