GrenvoGrenvo

Insurance Industry

Follow the case.
Keep the roles clear.

A professional may start the application, but many people and systems help it reach a carrier-confirmed outcome. Understand who acts, who decides and what each update actually proves.

A shared journey. Distinct responsibilities.

The proposed Grenvo model coordinates work across insurers and distributors. It keeps each insurance decision with its authorized owner.

Insurer / carrier

Controls approved questions, products, rates, underwriting, issuance and coverage status. Its systems provide the authoritative decisions and effective dates.

Distributor / professional

Starts and follows a case, supports the applicant where permitted, and coordinates next actions within the agreed authority and consent rules.

Applicant & other parties

Provides permitted information and completes assigned reviews, consent or signatures. The applicant, insured, owner, guardian, entity representative and payer may be different people.

Operations & finance

Coordinates requirements, documents, funding and delivery. A completed operational task does not replace a carrier decision.

Where do brokers, managing general agents and reinsurers fit?

Distribution may include brokers, managing general agents (MGAs), program administrators and other authorized professionals. Their responsibilities depend on the product and agreements. Carriers may transfer portions of risk to reinsurers under separate contracts; that does not mean each application or payment passes through every party.

From invitation to confirmed status.

This proposed journey shows the handoffs to coordinate. Carrier and product rules determine the actual steps.

  1. Start the case

    A professional starts an application and invites the required people.

  2. Complete the application

    The applicant answers permitted questions, gives required consent and reviews the information. Assistance follows agreed roles.

  3. Track carrier review

    Carrier decisions and outstanding requirements remain visible, including requests for more information.

  4. Review the current offer

    The professional and required parties review the approved or revised offer and any required illustration.

  5. Accept and sign

    The required people accept the current version and complete their assigned signatures.

  6. Confirm funding

    Track and reconcile payment or a permitted exchange, including delays and unresolved outcomes.

  7. Follow issuance and delivery

    Request and monitor policy issuance and delivery; an acknowledgement is not the final outcome.

  8. Receive carrier status

    Display the authoritative policy or coverage status and effective date when supplied by the carrier.

This is an illustrative journey. Steps may overlap, pause or repeat, and the order depends on the product and carrier. A submitted application, signed document or payment update does not by itself confirm coverage.

Several things can be pending at once.

An application can be complete while a requirement is under review. A payment can arrive while issuance is still pending.

Keep each track’s owner, latest received evidence and next action visible. Stale or missing updates remain uncertain; they are not inferred successes.

Application answers and carrier requirements
Missing answers can return a case to the applicant or an authorized assisting professional. Additional documents may pause progress for manual carrier review. Document received and requirement satisfied are separate states.
Revised offers and signatures
A changed offer or illustration may require another review, acceptance and signatures from specific parties. Track the version and each required role; a signature on an earlier version may not complete the current offer.
Funding and exchange dependencies
Payment authorization, submission, provider confirmation and accounting acceptance are different facts. A permitted exchange can introduce its own dependencies. Uncertain payment outcomes require reconciliation of the original provider reference before another attempt.
Issuance, delivery and coverage
An acknowledged request, an issued policy, completed delivery and authoritative coverage status may arrive separately. Show the carrier’s reported state, effective date and evidence reference under the agreed contract. Never infer coverage from signatures or payment.
Optional product and channel variants
Illustrative life-insurance variants may include separate owner and insured signatures, entity or guardian roles, related cases, exchanges and revised illustrations. These examples are product-specific and under validation, not universal steps or implemented support. Questions, forms, rates and documents must come from authorized carrier sources.

Premium collection

Payments stay connected to the case.

Premium reconciliation is one proposed module. Connect the amount due to provider-confirmed evidence and accounting acceptance, while keeping payment progress separate from issuance and carrier-confirmed coverage.

  1. Create the obligation

    The policy system supplies an invoice, currency, amount and stable reference.

  2. Request collection

    The authorized provider supplies payment instructions for the agreed billing route.

  3. Match the receipt

    Compare provider-confirmed amount, currency and reference against the invoice.

  4. Review exceptions

    Assign partial, excess, unidentified or conflicting receipts for a documented decision.

  5. Acknowledge the result

    Return allocations and evidence; record acceptance by accounting or the policy system.

Business record and reconciliation workflowProvider-managed money movement

Where the money moves

The payer sends funds through the approved provider to the agreed operator or carrier account. The proposed Grenvo model links the evidence to insurance records; it does not hold the funds.

What a receipt does not decide

A confirmed receipt establishes a payment fact. Coverage binding, policy status and eligibility remain with the authorized insurance business and its system of record.

What needs to match?

Start with the operator and provider account, invoice identity, payment reference, currency, confirmed amount and agreed treatment of fees. A policy number alone may not distinguish multiple invoices or endorsements.

Retain the decision and its evidence. A partial allocation should leave an explainable open balance, not silently mark the invoice paid.

What changes between direct bill and agency bill?

In direct bill, the insured commonly pays the carrier or its appointed billing route. In agency bill, an intermediary collects and remits under the program’s agreement. Commission, fees, timing and account ownership must follow that agreement.

The integration should model the actual receivable and remittance responsibilities rather than assuming every intermediary takes custody.

Approved claim disbursements

Approved claims are a separate workflow.

Approved-claim disbursements are separate proposed, later scope; they are not a stage in a new application. Adjudication and payment authorization remain separate decisions.

  1. Approve the claim

    The authorized claims owner records its decision, approved amount and recipient reference.

  2. Authorize payment

    The spending owner approves the exact amount, recipient and purpose under the provider’s controls.

  3. Execute with the provider

    The approved provider accepts the instruction under one durable payment identity.

  4. Confirm the outcome

    Reconcile the original provider record and the required settlement evidence.

  5. Return the evidence

    Update the claim and accounting records, then record their acknowledgements.

Unknown is a state to resolve.

A timeout may conceal a successful payment. Hold the original instruction and reconcile its provider identity before any retry or replacement.

Changed details need a new decision.

A different recipient, amount or purpose can invalidate the prior authorization. Payment controls must enforce the applicable approval before execution.

This is a proposed workflow, not a live payout service. Provider eligibility and controls, operator authority and the separate disbursement acceptance gates must be established before funded use.

A shared vocabulary.

Application
The request and information submitted for a carrier’s consideration. Submission is not confirmation of coverage.
Applicant / insured / owner
Distinct roles: the person applying, the person or risk insured, and the policy owner. They are not always the same party.
Requirement
Information, a document or an action required for review. Receipt and acceptance are separate facts.
Offer / illustration
Carrier-approved terms and, where required, an illustration for review. Track the applicable version and acceptance.
Issuance / delivery
Creation and delivery of policy documents under the carrier’s process. Requests and acknowledgements are intermediate states.
Coverage confirmation
The authoritative carrier-reported coverage state, with its applicable effective date and evidence.
Reconciliation
Comparing the amount due with confirmed payment evidence, explaining differences and checking accounting acceptance.
System of record
The authoritative source for a particular fact, decision or record in the journey.

Start with the handoff that slows your team down.

Map one application journey, the systems it crosses and the moments when someone has to rekey, chase or intervene.

Map your application journey