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Product Suite




It’s not just what you need,
   it’s everything you need.
NavRisk automates key operational tasks, minimizes manual                                         NavRisk Policy
intervention, establishes consistent practices, and provides
operational transparency throughout the enterprise.                                               Managing massive amounts of data and cumbersome processes cost-effectively requires
                                                                                                  automation and accuracy. Maintaining a competitive advantage requires operational efficiency
                                                                                                  and responsive service for customers and partners. That’s why NavRisk Policy combines rich
                                                                                                  content with rules-based technologies, business process management, and flexible workflows
                                                                                                  to create the most fully functional administration system in the alternative risk market.

                                                                                                  NavRisk Policy provides a full set of features such as reporting, loss control, flexible rating,
                                                                                                  diaries, and a configurable contact management module. It automates labor-intensive
                                                                                                  underwriting processes, streamlines access to information, and delivers actionable
                                                                                                  information to executives, underwriters, and agents. It tracks all lines of business for all states
                                                                                                  and automates processing functions that include rating and allocation, quoting, invoicing,
                                                                                                  certificates, reporting, renewals, and more. And its intuitive user interface provides flexibility
                                                                                                  and easy access to all data and management tools.

                                                                                                  NavRisk Policy integrates with NavRisk Central and NavRisk Claims, with other in-house
                                                                                                  and/or third-party systems, and with Microsoft productivity tools such as Excel, Access, and
                                                                                                  Outlook. And it provides all of these rich features:

                                                                                                  Policy Management

                                                                                                    • Premium Generation and Allocation for All Lines of Business
                                                                                                    • Underwriting Judgment Factors
                                                                                                    • Configurable and Ratable Underwriting Questions
                                                                                                    • Configurable Rating and Rate Packages

How Suite It Is                                                                                     • “What-if” Rating Analysis
                                                                                                    • Insured Asset Tracking and Management
Our NavRisk product suite supports policy administration, claims administration, management         • Current and Historical Data Management
reporting, and business analytics on a single platform. That’s because we support our customers     • Document Management
with one, integrated commitment to service and success.                                             • Automated Renewal Processing
                                                                                                    • Interim Changes and Transaction Log for Audit Tracking
Through comprehensive automation, rich content, advanced processing functionality, and              • Endorsements
configurable reporting and analysis features, the NavRisk suite helps organizations improve         • Integrated Claims Data Management
operations, reduce expenses, increase productivity, and enhance agent and customer                  • Automated Calculation of Ex-Mods
satisfaction. Based on business process management (BPM) capabilities and a Business Rules          • Invoicing
Engine (BRE) – and built on Microsoft architecture – NavRisk automates key operational tasks,       • Excess and Reinsurance Policy Management
minimizes manual intervention, establishes consistent practices, and provides operational           • Pass-through Policies
transparency throughout the enterprise.

That’s suite.
Contact Management                                                       NavRisk Policy integrates with NavRisk Central and NavRisk Claims,
                                                                          with other in-house and/or third-party systems, and with Microsoft
 • Complete Contact Data
                                                                                        productivity tools such as Excel, Access, and Outlook.
 • Diary Management
 • Agency and Other Entity Management
 • Agency/ Entity Segmentation
 • Automated Communication
 • Communication Log
 • Email and Fax Integration
 • Complete Application Security
 • Integration with Outlook and other third party applications

Reporting

 • Policy Documents
 • Declarations
 • Allocation Schedules
 • Endorsement Schedules
 • Certificates
 • Loss Runs & Loss Ratio Reports
 • Ex-Mod Worksheets
 • Ad Hoc Reporting
 • Advanced Analytics
 • Export Module
 • Report Designer
                                                                                                                                            NavRisk Policy Dashboard
Policy Quoting and Renewal
                                                                 NavRisk Policy also offers the following Optional Modules and Capabilities:
 • Mid-Year Policy Changes
 • Member and Agent Contact                                       • Advanced CRM Integration: facilitates the update of NavRisk contact management data
 • Loss Control Tools and Risk Management                           from an external CRM system such as Microsoft CRM.
 • Claims View and Analysis
 • On-demand Reports and Schedules                                • Association Management System Integration: facilitates the update of NavRisk contact
 • Scheduled Exposures                                              management data from an external Association Management System.
 • Process Automation and Workflow Tools
 • Comprehensive Data and                                         • Advanced Billing Options: enables NavRisk to track and manage various payment and
 • Transaction Security                                             billing options, including exporting of applicable information to external account systems.

