Actisure

What Is Actisure?

Actisure is a cloud-based core policy and claims administration platform by Cegedim built to digitize backend administrative tasks for insurers. The software offers an integrated digital ecosystem that brings together member management, premium billing, and claims workflows on a single architecture.

By using its automation capabilities, corporate teams benefit from reduced administrative effort and faster turnaround times. Additionally, its flexible product configuration building blocks allow expanding businesses to deploy tailored coverage options, enabling organizations to scale overall policy volume efficiently without adding operational complexity.

What Is Actisure Best Known For?

Actisure is best known for its international private medical insurance (IPMI) core engine. The platform enables global health insurers to design, manage, and scale complex policy benefit structures and multi-currency billing frameworks across multiple countries while maintaining compliance with different regional insurance regulations.

How Much Does Actisure Cost?

Actisure cost is estimated to range from $20,000 to $125,000/month, based on industry benchmarks for similar enterprise core policy and claims administration software. This range is provided for general reference and can vary depending on the number of active members, claims volume, and required customization.

In addition to the base subscription costs, organizations should also consider the following expenses:

• Implementation: Typically ranges from $150,000–$500,000 for mid-market setups, and can go from $500,000–$2,000,000+ for more complex, multi-jurisdictional deployments
• Legacy Data Migration: Usually between $50,000–$250,000, depending on the volume of active member records and historical claims data
• Technical Admin And Underwriter Training: Around $15,000–$60,000 for onboarding and system training
• API, Broker Portals, and Custom Front-End Integrations: Generally $30,000–$120,000, based on the scope and complexity of integrations

Disclaimer: Pricing references are based on publicly available third-party information and industry benchmarks. Actual costs may vary.

Actisure Integrations

The software uses API-driven digital integration to deliver seamless, branded member experiences while supporting connected digital workflows.

How Does Actisure Work?

Here is how you can get started with the software:

• Log in to the secure cloud-based platform to access end to end policy lifecycle and claims management tools within an integrated system
• Configure insurance products using modular, wizard driven building blocks to structure individual, corporate, or travel insurance offerings without custom code
• Manage enrollment and policies by capturing data, setting up membership details, managing underwriters, and configuring rules for corporate group schemes
• Distribute quotes and onboard members using open APIs that transfer data between backend systems and external sales portals or broker platforms
• Execute claims processing through a rules driven straight through processing engine that applies if then else filters and cross-references active accumulators
• Run billing and technical accounting to manage claim payouts, handle multi-currency collections, and post double entry transactions across jurisdictions
• Review operational data through aggregated system performance insights that provide visibility into financial records and processing volumes

Who Is Actisure For?

Actisure software is a digital-first platform and is commonly used by:

• Health insurers
• Protection insurers

Actisure Use Cases

Based on our analysis of Actisure's capabilities, we have identified key scenarios where this software is a good fit for health and protection insurers:

1. Global Health Insurers Managing Diverse International Regulatory Frameworks

International insurance companies operating medical plans across multiple countries often deal with challenges related to local compliance requirements, varying market regulations, and different national currencies. Actisure can be well-suited for such teams as it offers a unified core architecture with built-in multi-currency and multi-language administrative layers to support global operations.

2. Insurance Teams Outgrowing Rigid Product Design Systems

Organizations using legacy tools often face operational delays and technical bottlenecks when updating existing benefits or launching new hybrid insurance plans. Actisure could be a good fit for these teams because it uses modular, product configuration building blocks that allow business users to create and deploy complex product structures without requiring developer support.

3. Claims Management Departments Overburdened By High Volume Manual Invoices

Claims processing teams often manage large volumes of health, travel, and medical invoices, which can slow down settlement times, increase administrative workload, and result in human errors. Actisure might fit into this situation as its straight-through processing engine uses simple rule-based conditions to automatically validate and adjudicate claims from pre-authorization through to final payment.

4. Finance Departments Managing Disconnected Global Accounting Systems

Billing operations that handle international premium collections and multi-currency outbound payments often face challenges in maintaining financial transparency and avoiding manual reconciliation errors. Actisure may support these processes through a fully integrated technical accounts module, enabling financial teams to configure automated, compliant double-entry accounting postings across global operations.

Is Actisure Right For You?

Actisure provides a single architecture to unify global insurance operations, addressing key administrative challenges by using rules-driven straight-through processing to automate high-volume claims backlogs and by accelerating slow product launch timelines.

The software offers enterprise-level scalability and security, with ISO 27001, ISO 20000, and ISO 27018 certifications along with native UK GDPR compliance. It is also recognized by Celent with XCelent awards for Breadth of Functionality and Customer Base, and is used by insurance organizations including AXA, Blue Cross Blue Shield, Jubilee Insurance, Expacare, and BMI.

Still doubtful if Actisure is the right fit for you? Connect with us at (661) 384-7070 for personalized guidance.