Roosevelt Solutions
Roosevelt optimizes your business’ current operations and positions you for accelerated growth with entrance to new markets with new products.
The end-to-end capabilities let you manage your entire book of business in a single solution-that includes the Core Administration, but also support components.
Use the icons to explore the full suite of capabilities and learn how Roosevelt can help you gain insights and find opportunities to grow.
Core Admin
The insurance market’s needs are evolving. Roosevelt is designed with this in mind. Core Admin focuses on increasing auto-adjudication rates, reducing cycle time for group implementations, and remaining configurable for large customers. You’ll have the peace of mind to focus on growing your business, not worrying about backroom administration.
Use the lens on the right to explore more of our full suite
99.8%
Claims payment accuracy
23M+
Members managed on Roosevelt
99.2%
Claims processed within 10 days
Portals
Efficiency for customers means efficiency for you. Roosevelt’s online toolkits and portals are designed to be customer-first and mobile optimized, making it easy for your customers to self-serve and save time.
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2,000+
Shopping sites configured online today
140,000+
Dental offices use Dental Office Toolkit daily
7 days
To credential a provider online
Data Services
Data is powerful but only if it’s accessible. Roosevelt puts data-driven decision making in your hands. Whether that’s self-service reporting from Vantage, or Roosevelt’s depth in Fraud, Waste, and Abuse (FWA) detection. Our data model and reporting capabilities drive new insights and empower our customers and clients.
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20 years
Of FWA experience and claims data
17
Companies for which we perform anti-fraud data analytics
$70M
Cost avoidance savings based on 2022 data
Rules
Rules and decision-making functionality help inform your most detailed decisions and, ultimately, touch fewer claims. Roosevelt leverages algorithms with years of centralized data to help businesses validate and improve claim routing—from group rating to claims adjudication. Billing calculations and output rules also create unmatched flexibility for premium billing, billing adjustments, bill cycles, and invoicing.
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60+ years
Of rules baked into Roosevelt
37,000
Business rules for decision-making based on specific inputs and requirements
96%
Industry leading auto-adjudication capabilities
Market Segmentation
Insurance is changing. New market entrants have disrupted the way we think about customer interactions. Roosevelt allows your business to adapt based on a deeper market segmentation. The platform was built to be flexible for Commercial, Individual, and Government business with different rule and group configurations.
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550K+
Total individual enrollments managed
99%
Accuracy for new group configuration
3M+
Enrolled in Government Programs on Roosevelt
Community
When selecting a platform, you aren’t just picking a technology, you’re picking a partner. Roosevelt brings a committed team to ensure your success on the platform and takes a community approach to improvement. As a Roosevelt community member, you’ll have the opportunity to join requirements review, system demonstrations, and Product Council meetings to shape our Roadmap. Help us shape the product together.
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4
Collaboration Summits held every year
13
Conversations completed over past 15 years
15
Payers on the platform contributing to future roadmap
Products
As payers look to diversify, there is significant market opportunity to be a true multi-line payer. Roosevelt enables this diversification and partnership to offer new products to your customers. Products have the configuration flexibility to support categories markets—such as Dental, Vision, and Hearing—and emerging markets.
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250k+
Over 250,000 enrollments with vision products
7,000+
Unique plan designs
Solution Overview
Complete, End-to-End Solution
Powered by Roosevelt.
Solution Overview
Built for Simplicity and Self-Service
Integrations & API’s
Foundation of Analytics
Powered by Roosevelt.
Solution Overview
Business User Driven Reporting
Google Analytics Integrated
AI Driven Fraud, Waste, and Abuse
Powered by Roosevelt.
Solution Overview
Business Rules, not code.
Flexible Rule Configuration
Library of Business Rules
Powered by Roosevelt.
Solution Overview
Expand and Grow
Flexible for You
Powered by Roosevelt.
Solution Overview
Personal Support
Product Council
Collaboration Summits
Powered by Roosevelt.
Solution Overview
Unique Plan Designs
Diversify Beyond Dental
Partner Integrations
Powered by Roosevelt.
View Other Solutions
Core Admin
Core Admin focuses on increasing auto-adjudication rates, reducing cycle time for group implementations, and remaining configurable for large customers. You’ll have the peace of mind to focus on growing your business, not worrying about backroom administration.
Portals
Efficiency for customers means efficiency for you. Roosevelt’s online toolkits and portals are designed to be customer-first and mobile optimized, making it easy for your customers to self-serve and save time.
Data Services
Insurance is changing. New market entrants have disrupted the way we think about customer interactions. Roosevelt allows your business to adapt based on a deeper market segmentation.
Rules
Rules and decision-making functionality help inform your most detailed decisions and, ultimately, touch fewer claims. Roosevelt leverages algorithms with years of centralized data to help businesses validate and improve claim routing—from group rating to claims adjudication.
Market Segmentation
Insurance is changing. New market entrants have disrupted the way we think about customer interactions. Roosevelt allows your business to adapt based on a deeper market segmentation.
Community
As a Roosevelt community member, you’ll have the opportunity to join requirements review, system demonstrations, and Product Council meetings to shape our Roadmap.
Products
As payers look to diversify, there is significant market opportunity to be a true multi-line payer. Roosevelt enables this diversification and partnership to offer new products to your customers.