                                                                  • Property Appraisal Integration: facilitates the exchange of property COPE data between
                                                                    NavRisk and property appraisal systems and/or personnel.
BPM technology automates routine tasks to reduce manual                                     NavRisk Claims
processing costs and increase operational efficiencies. And NavRisk
Claims integrates with NavRisk Policy and NavRisk Central.                                  NavRisk Claims is a claims administration system for all lines of business including Workers’
                                                                                            Compensation, Auto, General Liability, Property, Professional Liability, and many others. A user-
                                                                                            defined rules engine simplifies the processes of setting up new claims, running reports, and
                                                                                            viewing payment batches. A customizable user interface provides access to dynamic reporting
                                                                                            and analytics capabilities. BPM technology automates routine tasks to reduce manual
                                                                                            processing costs and increase operational efficiencies. And NavRisk Claims integrates with
                                                                                            NavRisk Policy and NavRisk Central.

                                                                                            NavRisk Claims:

                                                                                              • Provides point-and-click configurability
                                                                                              • Offers one-stop dashboard for adjuster activity
                                                                                              • Sends e-mail reports to pre-defined or ad hoc recipients
                                                                                              • Automates report generation and distribution
                                                                                              • Generates standard reports for claim activity, financial analysis, regulators, and state agencies
                                                                                              • Creates customized reports for users and groups
                                                                                              • Analyzes trends for claim activities annually and monthly
                                                                                              • Produces OSHA 300, 300A, and 301 reports
                                                                                              • Provides access to performance metrics through a configurable dashboard
                                                                                              • Sets automatic notifications, triggers, and actions based on customized workflow
                                                                                                and internal process rules
                                                                                              • Organizes scanned documents and photographs
                                                                                              • Automates document flow at pre-defined review times.

                                                                                            In addition, NavRisk Claims offers the following optional modules:

 • Rate Analyzer: enables on-the-fly rate comparisons with current and previous year rate     • Organization Import: enables restructuring of an organization’s levels, activating and
   packages while making updates to base rate information.                                      deactivating locations, updating address information and any other applicable data, and
                                                                                                transferring claims to new locations without manual input.
 • Reinsurance Accounting: provides the breakout of premiums into reinsurance costs by
   carrier and line of coverage for both analysis and reinsurance premiums.                   • Bank Reconciliation & Positive Pay: verifies information between NavRisk Claims and
                                                                                                banks to ensure accuracy of payments. Exports to banks include check issuance information
 • Advanced Loss Control and Risk Management: enables integration of risk management            to help prevent fraud. Imports from banks provide cleared checks data, updating each
   and loss control credits into overall premium calculations.                                  payment accordingly.


 • Education/Training Management: enables tracking and management of on-going risk            • Medical Bill Review: imports medical payments, automatically adding payments to the
   management education.                                                                        appropriate claims with the proper payment types and payee information. Payments can then
                                                                                                be printed from NavRisk Claims, or exported to accounting systems for printing. Explanation
                                                                                                of benefits (EOB) information can be included for individual bills and printed on the check
                                                                                                stubs. Reports are provided to show imported bills and/or errors affecting the import.
• Employee Interface: uploads HR                                                                                              NavRisk Central is fully configurable and securely extends
  information from payroll systems into                                                                                          policy and claim information to policyholders, agents,
  NavRisk Claims. When new claims are
                                                                                                                                     providers, and other parties to those transactions.
  submitted, NavRisk Claims checks for
  existing employee records. When a match
  is found, employee data populates the
  claim, eliminating manual entry.

• Payment Processing: prints checks
  from NavRisk Claims onto pre-printed
  check stock. Multiple payments for one
   payee can print onto one check if needed.                                  NavRisk Claims Homepage
   MICR printing also is available.

