BUSINESS CAPABILITY - Health Insurance Policy Administration & Monitoring
| Description | EN: Oversee and coordinate all actions related to the lifecycle of insurance contracts, from implementation to renewal, ensuring regulatory compliance, policyholder satisfaction, and continuous alignment between coverage, risks, and client expectations. FR: Superviser et coordonner l’ensemble des actions liées à la vie des contrats d’assurance, depuis leur mise en œuvre jusqu’à leur renouvellement, en assurant la conformité réglementaire, la satisfaction des assurés et l’adéquation continue entre les garanties, les risques et les attentes clients. |
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| Name (FR) | Administration et suivi des contrats assurance santé |
| Parent Maps | 
Health Insurance Policy Services (from: 
Insurance) |
| Packaging Library |
Insurance |
TREE VIEW
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Health Insurance Policy Administration & MonitoringOversee and coordinate all actions related to the lifecycle of insurance contracts, from implementation to renewal, ensuring regulatory compliance, policyholder satisfaction, and continuous alignment between coverage, risks, and client expectations.
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Active Health Coverage Adjustment
Adjust the maximum reimbursement limits of health insurance contracts based on insureds' needs. This includes tailoring coverage ceilings to match benefits and guarantees. The expected outcome is adequate coverage while maintaining the insurer’s financial balance.
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Contractual Rights Administration (*)
Encompasses all operational activities aimed at managing, monitoring, and updating the rights and obligations of stakeholders (insurer, policyholder, beneficiaries) throughout the life of the contract.
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