Insurance - Overview

Insurance Compliance

With over 250,000 active users, Compliance 360 is one of the most widely used compliance, risk and governance solutions in the insurance industry today.

This industry leading solution enables a comprehensive approach to compliance and regulatory risk management through a single enterprise-wide platform.  The Compliance 360 solution for insurance includes the ability to manage all corporate policies, as well as centralized management of regulations, incident management, contract management, surveys, remediation projects, internal audits and assessments, claims audits, and enterprise risk management.  You will always be “Audit Ready” with the ability to access all current regulations and laws related to your policies and procedures.

The Insurance Compliance Challenges

Regulatory requirements for the insurance industries have increased significantly in the last three years, and this trend is expected to continue throughout 2009 and beyond.  Leading analysts now predict that politicians, regulators and ratings agencies will increase scrutiny and regulatory standards in light of the current economic climate. 

This increased oversight will require that insurance companies implement comprehensive compliance and governance programs.  These programs will need to be cost effective and ideally should create an “audit ready” state for the organization.  Insurance executives must ensure they have the capabilities to respond quickly and confidently to the information demands of the regulatory authorities. They can no longer rely on manual compliance processes, duplicating tasks and efforts across departments or wasted time searching in multiple repositories for appropriate records.

Address Your Key Insurance Compliance Requirements with Compliance 360

Compliance 360 helps insurance organizations address the most challenging regulatory requirements while reducing cost, improving efficiencies and enhancing visibility and control.

• Compliance with State Regulations
• Market Conduct Examinations
• Management of Corrective Action Plans
• Fraud, Waste and Abuse
• NAIC Model Audit Rule
• Code of Conduct Management
• Quality Programs & Accreditation (NCQA and URAC)
• OIG Work Plan
• OIG Corporate Integrity Agreements (CIA)
• Medicaid Integrity Contractor (MIC) Audits
• Medicare Part D Compliance
• HIPAA Compliance

Key Insurance Compliance Capabilities of Compliance 360

• Policy and Procedure Management
• Legal and Regulatory Content Management
• Reportable Events, Incident Management & Investigations
• Virtual Evidence Room
• Automated Self-Assessments
• Contract Management
• Project Management
• Surveys
• Claims Audit Management
• Executive Dashboards and Comprehensive Reporting
• Enterprise Risk Management
• Sarbanes Oxley (NAIC Model Audit Rule)
• Online Solution (with no hardware or software to install or maintain)

Learn More

To learn how leading insurance companies are using Compliance 360 to minimize their compliance overhead and risks, and how you can be doing the same, contact us today.