• Accounts Payable: export sends payment data to third-party accounts payable systems for
  check issuance. It then imports check numbers and dates back into NavRisk Claims.
  NavRisk Claims updates the payment status accordingly without manual input.

• Electronic Reporting of Claims and Incidents: submits FROI and SROI records via EDI.
  The export files adhere to IAIABC standards for WC Claims. Acknowledgements from state
  agencies are imported into NavRisk Claims. FNOL submissions are available for all states
  and lines of business.

• Medicare Reporting: complies with Section 111 of the Medicare, Medicaid, and State
  Children’s Health Insurance Program Extension Act of 2007 (MMSEA Section 111) for
  Medicare beneficiaries covered under group health plans, as well as for Medicare
  beneficiaries who receive settlements, judgments, awards, or other payment from liability
  insurance (including self-insurance), no-fault insurance, or workers’ compensation.
  NavRisk Claims tracks the proper data elements and provides electronic files for COBC.

• ISO Submission: flags and indexes claims for initial submission, then re-indexes every                NavRisk Central
  six months for subsequent submissions. ISO reports applicable matches to assist with data
  verification. All information is automatically filed into the notes section of NavRisk Claims.        NavRisk Central is a gateway to all of your business applications and personal productivity
                                                                                                        tools, and it can act as a knowledge-share across your enterprise.
• PERI Data Exchange: exports data to the Public Entity Risk Institute database and provides
  benchmarking reports that compare losses with similar organizations.
                                                                                                        NavRisk Central is fully configurable and securely extends policy and claim information to
• Unit Statistical Reporting: provides payroll, premium, and loss information by state,                 policyholders, agents, providers, and other parties to those transactions. It provides self-
  company, and classification to Data Collection Organizations (DCO).                                   service reporting, instant views of claim payment status, quoting, and policy renewal – on
                                                                                                        demand, with a single sign-on.
• Claims and Financial Import/Export: integrates with third-party systems to update
  existing claims and payments or to create new records.
                                                                                                        NavRisk Central reduces or eliminates paperbound and ad-hoc electronic processes and
• EAMS: simplifies and improves the California DWC case management process by                           data interchanges. It facilitates and automates information gathering and coordination for
  converting forms into the correct formats, capturing the data in NavRisk Claims.                      mid-year changes, additions of insureds, claims status, payment status, and ad hoc reports.
NavRisk Central can be deployed via intranet or                                                    Key functionality of
extranet. With single sign-on, it permits access to other                                          NavRisk Central includes:
applications, including personal productivity tools.
                                                                                                   • Policy Renewals
                                                                                                   • Policy Quotes
                                                                                                   • New Business Management
                                                                                                   • Mid-Year Policy Changes
                                                                                                   • Member and Agent
                                                                                                     Contact Management
                                                                                                   • Loss Control Tools and
                                                                                                     Risk Management
                                                                                                                                                                                  NavRisk Central Interface
                                                                                                   • Claim Views and Analysis
                                                                                                   • Certificates of Insurance
                                                                                                   • Process Automation and Workflow
                                                                                                   • Data and Transaction Security
                                                                                                   • State First Reports of Injury
                                                                                                   • Self-Service Report Generation
                                                                                                   • Payment Details
                                                                                                   • Provider Payment Approvals
                                                                                                   • Post Events and News Items

                                                                                                   NavRisk Central can be deployed via intranet or extranet. With single sign-on, it permits
                                                                                                   access to other applications, including personal productivity tools. It offers drag-and-drop
                                                                                                   controls for news, stocks, weather, and other informational tools. It can provide a collaborative
                                                                                                   environment with shared document management and search capabilities. It can become the
                                                                                                   hub around which your enterprise turns.


