Our comprehensive insurance solution provides enhanced claims experience, employee productivity, reduce claims lifecycle and lower compensations.
- Line of business-specific data capture fields for First Notice of Loss (FNOL)Scripted, rules-driven workflow to guide intake process
- Incident definition with multiple involved objects and persons
- Correspondence generation and tracking
- Automatic and manual claim assignment based on business rules
- Claim handler absence and workload managementUser related task management with feedback and delegation
- Network partners tracking and assignment to claims
- Secure views and access control regulations at data and object levels
- Insurance claims solution enables tracking of claim payments to claimants and service providers
- Claim settlement security & authorization-based processing
- Coinsurance and Reinsurance management
- Insurance solution provides conversion into digital document repository for claim documents and photos
- Digital signature and marking features
- Auto document number generation and assignment to link with claims
- Mobile scanner and portal integration for field agents
- Insurance solution will be useful for automatic and manual reserve allocation
- Full audit trail of the reserve history and development
- Automatic reserve threshold enforcement
- Multi-currency reserves and payments
- Insurance claims solution contribute to effective fraud detection tracking from intake data
- Alerts and indications for fraud detection
- Risk Management Icons designed to draw attention to key events such as litigation, fatality, possible fraud etc.
- Escalate Risk alerts to assessors
- Integrated policy and coverage verification.
- Fast track claim determination with decision support process.
- Investigation and fraud detection features.
- Claimant and claim history review facilities
- Payout administration.Multiple payment arrangement creation and tracking.Sums insured and deductible control.ALAE and ULAE management features
- Vendor and User Management
- Individual and organization contact management.Identify parties near by claim location.Vendor/provider management.Assignment of multiple roles and relations
- Customizable Dashboards and Scorecards based on user’s function and role
- Easily Configurable for additional Roles, KPI and users
- Industry standard key performance Indicators and claim metrics to plan and monitor performance efficiency
- Analysis of each KPIs individually against the targets set
Payments and Recovery
- Automated handling limit, reserve and authority checking
- Security levels for access to claims management system by roles, transaction type, line of business, feature type etc.
- Identifying and tracking recoverable from reinsurers
- Multiple reserves and payments with follow up of recoveries from subrogation and salvage
- Pre-defined operational and claims trend Adhoc reporting tool
- Easy configuration of dashboards and reports to suit the claims management needs of your business unit