FINEOS Billing Datasheet

FINEOS Billing Solutions: Purpose-Built for Connected, Future-Ready Billing

The FINEOS Billing management solution resides on the open core, cloud-based FINEOS Platform, powered by AWS and delivered as a Software as a Service (SaaS) model and is the most advanced billing and premium reconciliation solution purpose-built for the Life, Accident, and Health insurance industry. Supporting policies at both the group and member level, it delivers AI-powered automation, predictive insights, and intelligent workflows, enabling insurers to reduce costs, minimize risk, and elevate service delivery.

FINEOS Billing transforms traditional billing into a proactive, intelligent, and customer-centric experience.

BILLING | AI-Powered Operational Efficiency

  • Automate calculations and reconciliation using AI models that adapt to evolving rating structures and plan configurations.
  • Reduce manual effort with smart workflows for exceptions, variance resolution, and aging debt detection.
  • AI-driven templates for self-bill data ingestion minimize input errors and accelerate data processing.
  • Generate real-time itemized bills, variance reports, and payroll deduction summaries with embedded intelligence.

PREMIUM RECONCILIATION MANAGEMENT | Increase Collaboration to Enhance Service Delivery

  • AI-enhanced dashboards provide 24×7 access to live billing status, payment history, and discrepancy alerts.
  • Machine learning identifies outliers and high-risk accounts for proactive resolution and escalated review.
  • Intelligent routing ensures faster triage of delinquent accounts and complex premium mismatches.
  • Collaborative resolution tools support carrier and client teams in real-time through interactive dashboards.

TECHNOLOGY |  Future-Ready Technology Platform

  • Built on the secure, cloud-native FINEOS Platform (powered by AWS), supporting elastic scaling and enterprise-grade compliance.
  • Open APIs and event-driven architecture enable seamless integrations with financial systems, CRM platforms, and third-party tools.
  • Delivered as standalone or end-to-end solution with low-code configurability and AI-based process optimization.
  • Embedded analytics and reporting tools powered by AI enable deeper insight into billing performance and customer behavior.

FINEOS Billing is a key module of FINEOS AdminSuite, the only modern and comprehensive core system purpose-built for Employee Benefits. Its fully integrated billing solution delivers the essential capabilities to streamline premium reconciliation and receivables management, while also laying a solid foundation for future innovation, automation, and ecosystem connectivity.

The FINEOS Platform is purpose-built for the Life, Accident and Health industry and the Employee Benefits market to seamlessly support insurers, employers, and employees on their insurance journeys. It is deployed as an end-to-end core solution or as components for incremental transformation on secure, scalable SaaS cloud technology.

Contact us today to learn more.

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