It streamlines the set-up of new claims, produces state First Reports of Injury, and generates     If you’re an insurer – independent or captive – if you’re a risk pool, a TPA, a self-insured group,
reports for claims analysis. And with user-defined security levels, it allows you to control who   a public or municipal entity, or another type of risk-servicing organization – we have what you
can access policy or claims data, and at what level of detail.                                     need. When it comes to reducing expenses, improving efficiency, increasing productivity, and
                                                                                                   enhancing customer satisfaction, we have everything you need.
NavRisk Central uses BPM technology to identify process deficiencies and bottlenecks.
It executes, monitors, and manages core policy administration and claims management                Now that’s suite.
processes, tracking metrics and providing the basis for improvements to operations and
customer service. BPM can dramatically reduce manual data entry, improve communication,
and reduce paperwork. Expenses are lowered, and results are improved.
We earned our success the same way
we earned our reputation – by making
complex business processes simple,
by making valuable data sources
accessible, by making profitable
performance possible, and by making
our clients successful. With more than
25 years behind us and the future ahead,
we plan to continue our success the
same way we earned it – by anticipating
change, by refining our products, by
developing new ones, by sustaining our
commitment to our clients, and by never
forgetting: we sell software, but we’re in
the service business.




                                              200 Pine Street, 2nd Floor
                                                San Francisco, CA 94104
                                                  Phone: 800. 55.DAVID
                                                    Web: davidcorp.com
                                             © 2009 DAVID Corporation.

