Billing as a service
The Self Administered Bill (SAB) process is a highly labor intensive and error prone process in part due to an unstructured and unstandardized framework for Employers to submit their billing invoices.
- Fragmented census data requires manually intensive scrubbing and validation by billing reps
- Even when readily verifiable, the support must be modified to fit cleanly into HIG billing/revenue systems
- Manual processes (for both customer and carrier) are error prone, inefficient, and costly.
- 30%-50% of billing transactions require customer outreach.
- Delays in reconciling and posting premium creates increased suspense balances which require additional time and effort to clear.
- Delayed premium posting delays commission payments to brokers
- LTD can be a problem area. Customer remittance based on benefit volume rather than the required salary volume can create ongoing underpayments of 40% or more.
- Premium leakage (estimated in the 3-5% range) is difficult to identify and track, impacting loss ratios, pricing and profits.
- The lack of a transparent, data-rich billing process limits the ability to provide support to other functional areas
- Improved claim eligibility files
- Accurate data for renewal underwriting
- Accurate data for actuarial pricing analysis
Solution

- Upload census in ANY supported format to standardize and validate Billing Data
- Transparent view of the bill with division, product, and eligibility delineations
- Auto update billing data in multiple systems to apply cash and reconcile
- Make online payment and easily complete the monthly billing process
- Access to ER data such as premium calculation results in faster issue resolution
- Perform multiple and layered validations to maximize accuracy to the extent the data allows
- Identify unusual billing patterns ad potential leakage alerted by robust data analytics
- Enable partial or full audits quickly and easily based on the data received.
Features/Benefits
Billing.AI is a semi-automatic Group Benefits billing reconciliation solution that helps carriers:
Reduce cost of operations by 35% - 40%
Lower manual touch through automation by 30% and
Identifies premium leakage by 20% - 30%
Improves carrier and employer experience and eliminates non-value add activities
Platform Features