Overview#
A risk manager at a regional health authority spends two days before the annual renewal preparing data for the broker: premium payment history, a summary of open claims, the loss run for the past five years, and a reconciliation of coverage limits against current contractual obligations. With policies tracked in multiple spreadsheets and claims managed in a separate system, that two-day exercise involves significant manual reconciliation. Errors at this stage can result in coverage gaps, mispriced premiums, or missed subrogation opportunities.
Argus Insurance Management and Claims Administration provides a single platform for tracking policies, processing claims, analysing coverage, and managing renewals across all insurance types. The module gives organisations complete visibility into their insurance portfolio, replacing fragmented spreadsheets with a unified system that ensures coverage continuity, supports renewal negotiations with actual data, and enables data-driven decisions about risk transfer strategy.
Open Standards#
- GraphQL (June 2018 Specification): all policy, claims, coverage, and renewal data is queried and mutated through the platform's GraphQL API, enabling strongly-typed, introspectable access for integrations and reporting.
- OAuth 2.0 (RFC 6749) / OpenID Connect: every request to the module is authorised via OAuth 2.0 bearer tokens with role-based access control, ensuring only credentialled users can view or modify policies, claims, and financial records.
- ISO 8601 / RFC 3339: all policy effective dates, renewal deadlines, claim timestamps, loss-run periods, and premium payment schedules are stored and exchanged in ISO 8601 date-time format, enabling unambiguous interchange with carriers and financial systems.
- ISO 3166-1 / ISO 3166-2: country and subdivision codes are used throughout jurisdictional compliance tracking to map regulatory insurance requirements and contractual obligations to the correct legal territory.
- ISO 31000 (Risk Management): the coverage gap analysis, scenario modelling, and total cost of risk calculations follow the ISO 31000 risk assessment and risk treatment framework, providing a recognised basis for renewal negotiation and coverage strategy.
- ArcSight Common Event Format (CEF): the immutable audit trail covering all access to and modification of insurance records is exportable in CEF for ingestion by SIEM platforms, supporting regulatory and forensic audit requirements.
- OpenAPI 3.1: the platform's REST API surface, including insurance-related endpoints, is documented and discoverable via an OpenAPI 3.1 contract published at the well-known URI, facilitating integration with carrier systems and accounting platforms.
Last Reviewed: 2026-02-05 Last Updated: 2026-04-14
Key Features#
Policy Management#
- Central policy repository storing complete policy details: coverage types, limits, deductibles, endorsements, exclusions, and premium schedules
- Automated alerts for upcoming renewals, expiring certificates, and coverage changes to prevent lapses
- Policy modification tracking with endorsements, cancellations, and a complete audit trail
- Multi-carrier portfolio management with unified visibility across all insurance relationships
- Policy document storage with version control and instant retrieval for claims and audits
Claims Processing#
- Claims workflow from initial incident reporting through final settlement with status tracking at every stage
- Claims history linked to specific policies and tracked for patterns that may affect future premiums
- Subrogation tracking and management for claims involving third-party liability
- Reserve management with tracking of estimated and actual claim costs
- Communication logging for all claim-related correspondence with carriers, adjusters, and claimants
- Return-to-work coordination tracking modified duty assignments and medical clearance progression
Coverage Analysis#
- Coverage gap analysis comparing coverage levels against industry benchmarks, regulatory requirements, and contractual obligations
- Overlap detection across multiple policies to eliminate redundancy and reduce costs
- Scenario modelling for evaluating coverage adequacy against potential loss scenarios
- Contractual insurance requirement tracking ensuring compliance with customer, vendor, and lease obligations
Financial and Reporting#
- Renewal management with automated reminders, carrier submission workflows, quote comparison, and policy updates
- Historical premium data and loss run access to support renewal negotiations with actual performance data
- Premium tracking with payment monitoring, invoice reconciliation, and cost forecasting
- Certificate of insurance management with automated issuance and tracking
- Total cost of risk analysis combining premiums, deductibles, retained losses, and administrative costs
- Benchmarking tools comparing insurance costs and coverage against industry peers
- Regulatory compliance tracking for insurance requirements specific to the organisation's operations
Use Cases#
Enterprise Insurance Portfolio Management. Centralise all policies across carriers and coverage types with automated renewal tracking, coverage analysis, and premium monitoring. Ensure no policy lapses or coverage gaps compromise organisational protection.
Claims Processing and Settlement. Manage the entire claims lifecycle from incident reporting through settlement, with detailed documentation and communication records. Track claims against policies to understand loss patterns and their premium impact.
Coverage Gap Analysis. Identify gaps in insurance protection by comparing coverage against benchmarks, regulatory requirements, and contractual obligations, then recommend adjustments based on exposure analysis.
Renewal Negotiation Support. Access historical premium data, loss runs, and risk management performance metrics to support informed renewal negotiations and demonstrate organisational risk management maturity to carriers.
Integration#
- Financial and accounting systems for premium payment tracking and cost allocation
- Risk management and incident reporting platforms for claims initiation
- Contract management systems for insurance requirement verification and compliance
- Vendor management for certificate of insurance tracking and verification
- Enterprise risk management platforms for integrated risk oversight
- Safety and loss prevention programmes for coordinated risk reduction
- All records scoped to the organisation with role-based access control and a complete audit trail