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Nav Risk Product Brochure

  • 1. Product Suite It’s not just what you need, it’s everything you need.
  • 2. NavRisk automates key operational tasks, minimizes manual NavRisk Policy intervention, establishes consistent practices, and provides operational transparency throughout the enterprise. Managing massive amounts of data and cumbersome processes cost-effectively requires automation and accuracy. Maintaining a competitive advantage requires operational efficiency and responsive service for customers and partners. That’s why NavRisk Policy combines rich content with rules-based technologies, business process management, and flexible workflows to create the most fully functional administration system in the alternative risk market. NavRisk Policy provides a full set of features such as reporting, loss control, flexible rating, diaries, and a configurable contact management module. It automates labor-intensive underwriting processes, streamlines access to information, and delivers actionable information to executives, underwriters, and agents. It tracks all lines of business for all states and automates processing functions that include rating and allocation, quoting, invoicing, certificates, reporting, renewals, and more. And its intuitive user interface provides flexibility and easy access to all data and management tools. NavRisk Policy integrates with NavRisk Central and NavRisk Claims, with other in-house and/or third-party systems, and with Microsoft productivity tools such as Excel, Access, and Outlook. And it provides all of these rich features: Policy Management • Premium Generation and Allocation for All Lines of Business • Underwriting Judgment Factors • Configurable and Ratable Underwriting Questions • Configurable Rating and Rate Packages How Suite It Is • “What-if” Rating Analysis • Insured Asset Tracking and Management Our NavRisk product suite supports policy administration, claims administration, management • Current and Historical Data Management reporting, and business analytics on a single platform. That’s because we support our customers • Document Management with one, integrated commitment to service and success. • Automated Renewal Processing • Interim Changes and Transaction Log for Audit Tracking Through comprehensive automation, rich content, advanced processing functionality, and • Endorsements configurable reporting and analysis features, the NavRisk suite helps organizations improve • Integrated Claims Data Management operations, reduce expenses, increase productivity, and enhance agent and customer • Automated Calculation of Ex-Mods satisfaction. Based on business process management (BPM) capabilities and a Business Rules • Invoicing Engine (BRE) – and built on Microsoft architecture – NavRisk automates key operational tasks, • Excess and Reinsurance Policy Management minimizes manual intervention, establishes consistent practices, and provides operational • Pass-through Policies transparency throughout the enterprise. That’s suite.
  • 3. Contact Management NavRisk Policy integrates with NavRisk Central and NavRisk Claims, with other in-house and/or third-party systems, and with Microsoft • Complete Contact Data productivity tools such as Excel, Access, and Outlook. • Diary Management • Agency and Other Entity Management • Agency/ Entity Segmentation • Automated Communication • Communication Log • Email and Fax Integration • Complete Application Security • Integration with Outlook and other third party applications Reporting • Policy Documents • Declarations • Allocation Schedules • Endorsement Schedules • Certificates • Loss Runs & Loss Ratio Reports • Ex-Mod Worksheets • Ad Hoc Reporting • Advanced Analytics • Export Module • Report Designer NavRisk Policy Dashboard Policy Quoting and Renewal NavRisk Policy also offers the following Optional Modules and Capabilities: • Mid-Year Policy Changes • Member and Agent Contact • Advanced CRM Integration: facilitates the update of NavRisk contact management data • Loss Control Tools and Risk Management from an external CRM system such as Microsoft CRM. • Claims View and Analysis • On-demand Reports and Schedules • Association Management System Integration: facilitates the update of NavRisk contact • Scheduled Exposures management data from an external Association Management System. • Process Automation and Workflow Tools • Comprehensive Data and • Advanced Billing Options: enables NavRisk to track and manage various payment and • Transaction Security billing options, including exporting of applicable information to external account systems. • Property Appraisal Integration: facilitates the exchange of property COPE data between NavRisk and property appraisal systems and/or personnel.
  • 4. BPM technology automates routine tasks to reduce manual NavRisk Claims processing costs and increase operational efficiencies. And NavRisk Claims integrates with NavRisk Policy and NavRisk Central. NavRisk Claims is a claims administration system for all lines of business including Workers’ Compensation, Auto, General Liability, Property, Professional Liability, and many others. A user- defined rules engine simplifies the processes of setting up new claims, running reports, and viewing payment batches. A customizable user interface provides access to dynamic reporting and analytics capabilities. BPM technology automates routine tasks to reduce manual processing costs and increase operational efficiencies. And NavRisk Claims integrates with NavRisk Policy and NavRisk Central. NavRisk Claims: • Provides point-and-click configurability • Offers one-stop dashboard for adjuster activity • Sends e-mail reports to pre-defined or ad hoc recipients • Automates report generation and distribution • Generates standard reports for claim activity, financial analysis, regulators, and state agencies • Creates customized reports for users and groups • Analyzes trends for claim activities annually and monthly • Produces OSHA 300, 300A, and 301 reports • Provides access to performance metrics through a configurable dashboard • Sets automatic notifications, triggers, and actions based on customized workflow and internal process rules • Organizes scanned documents and photographs • Automates document flow at pre-defined review times. In addition, NavRisk Claims offers the following optional modules: • Rate Analyzer: enables on-the-fly rate comparisons with current and previous year rate • Organization Import: enables restructuring of an organization’s levels, activating and packages while making updates to base rate information. deactivating locations, updating address information and any other applicable data, and transferring claims to new locations without manual input. • Reinsurance Accounting: provides the breakout of premiums into reinsurance costs by carrier and line of coverage for both analysis and reinsurance premiums. • Bank Reconciliation & Positive Pay: verifies information between NavRisk Claims and banks to ensure accuracy of payments. Exports to banks include check issuance information • Advanced Loss Control and Risk Management: enables integration of risk management to help prevent fraud. Imports from banks provide cleared checks data, updating each and loss control credits into overall premium calculations. payment accordingly. • Education/Training Management: enables tracking and management of on-going risk • Medical Bill Review: imports medical payments, automatically adding payments to the management education. appropriate claims with the proper payment types and payee information. Payments can then be printed from NavRisk Claims, or exported to accounting systems for printing. Explanation of benefits (EOB) information can be included for individual bills and printed on the check stubs. Reports are provided to show imported bills and/or errors affecting the import.
