Automate Claims. Eliminate Leaks. Unlock Insurance Growth.
- 143% Increase in Claims Automation
- 4% Lower Operational Costs
- 85% Increase in Customer Retention
The Unseen Challenges
Unlocking New Revenue Streams
Legacy systems limit flexibility, slowing revenue growth and market responsiveness.
Revenue Leaks & Cost Overruns
1–3% of revenue is lost annually from billing errors and settlement delays, costing insurers billions each year and eroding profitability.
Legacy System Bottlenecks
Aging cores and manual EDI exception handling (837/835, 270/271, 834) inflate costs, delay product launches, and hinder competitive agility across carriers and TPAs.
Low Customer Retention
Weak personalization and limited self-service options drive customer churn, while competitors deliver more tailored, tech-driven experiences.
Compliance & Risk Challenges
Evolving regulations (HIPAA, state DOI), network and pricing transparency, and disconnected systems heighten audit exposure, SLA penalties, and operational inefficiencies.
This is why insurers and TPAs need a unified Quote-to-Cash engine and Finance backbone: to address these real-time challenges and drive measurable outcomes.
From Policy to Payment: BRIM for Insurance & TPA
BRIM addresses premium monetization: launch products faster, rate usage and endorsements accurately, bill across direct/agency channels seamlessly, and recognize revenue compliantly.
Product & Policy Management
Accelerate filing and launch of P&C, health, and specialty lines; manage endorsements, riders, and plan changes with governed catalogs.
Usage Mediation & Rating (UBI/IoT)
Ingest telematics, device, and event data to price usage-based insurance (miles driven, behaviors, smart-home signals) before BRIM rating.
Billing & Premium Collections
Reduce leakage with automated invoicing, dunning, and reinstatements for individual, group, and employer-sponsored policies—including TPA admin fees and commissions.
Revenue Recognition & Compliance
Coordinate with S/4 Finance for unearned premium reserves, deferrals, refunds, and multi-entity flows—ASC 606/IFRS-15 ready.
S/4 HANA for Insurance & TPA: Q2C Control, Compliance, Profitability
Insurance processes are streamlined with S/4HANA based Quote-to-Cash, integrating policy management and claims for seamless operations. It ensures control, compliance, and profitability by turning operational efficiencies into measurable financial outcomes.
Claims & Policy Automation
Streamline FNOL-to-payment and policy changes with straight-through processing; auto-post to subledger and reduce EDI (837/835, 270/271, 834) exceptions.
Q2C & TPA Billing
Productize fee schedules (per-claim, PMPM, repricing, care-management), co-term contracts, employer-group invoicing, and disputes/dunning in a single ledger.
Real-Time Risk, Cash & Revenue
Get live views of reserves/IBNR, loss ratios, cash position, and SLA profitability by client, line of business, and program.
IFRS-17 Compliance
Event-based postings and automated revenue recognition with auditable trails reduce close risk and audit exposure.
Fraud & Leakage Prevention
Advanced analytics flag duplicate/over-limit payments, upcoding, COB issues, and settlement leakage to protect margins.
Provider Payables & Reconciliation
Tighten 835 remittance matching, overpayment recovery, subrogation tracking, and payment integrity—end to end.
Quick-to-Market Advantage: Delivering Results This Quarter
Our accelerators bridge policy management, claims processing, billing, and finance - enabling faster go-lives, streamlined operations, and clear ROI without complex customizations.
Claims & Policy Management Integration
Automate policy lifecycle, from creation to settlement, integrating claims data and financials for faster resolutions and improved accuracy.
Revenue & Risk Engine (IFRS-17)
Automate revenue recognition and manage reserves in real-time, ensuring compliance and reducing audit risks with clear financial reporting.
Customer Engagement Hub
Provide personalized customer experiences through integrated portals, enabling seamless policy changes, claims tracking, and self-service capabilities.
BTP DI–Powered Migrations
Migrate claims and policy data with high confidence—automating delta loads, reconciliation dashboards, and audit trails for smooth transitions.
CFO Insights Dashboard
Monitor revenue trends, claims costs, risk exposure, and customer retention metrics—real-time data ready for executive decision-making.
Regulatory Compliance (Solvency II, IFRS-17)
Pre-configured templates for managing compliance with global insurance regulations, enabling fast implementation and reducing manual intervention.
From Base to Business Leadership
Revenue & Claims Management
- Automated policy lifecycle management: from underwriting to claims settlement, with real-time enrichment and seamless rating before billing.
- One-time, subscription, and usage-based premiums in a single invoice; co-terming and mid-term policy amendments integrated.
- Partner revenue-sharing and settlement based on claims frequency and policy usage.
Customer & Partner Management
- Self-Service Hub: Policy onboarding, renewals, entitlement management, claims disputes, and service requests in one portal.
- Provisioning workflows for claims and serviceability; proactive fallout and jeopardy management.
- B2B portals for partners, brokers, and third-party administrators with contract visibility and claims tracking.
Risk & Compliance
- Automated underwriting & fraud detection: scoring models, flexible payment plans, promise-to-pay—at scale.
- Regulatory coverage: HIPAA/HITECH, NAIC/state DOI rules, tax automation, e-invoicing, and region-specific surcharges with full audit trails.
- Data privacy & governance: GDPR/CCPA, SOC 2-aligned controls, role-based access, retention policies, and export controls.
Operations & Assurance
- Integrated payment options: PSPs, ACH/wires, wallets, tokenization, and chargeback management for claims settlements.
- End-to-end claims assurance: EDI integrity (837/835, 270/271, 834), payment integrity, COB/subrogation, overpayment recovery, and leakage controls from intake to disbursement.
- Operational KPIs tied to finance: margin visibility by policy, claim, program, provider network, and partner/TPA contract.
Outcomes You Can Take to the Board
30 %
Revenue Growth
1 %
Revenue Leakage Prevention
80 %
Automated Invoice Delivery
Since 2016, Mobolutions has proven to be a genuine partner in every sense bringing unparalleled SAP BRIM expertise and a team adept at delivering results.
The Future of Insurance Transformation
- AI-Driven Risk Assessment - Real-time underwriting and network risk scoring across members, providers, and employer groups.
- Predictive Claims Management - Flag fraud and high-risk claims early to reduce leakage and cycle time.
- Autonomous Compliance - Audit-ready controls for HIPAA/NAIC/IFRS-17, tax, and e-invoicing-by design.
- Customer-Centric Ecosystem - Personalized products and unified portals for members, employers, providers, and TPAs.
Mobolutions Insights
A TRUSTED SAP PARTNER TO STREAMLINE YOUR BUSINESS PROCESSES
Frequently Asked Questions
Can SAP Q2C integrate with our existing core insurance systems?
How long does it take to implement SAP Q2C for an insurance provider?
Implementation timelines depend on scope and complexity, but with Mobolutions’ accelerators and agile approach, insurers can go live in as little as 4 – 6 months.
