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Enterprise Rule Automation

Enterprise Rule Automation

Oracle Intelligent Advisor (OIA) formerly known as Oracle Policy Automation is a decision-making platform. It is optimized to automate complex policy logic that rives decision-making and calculations.

Few challenges which can be mitigated with the help of Rule Automation are as follows:

  • Inconsistent and expensive interactions with customers.
  • Difficulty in implementing policies/Rules.
  • Modernization of existing IT systems.
  • Lack of business/policy stakeholder involvement.
  • Lack of rapid and incremental return-on-investment.
  • Poorly designed legislation or policy.
  • IT Bottleneck due to complex coding and frequent changes of rules.
  • Lack of centralised Business Rule Engine to automate business process management workflow in terms of end to end digital transformation.

Rule Automation for Financial Services

  • Self-service Applications and Online Forms
  • Quick Quoting/illustration
  • Underwriting
  • Loan Origination and Pre-authorization
  • Needs Analysis
  • Regulatory Compliance
  • Bank Charges and Waiver rules

Rule Automation for Life Insurance Industry

  • Insurance Policies created in OPA as repository
  • Premium calculation and Policy Illustration to customer - online
  • Auto Under Writing
  • Sales Agents Incentives and rewards calculations
  • Insurance Claim Validation and Fraud detection.
  • Self-service UI for sales agents for cross sell and upsell, it includes premium calculation, illustration and quote.
  • Self-service forms as extended functionality to the existing business portals/applications

Rule Automation for Healthcare Insurance TPAs

Healthcare Insurance TPA business processes are majorly depending on the rules and validations. The entire rules can be created and maintained in OIA and those rules can be referred for the operational processes like:

  • Pre-Authorization Validations.
  • Claim Validation.
  • Claim Settlement amount reporting.
  • Policy Pricing rules
  • Data Management
  • Policy renewal validations
  • Reconciliation and Financial operations.

Rule Automation for Manufacturing and Distributions

  • Dealer Schemes and Incentive Management System.
  • Dealership Network Performance Management System.
  • Domestic and International Warranty Claim Management System.
  • Quality Assurances.
  • Contract Management.
  • Shipping, import/Export duty and taxation calculators.

Many Other Industries

OIA can be implemented across the business processes in various business domains. Below is the list of domains a few to name:

  • Travel and Transport
  • Healthcare
  • Media and Entertainment.
  • Oil & Gas
  • Pharma
  • BPO Services
  • Social Services
  • Taxation Services
  • Licensing, Permitting and Inspections
  • Immigration & Visa Management

Oracle Intelligent Advisor (OIA), formerly known as Oracle Policy Automation, is a decision-making platform optimized to automate complex policy logic that drives decision-making and calculations.

Rule Automation

Few challenges which can be mitigated with the help of Rule Automation are as follows:

  • Inconsistent and expensive interactions with customers.
  • Difficulty in implementing policies/Rules.
  • Modernization of existing IT systems.
  • Lack of business/policy stakeholder involvement.
  • Lack of rapid and incremental return-on-investment.
  • Poorly designed legislation or policy.
  • IT Bottleneck due to complex coding and frequent changes of rules.
  • Lack of centralised Business Rule Engine to automate business process management workflow in terms of end to end digital transformation.

Rule Automation for Financial Services

  • Selfff-service Applications and Online Forms
  • Quick Quoting/illustration
  • Underwriting
  • Loan Origination and Pre-authorization
  • Needs Analysis
  • Regulatory Compliance
  • Bank Charges and Waiver rules
Rule Automation for Financial Services

Rule Automation for Life Insurance Industry

  • Insurance Policies created in OPA as repository
  • Premium calculation and Policy Illustration to customer - online
  • Auto Under Writing
  • Sales Agents Incentives and rewards calculations
  • Insurance Claim Validation and Fraud detection.
  • Self-service UI for sales agents for cross sell and upsell, it includes premium calculation, illustration and quote.
  • Self-service forms as extended functionality to the existing business portals/applications
Rule Automation for Life Insurance Industry

Rule Automation for Healthcare Insurance TPAs

Healthcare Insurance TPA business processes are majorly depending on the rules and validations. The entire rules can be created and maintained in OIA and those rules can be referred for the operational processes like:

  • Pre-Authorization Validations.
  • Claim Validation.
  • Claim Settlement amount reporting.
  • Policy Pricing rules
  • Data Management
  • Policy renewal validations
  • Reconciliation and Financial operations.
Rule Automation for Healthcare Insurance TPAs

Rule Automation for Manufacturing and Distributions

  • Dealer Schemes and Incentive Management System.
  • Dealership Network Performance Management System.
  • Domestic and International Warranty Claim Management System.
  • Quality Assurances.
  • Contract Management.
  • Shipping, import/Export duty and taxation calculators.
Rule Automation for Healthcare Insurance TPAs

Many Other Industries

OIA can be implemented across the business processes in various business domains. Below is the list of domains a few to name:

  • Travel and Transport
  • Healthcare
  • Media and Entertainment.
  • Oil & Gas
  • Pharma
  • BPO Services
  • Social Services
  • Taxation Services
  • Licensing, Permitting and Inspections
  • Immigration & Visa Management

Rule Automation for Healthcare Insurance TPAs