  • 5. • Employee Interface: uploads HR NavRisk Central is fully configurable and securely extends information from payroll systems into policy and claim information to policyholders, agents, NavRisk Claims. When new claims are providers, and other parties to those transactions. submitted, NavRisk Claims checks for existing employee records. When a match is found, employee data populates the claim, eliminating manual entry. • Payment Processing: prints checks from NavRisk Claims onto pre-printed check stock. Multiple payments for one payee can print onto one check if needed. NavRisk Claims Homepage MICR printing also is available. • Accounts Payable: export sends payment data to third-party accounts payable systems for check issuance. It then imports check numbers and dates back into NavRisk Claims. NavRisk Claims updates the payment status accordingly without manual input. • Electronic Reporting of Claims and Incidents: submits FROI and SROI records via EDI. The export files adhere to IAIABC standards for WC Claims. Acknowledgements from state agencies are imported into NavRisk Claims. FNOL submissions are available for all states and lines of business. • Medicare Reporting: complies with Section 111 of the Medicare, Medicaid, and State Children’s Health Insurance Program Extension Act of 2007 (MMSEA Section 111) for Medicare beneficiaries covered under group health plans, as well as for Medicare beneficiaries who receive settlements, judgments, awards, or other payment from liability insurance (including self-insurance), no-fault insurance, or workers’ compensation. NavRisk Claims tracks the proper data elements and provides electronic files for COBC. • ISO Submission: flags and indexes claims for initial submission, then re-indexes every NavRisk Central six months for subsequent submissions. ISO reports applicable matches to assist with data verification. All information is automatically filed into the notes section of NavRisk Claims. NavRisk Central is a gateway to all of your business applications and personal productivity tools, and it can act as a knowledge-share across your enterprise. • PERI Data Exchange: exports data to the Public Entity Risk Institute database and provides benchmarking reports that compare losses with similar organizations. NavRisk Central is fully configurable and securely extends policy and claim information to • Unit Statistical Reporting: provides payroll, premium, and loss information by state, policyholders, agents, providers, and other parties to those transactions. It provides self- company, and classification to Data Collection Organizations (DCO). service reporting, instant views of claim payment status, quoting, and policy renewal – on demand, with a single sign-on. • Claims and Financial Import/Export: integrates with third-party systems to update existing claims and payments or to create new records. NavRisk Central reduces or eliminates paperbound and ad-hoc electronic processes and • EAMS: simplifies and improves the California DWC case management process by data interchanges. It facilitates and automates information gathering and coordination for converting forms into the correct formats, capturing the data in NavRisk Claims. mid-year changes, additions of insureds, claims status, payment status, and ad hoc reports.
  • 6. NavRisk Central can be deployed via intranet or Key functionality of extranet. With single sign-on, it permits access to other NavRisk Central includes: applications, including personal productivity tools. • Policy Renewals • Policy Quotes • New Business Management • Mid-Year Policy Changes • Member and Agent Contact Management • Loss Control Tools and Risk Management NavRisk Central Interface • Claim Views and Analysis • Certificates of Insurance • Process Automation and Workflow • Data and Transaction Security • State First Reports of Injury • Self-Service Report Generation • Payment Details • Provider Payment Approvals • Post Events and News Items NavRisk Central can be deployed via intranet or extranet. With single sign-on, it permits access to other applications, including personal productivity tools. It offers drag-and-drop controls for news, stocks, weather, and other informational tools. It can provide a collaborative environment with shared document management and search capabilities. It can become the hub around which your enterprise turns. It streamlines the set-up of new claims, produces state First Reports of Injury, and generates If you’re an insurer – independent or captive – if you’re a risk pool, a TPA, a self-insured group, reports for claims analysis. And with user-defined security levels, it allows you to control who a public or municipal entity, or another type of risk-servicing organization – we have what you can access policy or claims data, and at what level of detail. need. When it comes to reducing expenses, improving efficiency, increasing productivity, and enhancing customer satisfaction, we have everything you need. NavRisk Central uses BPM technology to identify process deficiencies and bottlenecks. It executes, monitors, and manages core policy administration and claims management Now that’s suite. processes, tracking metrics and providing the basis for improvements to operations and customer service. BPM can dramatically reduce manual data entry, improve communication, and reduce paperwork. Expenses are lowered, and results are improved.
  • 7. We earned our success the same way we earned our reputation – by making complex business processes simple, by making valuable data sources accessible, by making profitable performance possible, and by making our clients successful. With more than 25 years behind us and the future ahead, we plan to continue our success the same way we earned it – by anticipating change, by refining our products, by developing new ones, by sustaining our commitment to our clients, and by never forgetting: we sell software, but we’re in the service business. 200 Pine Street, 2nd Floor San Francisco, CA 94104 Phone: 800. 55.DAVID Web: davidcorp.com © 2009 DAVID Corporation.