Our Competencies

In Vietnam, our core business is as a Medical and Travel Insurance Administrator. We offer our services to Vietnamese Insurance companies in developing, supporting and administering profitable health or travel insurance products to their clients. Since 2004, we have been doing this and currently work with top Insurers in Vietnam market, both Life Partners –Cathay Life Vietnam and Non-life Partners – Hung Vuong Assurance, Bao Long, Tokio Marine Insurance Group, Fubon, HD Insurance, MSIG, BIDV MetLife, PTI, Dai-chi Life Việt Nam (2013 – 2021), AIA (2014 – 2021).
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Services

We can provide a range of services, from a Basic Claim Adjudication Service to a Full Service Package which includes product development, pricing, policy wording and schedule of benefits, to risk assessment, claim adjudication, customer service, business analytics, and a regional direct billing network.In addition to these core services, we can arrange reinsurance. This allows the insurer to feel more comfortable with the managing of risk in the beginning. As the business develops and experience is gained, the nature and complexities of health insurance become more evident to the insurer. Eventually reinsurance arrangements can be reassessed and adjusted as needed.

Core services

Product Development

Providing products that can meet the changing needs of society is a key to success and a chance to deliver meaningful value to the community of many leading insurance businesses.

With our immense experience in product development and a wide range of data regarding health & travel insurance, Pacific Cross Vietnam looks forward to supporting your business to go forward with high-quality products and new revenue streams.

Risk Assessment

Conducting risk assessment can be a vital part of the sustainable development of an insurance company. That’s why the team of risk assessors at Pacific Cross Vietnam always conforms to the standard process and accurate risk selection.

Equality and humanity are also the two values that we endeavor to deliver in our final assessment. Since we know how people wish to be protected by health insurance, especially the ones with pre-existing conditions.

Claim Adjudication

Transparent and accurate insurance claims can take much time and effort for your business. Pacific Cross Vietnam can make it easier as we have a team of highly skilled claim adjudicators who can assist to meet all your needs regarding the medical claim, whether it’s simple or complicated.

By implementing secure digital workflows (Health E-talk & Mobile App) and a reliable medical provider nationwide, we are not only able to address insurance fraud effectively but also help our corporate partner get a competitive advantage that is crucial in the current market.

Our strengths

Diverse Regional Experience

The Pacific Cross Group owns Health Benefit System (HBS), proprietary software which is both modern and flexible. This system maintains policy records, client data, schedule(s) of benefits, and provides the reports needed to measure and manage the risks of the business and the performance of the product.

Health Insurance – a key consideration

The Pacific Cross Group owns Health Benefit System (HBS), proprietary software which is both modern and flexible. This system maintains policy records, client data, schedule(s) of benefits, and provides the reports needed to measure and manage the risks of the business and the performance of the product.

The IT platform

The Pacific Cross Group owns Health Benefits System (HBS), proprietary software which is both exclusive and flexible. This system maintains policy records, client data, schedule(s) of benefits, and provides the reports needed to measure and manage the risks of the business and the performance of the product.

Additional services – Free of charge

If being our trusted partner, your business will have a chance to use all of the following services as a complimentary.

Business Analytics

From basic data to sotisphicated reports of modern business models, at Pacific Cross Vietnam, we always do our best to find a suitable solution for your business needs.Besides flexible visualization reports, our team of analysts is pleased to support with advanced recommendations when necessary.By implementing new digital solutions such as Business Intelligence, we hope we will deliver a quality TPA service that helps your business grow strongly and effectively.

24/7 Customer Service

Providing consistent professional customer service is a priority for any insurance company. Since the clients’ experience can be a significant clarity, a concrete and compelling advantage.Pacific Cross Vietnam can help assist your insured clients more scrupulously with our customer service available 24/7/365 on the hotline and by email.Whether they call for a claim or urgent support, we always put ourselves in your shoes to serve them.

Personal Health Records (PHR)

Paper health records are easy to be lost and hard to store. This may cause your clients many difficulties in tracking their health conditions, and even pose them with the risk of personal information leaks.As a TPA with quality service, we are pleased to offer Personal Health Records (PHRs) – a suitable solution for our trusted partners which allow their insured members to store personal health information in a private and portable place. Become our partner to bring these values to your business and your insured clients!

Optional, Paid-up – Additional services

Pacific Cross Vietnam is a full Third Party Administration (TPA), which not only offers its corporate partners quality core services but a wide range of additional values.

Emergency Assistance

Risk, illness, injuries, or issues while traveling away from home is unexpected and upsetting, but Pacific Cross Vietnam can assist your customer in that difficult situations.By registering the Emergency Assistance service, your customers can have peace of mind while traveling to every corner of the world. Behind their backs, there is always a large group of 24/7/365 worldwide assistance and more than 155,000 healthcare providers throughout 120 countries.Whether your customers need emergency evacuation, repatriation of mortal remains, or medical transport, just a phone call away, we can immediately support them.* Pacific Cross Vietnam is a leading provider of health and travel assistance benefits and a core partner of the International Assistance Group (IAG).

Digital Platform

Everything is going digital and so does the insurance industry.From streamlining business to enabling new operating models, we are here to help our partners to transform.For the insurers, we make effort to help build resiliency and transparency working process through secure internal platforms such as HBS, Integration API (Underwriting & Claim), Health E-talk, etc.For the insured people, we focus on delivering convenience and satisfaction. One of the most useful digital platforms our in-house developers successfully built up is HEALTH INSURE PACIFIC CROSS VN – a mobile app that allows clients to do lots of functions such as requesting a claim or adding benefits quickly and easily.

Telemedicine

As a commitment to providing a wide range of quality TPA services, Pacific Cross Vietnam has recently offered Telemedicine to its corporate partners. This program allows insured clients to get personal health advice from anywhere via any device and Internet connection.We have built a platform, which is secure and reliable and has a team of experienced medical professionals waiting to solve your clients’ health problems.To find out how easy it is to get PCV Telemedicine to your insured members, contact us today!

Medical Provider Network

As healthcare demand continues to rise, the extensive direct billing network is becoming more essential to insured people.To provide more comfort for clients, your business can become our trusted partner and get a chance to utilize our large medical provider network 500+ medical providers in Vietnam 3400+ hospitals/clinics in Asia 150,000+ medical providers through IAGThis is a key consideration whether your business is offering local or international insurance plans.Refer to our medical provider network at: https://pacificcross.com.vn/medical-provider/

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