Benefits of Claim Management Software

One Solution for Multiple Lines of Business

  • Increase efficiency by managing both group and individual lines of business and multiple benefits on one platform.
  • Improve your resource allocation to increase your team’s productivity.
  • Your team can share all pertinent documents and details at the claim level to eliminate duplication.

Configuration

  • Map your business processes and organisational structure into the platform.
  • Reduce costs associated with custom code development to support your specific processes.
  • Point and click configuration allows your system administrators to take control.

Configurable Automated Tasks

  • Increase efficiency and reduce operational effort.
  • Automatically recognise jurisdictions with statutory disability laws.
  • Ensure the right person is doing the right thing at the right time.
  • Quickly adapt to business process changes.

Configurable Auto-Adjudication

  • Increase efficiency and reduce operational effort.
  • Improve claim turnaround times.
  • Reduce potential human errors to increase accuracy.

Claim Intake

  • Reflexive claim intake, which is completely configurable, allowing you to specify the information you need to capture at claim intake.
  • Automated eligibility determinations based on the information gathered.
  • Configurable automated claim assignment to triage claims.

Case Management

  • Provides an overview of all claim data in one location, with hyperlinks to additional information to increase efficiency.
  • Consolidated view of all case notes.
  • Your team have the ability to export all, or a portion of, the case management as a PDF.
  • Configure the view for each user, allowing you to manage what each team has access to.

Benefit & Payment Calculation

  • Increase efficiency through automatic calculations.
  • Increase the quality of all calculated outputs, including benefit calculations, payment calculations, payment corrections, scheduling, frequency, and expense payments.
  • Automate offset calculations, such as Return to Work, based on information pulled or entered into the Claims system.

Claimant & Beneficiary Centric

  • Helps to improve the customer experience.
  • Correspondence clarity, providing unique communications to each contact.
  • Independent payment calculation and multiple release schedules based on payees.

Customer Portal

  • Better customer service as claimants can see claim information in real-time.
  • Empowers omni-channel offerings through mobile devices.
  • Saves costs by reducing the call volume to your call centres.

Reporting and Dashboards

  • Better insights to detect patterns in your claim data.
  • Enables you to make data-driven decisions.
  • On-line reporting capability, with access to real-time data and a drag and drop interface for easier reporting.

Integration

  • Increase operational efficiency by improving the flow of information between systems.
  • Reduce the effort required by eliminating duplicate data entries.
  • Better transparency across your business.

Regular Software Updates

  • No more legacy software.
  • Bring products to market more quickly.
  • New features and functionality available every 6 weeks.
  • Uses the underlying Salesforce architecture to bring you and your business innovative solutions.

Our pricing is as simple as 1, 2, 3

  • Salesforce Licence

To get started with the ClaimVantage Software solution you will need to purchase basic Salesforce licenses for each user. As part of our sales process, we can make the necessary introductions to the Salesforce rep in your region. If you’re already a Salesforce customer – great, let’s get started!

  • Claims Software Licence

As well as including access to the best-in-class software solutions, our license costs include access to:

  • Our monthly Focus Group meetings.
  • Our bi-annual User Group meetings.
  • Online help and end-user Documentation.
  • Our Support Desk.

We offer competitive license costs so speak to us today to discuss your license requirements.

  • One-time Implementation Fee

To ensure your project is successful our team of experts works closely with you to ensure the software solution meets your requirements. This one-time fee includes:

  • Business analyst
  • Project manager and implementation manager assistance
  • Environment set-up
  • Security and authorisation
  • Custom setting configuration
  • Workflow configuration
  • Training
  • File uploads

Additional fees will apply for integrations, custom reports and data model changes.

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