Pericura™: The Fully Integrated Approach to Risk Management
Overview
Want to Know More?
To request a live demo, or for more information on Pericura or any other Premirus product, use the product information request page. A representative will contact you as quickly as possible.
Unlike most risk management systems available today, Pericura fully integrates underwriting and claims management into a single application infrastructure. Because of this integration, it is possible to tightly couple underwriting and claims management activities in a single, business rule driven approach to risk management.
Pericura is a complete application suite for risk management, including underwriting, policy management, billing, claims management, services repricing, and reporting all within a single easy to use web based interface. Important characteristics and features include
  • Underwriting and policy/coverage group administration,
  • Claim administration and management,
  • Claim case load reporting and management,
  • Billing, statements, estimated billing, and accounts receivable management,
  • Accounts payable and check generation,
  • Payment processing,
  • Document generation,
  • Automated, rule driven and infinitely customizable coverage rating,
  • Management of loss reserves,
  • NCCI Reporting of claims activity and preliminary calculation of modifiers,
  • Business rule-driven workflow, notification, validation, and integration,
  • End to end auditability and the ability to recreate system state at any point in time,
  • Integrated document imaging and document management, and
  • Customizable reporting via integrated reporting components or SQL Reporting Services.
Lines of Business
Pericura supports multiple lines of business, including Workers’ compensation, general liability, errors and omissions, and automobile liability. Because of its open, rule and configuration driven design, unlimited additional lines of business can be added to Pericura, whether provided by Premirus or designed by the organization using Pericura. The system is designed to enable the user with complete control over the definition of a line of business, from definition of coverages and rating methodologies to the addition of line of business specific fields, information structures and business rules.
Rule Based Infrastructure
Pericura is built on Premirus’ Praecipia ™ XML Rule Engine infrastructure. This powerful framework allows Pericura users to infinitely customize the business rules, actions, requirements, and security of Pericura to suit the organization in which it is being used. Workflows can be simple activities such as field validation, email notification, or enforcement of information integrity, or highly complex activities, including modification of data in other systems, monitoring events in other systems, queuing messages to external infrastructure, and validation of information using any information available to Pericura, whether internal or external. The Praecipia engine also provides a full featured message driven web service interface to Pericura for the use of other applications or developers writing integrated applications.
Claims Management
Pericura’s hybrid web based interface provides complete and seamless access to all information about a managed claim, and centralizes claims input and editing in one feature rich interface. Pericura enables complete management of claims, regardless of their intricacy, providing not only quick access to all facets of the individual claim but also encompassing quick, intuitive access to other claims related to the current claim by coverage group, claimant, attorney, or claim type. Pericura provides a complete claims management solution, from initial entry and information gathering to services repricing and review, payment processing and authorization, check writing, reserves management and loss reporting
Underwriting, Membership, and Billing
Pericura includes powerful capabilities that enable effective management of underwriting activities, including coverage group management, policy administration, rating, billing, accounts receivable management, audit administration, definition of coverages, coverage administration, deductibles, policy document generation, and a host of other functions. Although most systems today do not recognize or enable it, underwriting drives the need for claims administration, and as such should be the basis upon which claims administration is built. This is Pericura’s approach… the actions taken in underwriting control the actions possible in claims management. Claims must be created within the confines of coverage definitions, and must comply with the underwriting driven business rules defined by the organization that has implemented Pericura.
Document Management
Pericura is fully integrated with the Edoctus Document Center, which provides complete management of the documents associated with both underwriting and claims management. Edoctus, like Pericura, is based on the Praecipia rule framework. Because of this, workflows, business rules, information exchange, and routing between document management and risk management are completely rule based activities, and each system can leverage the capabilities of the other in integrated workflows.
Performance and Technologies
Pericura works at the speed of the adjustor, underwriter or other user, completing activities quickly and efficiently. Pericura was built for speed, reliability, auditability, security, scalability and availability by leveraging a wide range of technologies, including high availability application server clustering, clustered database infrastructure, Active Directory™ integrated security, integrated rules infrastructure, and other modern application infrastructure technologies. Pericura is built on the Microsoft .NET framework, and was designed to run on modern network infrastructures with minimal effort by information technology staff. Pericura fully supports zero touch deployment and other time saving components of the Microsoft‘s network server and application development infrastructure.