Civica Ensure - Health Insurance Software

Strengthen member connections with Civica Ensure, our Cloud-enabled health insurance software.

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Building stronger relationships with your members

Civica Ensure, our cloud-enabled health insurance management system, helps your organisation build stronger relationships with your members by allowing you to focus on their needs. As a leading digital insurance platform, Civica Ensure is designed to support your goals with flexibility and scalability.

Civica Ensure gives you the tools to keep your members at the center of your customer experience. Our healthcare policy management software will help you acquire and onboard new members more easily, maintain a higher retention rate, and deliver better member experiences.

The evolution of over 30 years supporting Private Health Insurance

Civica Ensure is a cloud insurance software solution of over 30 years of expertise in supporting private health insurance.

  • Flexibility and integration: Its open system lets you extend offerings and integrate with other solutions for CRM and digital applications, making it a robust health insurance management platform.

  • Tech Support: Dedicated business hours technical support center as well as a 24/7 emergency support helpline, ensuring that your health insurance system is always up and running.

  • Admin: A flexible administration system allows you to customise policies, products, items, and rates, making it a dynamic insurance software solution.

  • Reporting: Access reporting suites and real-time data to meet your regular reporting requirements. You can design new reports to address changing needs, ensuring that your insurance claims management is always accurate and up to date.

  • Compliance: Civica Ensure meets Australian legislative requirements for private health insurance, including the Private Health Insurance Act 2007, and is security certified with ISO9001, ISO27007, and ISO22301 standards.

Why choose Civica Ensure

Provides flexibility, scalability and future proof investment

Reduces implementation timeframes and training time

Significantly improve member experience

Overview of Civica Ensure

Manage end-to-end health insurance customer journeys from customer set-up to policy management, claiming, billing, and reporting. With Civica Ensure, you can manage everything through a single health insurance agency management system that enhances your operational efficiency.

Membership Management System

Separate modules help you meet your requirements to manage products, claims, and memberships. Civica Ensure's membership management system is designed to give you full control over your operations, ensuring a seamless experience for your members.

Membership Services

Get real-time quoting processes, eligibility checks, Medicare rebate management, provider contracts, and other requirements to have up-to-date member information. This integration with medicare eclipse system and medicare CRM ensures that you have the most accurate data at your fingertips.

Product and Policy Management

Helps you deliver new products and brands in record time. The system supports the customisation of policies, products, items, and rates, ensuring that your offerings remain competitive and aligned with market demands. The insurance platform within Civica Ensure is designed to be flexible and responsive to changing requirements.

Claims Management

Can support the STP (Straight Through Processing) process with up to a 95% success rate. The new transformed claims module makes it easy to create new rules without any IT resources, making Civica Ensure a powerful health insurance claims processing system. This feature ensures that claims and payment processes are efficient and hassle-free.

Frequently asked questions

What is a health insurance management system?

A health insurance management system like Civica Ensure is a comprehensive platform designed to streamline health insurance operations, including policy management, insurance claims processing, and member services.

Who can use the health insurance management system?

Civica Ensure can be used by health insurance companies, medical insurance and healthcare providers, and any organisation involved in managing health insurance policies and claims.

Why choose Civica Ensure - health insurance system?

Civica Ensure is a leading health insurance platform that offers unmatched flexibility, scalability, and efficiency. It is designed to improve customer experience while reducing operational complexities.

How does Civica Ensure improve health insurance claims handling?

Civica Ensure improves claims handling through its advanced health insurance claims management solution, which automates and streamlines the process, reducing errors and speeding up resolutions.

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