Account Creation and Login: Allow users (agents, policyholders, administrators) to create accounts, log in securely, and manage their profiles.
Role-Based Access Control: Implement role-based access control to define permissions for different user roles (e.g., policyholders, insurance agents, underwriters).
Profile Management: Enable users to update their personal information, contact details, and preferences.
Policy Management
Policy Creation and Issuance: Allow agents or underwriters to create and issue new insurance policies, including policy details, coverage, and terms.
Policy Updates: Enable users to modify policy details, such as coverage amounts, beneficiaries, and personal information.
Policy Renewal: Facilitate the renewal process for expiring policies, including automatic notifications and renewal options.
Claims Management
Claim Submission: Allow policyholders to submit insurance claims online, including details of the claim and supporting documentation.
Claim Processing: Provide tools for insurance agents or claims adjusters to review, approve, or deny claims, and manage claim statuses.
Claim History: Maintain a history of all claims submitted by the policyholder, including status updates and resolutions.
Premium Management
Premium Calculation: Automatically calculate premiums based on policy details, coverage, and risk factors.
Billing and Payments: Facilitate billing for premiums, including online payment options and payment tracking.
Payment History: Provide access to a history of payments made, including payment dates, amounts, and transaction details.
Document Management
Document Upload and Storage: Allow users to upload and store policy documents, claim forms, and other related files securely.
Document Retrieval: Enable users to retrieve and download documents as needed.
Reporting and Analytics
Policy Reports: Generate reports on policy details, renewal rates, and coverage types.
Claims Reports: Provide reports on claims frequency, amounts, and processing times.
Custom Reports: Allow users to create custom reports based on specific criteria and data points.
Communication
Notifications and Alerts: Send notifications for important events such as policy renewals, claim status updates, and payment reminders.
Secure Messaging: Provide a secure messaging system for communication between policyholders, agents, and administrators.
Integration
Third-Party Integration: Integrate with third-party services such as payment gateways, risk assessment tools, and customer relationship management (CRM) systems.
API Access: Provide APIs for integration with other platforms or services, allowing for data exchange and extended functionality.
Compliance and Security
Regulatory Compliance: Ensure the system complies with industry regulations and standards, such as data protection laws (e.g., GDPR, HIPAA).
Audit Trails: Maintain audit trails for all actions performed within the system for compliance and accountability purposes.
User Interface
Dashboard: Provide a user-friendly dashboard displaying key metrics, policy details, and notifications.
Search and Navigation: Implement search functionality and intuitive navigation to easily access policy information, claims, and reports.
Non-Functional Requirements
Performance
Response Time: Ensure low latency for policy processing, claims management, and user interactions (e.g., under 2 seconds for most operations).
Scalability: The system should handle increasing numbers of policies, claims, and users without performance degradation.
Reliability
Uptime: Ensure high system availability with minimal downtime (e.g., 99.9% uptime).
Error Handling: Implement robust error handling and recovery mechanisms to manage system failures and ensure continuous operation.
Security
Data Encryption: Encrypt sensitive data, including policy details and personal information, both in transit and at rest.
Authentication and Authorization: Use secure authentication methods and role-based access control to protect user accounts and data.
Data Privacy: Ensure compliance with data protection regulations to safeguard user privacy.
Usability
User Interface: Design an intuitive and user-friendly interface that facilitates easy navigation and interaction for all user roles.
Help and Support: Provide user guides, tutorials, and support resources to assist users in navigating and utilizing the system.
Maintainability
Code Quality: Write high-quality, well-documented code to facilitate system maintenance, updates, and troubleshooting.
Documentation: Provide comprehensive documentation for users, administrators, and developers, including user manuals, technical documentation, and troubleshooting guides.
Availability
Backup and Recovery: Implement regular data backups and establish procedures for data recovery in case of system failures or data loss.
Failover: Ensure the system has failover capabilities to switch to backup systems or servers if necessary.
Portability
Cross-Platform Compatibility: Ensure the system is compatible with various devices and operating systems used by users, including desktops, tablets, and mobile devices.
Supportability
Technical Support: Provide mechanisms for obtaining technical support and resolving issues, including help desks, online resources, and customer service.
Error Reporting: Include functionality for reporting and tracking issues or bugs within the system.
