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Orient Takaful PJSC Tech Stack and Enterprise Applications

Orient Takaful PJSC ERP Services and Operations
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Assuretech Business Solutions Legacy IIRIS Core GI Claims Insurance Claims Management ERP Services and Operations n/a 2021 2021
In 2021, Orient Takaful PJSC implemented IIRIS Core GI Claims in the Insurance Claims Management category. The engagement centered on a structured review of medical claims processed by Third Party Administrators NextCare and NAS, using a data dump of 2021 medical claims exported from the IIRIS insurance system. Sample selection comprised 40 network direct billing claims and 40 reimbursement claims for each TPA, and necessary privileges were provisioned in the form of specific usernames and passwords to access TPA portals for record-level validation. The implementation emphasized core claims management capabilities such as claim type identification, eligibility validation, adjudication workflows for network direct billing and reimbursement, invoice and provider verification, and timeliness checks. Review activities mapped the fields in TPA systems that identify reimbursement versus network claims, traced the process flow for an insured seeking treatment through a network provider including how eligibility is validated and approval communicated through the portal, and examined controls that enforce policy limits on claim amounts and covered treatment types. Operational reconciliations relied on extracts from IIRIS Core GI Claims together with direct access to NextCare and NAS portals using assigned credentials to reconcile records, confirm provider network applicability, and validate third party invoices as proof of service. The scope targeted medical claims processed in 2021 and involved claims operations and audit functions to assess cross-system consistency, authorization rules for approving treatments recorded in TPA systems, and adherence to specified claim reporting timelines. Governance review concentrated on verification points required for Insurance Claims Management, including whether a member is covered under the policy, whether treatments fall within policy conditions, whether service providers are in the applicable network, whether claimed amounts are within policy limits, whether provider invoices support the claims, how approval authority is controlled in the TPA systems, and whether claims were reported within the specified timeframes. The record-level approach positioned IIRIS Core GI Claims as the authoritative export source used to support claims audit and operational validation.
Insurance ERP ERP Services and Operations 2021 2021
Insurance Policy Administration ERP Services and Operations 2021 2021

IT Decision Makers and Key Stakeholders at Orient Takaful PJSC

First Name Last Name Title Function Department Email Phone
Chief Underwriting Officer - General Insurance CXO Risk
Executive Vice President – Claims VP Risk
Senior Vice President Information Technology VP IT
Chief Technical Officer CXO Operation

Apps Being Evaluated by Orient Takaful PJSC Executives

APPS RUN THE WORLD tracks software evaluation trends across 2 million companies worldwide, including buyer insights from Orient Takaful PJSC IT executives and key decision makers. As part of ARTW Buyer Intent and technographics insights, these findings provide useful visibility into the Orient Takaful PJSC digital transformation priorities and AI adoption trends.
Date Company Status Vendor Product Category Market
No data found
FAQ - APPS RUN THE WORLD Orient Takaful PJSC Technographics
Orient Takaful PJSC is a Insurance organization based in United Arab Emirates, with around 100 employees and annual revenues of $290.0 million.
Orient Takaful PJSC operates a diverse technology stack with applications such as IIRIS Core GI Claims, covering areas like Insurance Claims Management.
Orient Takaful PJSC has invested in cloud applications and AI-driven platforms to optimize efficiency and growth, collaborating with vendors such as Assuretech Business Solutions.
Orient Takaful PJSC recently adopted applications including IIRIS Core GI Claims in 2021, IIRIS Core GI ERP in 2021 and IIRIS Core GI Policy in 2021, highlighting its ongoing modernization strategy.
APPS RUN THE WORLD maintains an up-to-date database of Orient Takaful PJSC’s key decision makers and IT executives, available to Premium subscribers.
Our research team continuously updates Orient Takaful PJSC’s profile with verified software purchases, vendor relationships, and digital initiatives identified from public and proprietary sources.
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