GROUP HEALTH INSURANCE

Tarslink Connect

The Complete Insurance Management Platform

Streamline policy management, claims processing, and member services — all in one unified platform.

4
User Roles
100%
Digital
Real-time
Tracking
01

The Challenges You Face

❌ Current Pain Points

📋 Manual Enrollment: HR spends hours on paper-based member onboarding
🔍 Zero Visibility: Employees constantly ask "Where is my claim?"
📞 Query Overload: Support calls without tracking or SLA
✏️ Data Corrections: Name/DOB changes require lengthy processes
🆔 Physical Cards: Health cards lost or unavailable when needed
📊 No Analytics: Decisions made without data insights

✓ With Tarslink Connect

Bulk Upload: Onboard 1000+ members via Excel in minutes
👁️ Self-Service: Real-time claim status for all stakeholders
⏱️ SLA Tracking: Automated query management with escalations
Digital Endorsements: Name/DOB corrections with audit trail
📱 Instant Cards: Download Health ID cards as PDF anytime
📈 Dashboards: Role-based analytics and insights
02

Platform Capabilities

📋

Policy Management

Configure rules, family definitions, sum insured, and premiums with flexible eligibility criteria.

🏥

Claims Lifecycle

End-to-end claims processing with document upload, status tracking, and rework workflow.

👥

Member Management

Bulk enrollment via Excel, family member addition, and relationship-based coverage.

💬

Query Management

Raise, track, and resolve queries with automated SLA monitoring and escalations.

🆔

Health ID Cards

Generate and download professional PDF health cards with QR verification.

✏️

Endorsements

Non-financial corrections for name, DOB, gender with approval workflow.

03

Role-Based Dashboards

Each stakeholder gets a tailored experience designed for their needs

👔

HR Portal

  • Employee onboarding
  • Bulk Excel upload
  • Claims monitoring
  • Company analytics
  • Query management
  • Endorsement approvals
👤

Employee Portal

  • View policies
  • Add family members
  • Intimate claims
  • Track claim status
  • Download health cards
  • Raise queries
🏛️

Insurance Portal

  • Pending claims queue
  • Approve/Reject claims
  • Request rework
  • SLA dashboard
  • Query resolution
  • Analytics reports
⚙️

Admin Portal

  • Policy rules config
  • Family definitions
  • Content management
  • Hospital network
  • SLA configuration
  • System settings
04

Claims Workflow

Transparent, trackable, and efficient from intimation to settlement

📝
Intimation
Employee submits
claim details
📎
Documentation
Upload bills &
medical records
🔍
Review
Insurance team
evaluates claim
🔄
Rework
Request additional
info if needed
Decision
Approve or
reject with reason
💰
Settlement
Amount credited
to employee

"Complete claim history maintained with timeline view — every status change is tracked and visible to all stakeholders."

05

Query Management & SLA Tracking

Key Features

🎫 Auto Query Numbers: QRY-20260116-0001 format
📂 Categorization: Organize by type, priority, status
SLA Configuration: Set response & resolution times
🚨 Breach Alerts: Automatic escalation on SLA breach
💬 Response Thread: Full conversation history
📊 Analytics: Response time, resolution rate, trends

SLA Performance Metrics

Response SLA Met 94%
Resolution SLA Met 89%
First Response Time 2.4 hrs avg
Resolution Time 18 hrs avg
06

Health Cards & Endorsements

🆔 Digital Health ID Cards

HEALTH ID CARD
Member: John Doe
Policy: POL-2026-001
Valid: 01-Jan-2026 to 31-Dec-2026
Sum Insured: ₹5,00,000
📱 Scan QR for verification
  • Credit-card sized PDF format
  • QR code for instant verification
  • Download individual or bulk cards
  • Present at network hospitals

✏️ Non-Financial Endorsements

Request and approve member data corrections with full audit trail.

Name Correction Supported
Date of Birth Supported
Gender Supported
Relationship Supported
ABHA ID Supported

Workflow: Employee Request → HR Review → Approve/Reject → Auto-update Member Data

07

Integration & API

Enterprise-Ready Architecture

🔌 RESTful APIs: Complete API coverage for all modules
📖 Swagger/OpenAPI: Interactive documentation at /api/docs/
🔐 JWT Auth: Secure token-based authentication
🐳 Docker Ready: Containerized deployment
☁️ Cloud Native: Deploy on any cloud platform
🔄 Webhooks: Real-time event notifications

Tech Stack

🐘

PostgreSQL

Relational Database

🔴

Redis

Caching & Sessions

🐳

Docker

Containerization

🌐

Nginx

Reverse Proxy

08

Value Proposition

Measurable impact across your organization

80%
Reduction in
Manual Work

Bulk uploads & automated workflows

60%
Faster Claims
Processing

Digital submission & tracking

90%
Query SLA
Compliance

Automated monitoring & alerts

100%
Audit Trail
Visibility

Complete compliance coverage

"Tarslink Connect transforms insurance operations from a cost center to a competitive advantage — delivering better employee experience while reducing operational overhead."

09

Why Tarslink Connect?

🎯 Purpose-Built for GHI

Not a generic CRM adapted for insurance — built from ground up for Group Health Insurance workflows.

🔗 Seamless Integration

Connect with enterprise systems through robust APIs and webhooks.

👥 Self-Service First

Reduce support load by empowering employees to track claims, download cards, and raise queries themselves.

📊 Data-Driven Decisions

Real-time dashboards and SLA analytics help you identify bottlenecks and improve service levels.

🔒 Compliance Ready

Complete audit trail for all actions. Endorsement history, claim timeline, and query logs for regulatory needs.

🔧 Continuously Evolving

Regular updates with new features. Modern architecture ensures your platform stays current.

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Ready to Transform
Your Insurance Operations?

📞

Schedule Demo

See the platform in action
with a guided walkthrough

🚀

Start Engagement

Begin your journey with
our implementation team

Contact Us Today

connect@tarslink.ai | www.tarslink.ai

India's Leading Insurance Technology Platform

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