Functional requirements of Insurance Policy Management System with non-functional

Functional Requirements

1. User Management
   • 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.
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2. 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.
3. 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.
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4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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

1. 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.
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2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. Portability
   • Cross-Platform Compatibility: Ensure the system is compatible with various devices and operating systems used by users, including desktops, tablets, and mobile devices.
8. 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.