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Presentation to :. Local protection, global connection. Who We Are…. The Generali Group is a leading player in the global insurance and financial markets. 68 countries worldwide 60 million clients Over 70 billion Euro of premiums 85,000 employees
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Presentation to: Local protection, global connection
The Generali Group is a leading player in the global insurance and financial markets • 68 countries worldwide • 60 million clients • Over 70 billion Euro of premiums • 85,000 employees • Over 1.3 billion Euro of net profit • It all began in 1831 in TriestewhereAssicurazioni Generali S.p.A. wasfounded. TodayAssicurazioni Generali S.p.A. is:: • 1st insurer in Italy • The biggest Life Insurer in Europe • It has strong financial rating: S&P AA-
Geographic Expansion: Continental Europe and Asia Indonesia Spain 4.7% French 7.6% Germany 8.7% Italy 24.9% Austria 15% Switzerland 4.7% CEE 6.9% China 5.8%
Whatweoffer What do they say about us….
Fortune Global 500 – Year 2010: Worldwide Insurance Ranking GENERALI Based on Revenue (in USD Bio)
Forbes Global 2000 – Year 2010: Worldwide Insurance Ranking GENERALI Based on Sales (in USD Bio)
Global Employee Benefit Market Share GENERALI Source: Ernst & Young 2009 Market share survey
Whatweoffer Generali Indonesia
Head Office PT. AsuransiJiwaGeneraliIndonesia Cyber 2 Tower 30th Floor Jl. H.R. RasunaSaid Blok X - 5 /13 Jakarta 12950
Key DevelopmentMilestone • 570 hospitals in Indonesia • 30 international hospitals(REVIEWED) • 90 employee (4 doctors) • 153 companies (world best known) • Over 50,000 member Strong Risk Based Capital (481% per Juni 2010) • Started Operations in January 2009
Our Business Model Group Medical Healthier and Productive Employees (1) Customized Solutions QUALITY OF SERVICE Long Term Relationship (2) Speed Processing (3) Proactive Claim Management Group Term Life Capacity GEB Support + Free Cover Limit
Serving you better… 1. Easy and Convenience Claim Process Speed Processing 3. Easy Tracking Process 2. Easy and Faster Registration Process
Easy and Convenience Claim Process Provider Network Non Provider Network Cashless Swipe Card Customer Paid to Hospital Reimbursement to Generali Indonesia
Claim Business Process Patient Hospital/Clinic Hospital/Clinic Admission Process Provide Medical Services Verify ID card & Swipe the card
Claim Business Process Hospital/Clinic Generali Indonesia Generali Indonesia Submit the complete documents Verify documents Payment Process 14 Working Days 14 Working Days
Easy and Faster Registration & Tracking Process CLICK Regional Office Common Practice Regional Office HO Insurance Company Regional Office Regional Office Generali Indonesia Regional Office DIRECT REGISTRATION (Through Generali Indonesia Web - CLICK) Regional Office
Serving you better… POLICY CLICK CLICK CLAIM User id Generali CLICK BILLING xxxxxxxx Password ACCEPTED CASH Regional Office Generali Indonesia Regional Office DIRECT REGISTRATION (Through Generali Indonesia Web - CLICK) Regional Office
Serving you better… POLICY Policy Inquiry Member Registration CLICK CLAIM Claim Inquiry Claim History BILLING Billing Due Date Billing Tracking CASH Payment Status Cash Receipt
Serving you better… • Regional Processing Center • Wide provider network 7x24 Hour Call center & Emergency Mobile Phone Service • Claim & Payment Status email to member
Wider Provider Network (570 local and 30 overseas) • Singapore: 8 Provider (Review) • Kalimantan : 16 Provider • Malaysia : 22 Provider (Review) • Maluku : 2 Provider • Riau /Batam : 15 Provider • Sulawesi : 10 Provider • NAD : 1 Provider • Papua : 1 Provider • Other Sumatera : 18 Provider • Jabotabek : 260 Provider • Bali/NTT/NTB : 25 Provider • West Java : 55 Provider • East Java : 64 Provider • Middle java : 45 Provider
Kelebihan Program Asuransi Kesehatan Rawat Inap & Rawat Jalan, Persalinan & Kacamata dari Generali Limit Tahunan Rawat Inap “Tidak terbatas” dengan Biaya Rawat Inap, Kunjungan Dokter, Konsultasi Dokter Spesialist dicover sampai 365 hari, Biaya Unit perwatan intensif dicover sampai 180 hari Perawatan gawat darurat rawat jalan dan gigi dijadikan satu, dan disediakan per ketidakmampuan, bukan per tahun. Biaya operasi : dokter bedah, dokter anestesi, & kamar operasi dijadikan satu • 4. Biaya Fisioterapi di Rawat Jalan terpisah dari biaya dokter spesialis. • Untuk rawat jalan langsung ke dokter spesialis tanpa rujukan dari dokter umum. • Tidak ada masa tunggu untuk PRE-EXISTING CONDITION. • Untuk rawat jalan penggantian bisa 100% untuk reimbursement. • Pada program Persalinan, penggantian biaya dokter dan bidan sama besar. • Pada program Persalinan, biaya perawatan sebelum & sesudah melahirkan terpisah. • Biaya pemeriksaan dokter mata pada program kacamata terpisah dari biaya pembelian kacamata dan bingkai. • Proses klaim reimbursement adalah 14 hari kerja (dibayarkan ke rekening karyawan/perusahaan)
Mengapa memilih Generali Indonesia ? • 1. Kekuatankeuangan : a. BagiandariGenerali Group, terbesardiItali, 3 terbesar di Eropa, 30 besar di Dunia b. RBC 481% (per Juni 2010) • 2. Registrasidan Inquiry : Sistem IT yang teruji : Sistem Click a. Policy inquiry : Melihat informasi data peserta aktif b. Claim inquiry : Melihat informasi detail claim status klaim reimbursement/provider c. Billing inquiry : Melihat informasi tagihan/pengembalian premi/ekses klaim d. Form Changes : Penambahan/pengurangan/perubahan Data Peserta • 3. Standarkepatuhan : EtikaBisnis, AcuanPerlindungan Data. • 4. Jaringan Provider RawatInapdanRawatJalandenganteknologiterkini : a. Teknologiswipe card b. Jaringan provider yang sangatluas - 570RumahSakitrawatinap & Klinikrawatjalan • -24 jam, Worldwide coverage • 5. Pengembalian Premi (Profit Sharing) : Minimum Premi Rp. 15,000,000 dan Jumlah karyawan 25 orang 50% (60% Premi – Klaim – 1,500,000), apabila polis diperbarui untuk tahun berikutnya • 6. Customer Service : • a. 7 x 24 jam : (021) 57933290 • b. Emergency Mobile Phone : 081586401117 • c. Customer service : (021) 29963737 (Office Hour)
Thank You TerimaKasih