At ClaimVantage we fully understand the nature of your business as a Third-Party Administrator (TPA). Taking control and managing the benefits for many employers requires a lot of flexibility, organization and responsibility, to ensure all employer groups are set up correctly and managed based on their specific business processes.

To improve your competitive ability in the market, we have developed a range of cloud-based claims administration software solutions to enable you to:

  • Improve your claim processing efficiency.
  • Automate manual processes and documentation creation.
  • Store everything in one place, and access data in real-time.
  • Improve document management.
  • Interface with multiple systems.
  • Automate workflow tasks to improve efficiency.

We offer a range of claims administration software solutions to increase your product offerings to the market.

Key Solutions

Key Features

Customer Portal

The Customer Portal provides easy access to relevant claim information and documents, allowing the initiation of a claim from anywhere.

Customer Portal

Reporting

Choose between preconfigured best practice report templates, or create your own reports using the easy drag and drop interface.

Reporting

Reflexive Claim Intake

Reflexive questioning ensures all necessary data is collected during the claim intake process, enhancing standardization and efficiency.

Reflexive Claim Intake

Benchmarking

Built-in benchmarking functionality make it easy for you to compare claim data against industry standards and focus on high-risk claims.

Benchmarking

Case Management

The ClaimVantage Case Management Journal allows you to effectively manage Action Plans, Eligibility, Medical Diagnosis, Communications, and Return to Work.

Case Management

Payments

Whether you want to consolidate payments, set up automated scheduling, or make a lump sum payment the ClaimVantage Solution meets your needs.

Payments