Product portfolio management & distribution
Product Machine Platform
FJA Product Machine Platform helps simplify operations, automate business processes, and drive connectivity across your organization.
- Engineer products with easy-to-use table structure
- Manage product portfolio and lifecycle with complementary product rules and guardrails
- Provide product data from centralized repository through flexible APIs
- Utilize version control for full traceability and auditing
- Track activities across all aspects of the platform with configurable workflow
- Integrate easily with other FJA solutions or enterprise applications
Build, manage and distribute complex insurance products with this cloud-enabled, modular platform and product repository.
Design, maintain & distribute plans
Product Builder
FJA Product Builder streamlines operations so you can manage all aspects of your benefit plan data to get to market quickly with confidence.
- Manage benefit limits, rules, and coverages globally, in a single view
- Capture key plan characteristics through highly configurable data elements
- Update benefits across multiple plans simultaneously
- Ensure detailed auditing and traceability of all updates and changes
Enable product & plan pricing
Rating & Pricing Engine
FJA Rating & Pricing Engine drives significant improvements in productivity and accuracy by automating your rating and pricing process and reducing risk exposure for individual, small group, and national accounts.
- Build and manage product pricing model, and all pricing algorithms and formulas
- Utilize rules-based guardrails to ensure appropriate actuarial guidelines
- Allow for versioning of all pricing elements
- Manage different algorithms, such as situs state variations
- Maintain pricing outputs, including rates and premiums
- Support all rate transactions including manual, experience, blending, backpacking, and sloping
Streamline & accelerate CMS filings
Submission Engine
FJA Submission Engine, in combination with Product Builder, streamlines and accelerates plan filings and ensures data consistency across your plan data and CMS filings.
- Submit Medicare Advantage plans to CMS directly from Product Builder
- Generate and submit filing materials automatically
- Align CMS filings with enterprise-wide plan data
- Generate Plans & Benefit Template for QHP filings directly from Product Builder
Power all underwriting operations in a single application
Underwriting Workbench
FJA Underwriting Workbench lets your team get back to the art of underwriting and focus on risk management instead of administrative and manual processes.
- Intake and manage opportunities for new business, renewals, amendments, and other requests
- Utilize configurable workflow management and smart workflow guides
- Perform underwriting operations to set up opportunities for rating
- Utilize pricing operations to rate and price cases appropriately, with options to rate separately or group together as a packaged price
- Deliver a seamless user experience by integrating into upstream and downstream systems such as Salesforce and Case Installer, as well as Third-Party Risk Scores
Process life & disability member applications
Auto Adjudicator
FJA Auto Adjudicator delivers faster application turnaround and enables your underwriting team to focus their time and expertise where it matters the most.
- Provide a user-friendly, web-based interface optimized for any device
- Receive, process, and communicate decision status of applications via real-time integration with benefit administration partners
- Drive rules-based, auto-decisioning of applications that don’t require underwriter review
- Process applications via real-time integration with standard industry bureaus
- Balance underwriter workload and automate application routing and escalation
- Generate and transmit application invitations directly to members
Capture, maintain & expedite all aspects of group data
Case Installer
FJA Case Installer provides flexible configuration, drives efficient integration across multiple systems, and simplifies year-over-year renewals.
- Enable flexible, structured configuration of group data
- Utilize robust sub-grouping capabilities across all aspects of group data, such as eligibility, billing, and product offering categories
- Integrate seamlessly with Product Builder for plan or policy association
- Allow for precise version retrieval, retroactive changes, and audit controls with complete version and revision support
- Support system integrations such as billing, customer service, and claims with Open API
Generate & manage documents
Doc Engine
FJA Doc Engine seamlessly integrates into your ecosystem to efficiently generate a wide range of document types, ensure compliance, and allow customization to meet your business needs.
- Build and update templates in familiar technology such as Word or Excel
- Integrate with multiple systems via API-enabled interfaces
- Create mandated CMS documents such as SBC, EOC, ANOC
- Generate custom documents including Benefit Summary and audit reports
- Develop documents such as proposals, census and demographics summaries, rate exhibits, and customer letters, when integrated with Underwriting Workbench
Facilitate integration of benefit data with claims
Benefit Coder
FJA Benefit Coder connects benefit detail with your claims system for efficient and accurate claims processing, when paired with Product Builder.
- Specify coverage level for given set of service codes (including CPT, CDT, and POS) for a specific network
- Choose how to integrate with your claims system, based on business needs and processes, including:
- Direct API
- Push to claims
- Generation of coding document
- Reduce manual processes and inaccuracies by leveraging benefit detail from a centralized product repository
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About FJA
The insurance technology company
At FJA, we understand that the insurance landscape is constantly evolving, and it’s our mission to provide our clients with the tools they need to stay ahead of the curve. Our configurable solutions allow insurers to adapt to changing market dynamics and efficiently integrate new technologies as they emerge.