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Integrate your Claims

For operational excellence

Our Integrated Disability and Absence Management (IDAM) software helps you to streamline the life cycle of each claim end-to-end, to increase efficiency and productivity.

Introduce Effective

Employee assistance

Our Integrated Disability and Absence Management (IDAM) software solution provides an integrated approach to managing disability benefits and employee leaves of absence, allowing you to better manage each case end-to-end while helping you achieve cost and administrative efficiencies.

Built by industry experts, this cloud-based software solution is hosted on the Salesforce Lightning Platform. Digitally managing the evolution of a claim on one central platform ensures all data is tracked and reported on, providing you with valuable insights for planning. This integrated approach offers you a competitive opportunity to introduce effective employee assistance and return to work programs while improving employee satisfaction.

IDAM Software

Solutions

Our Integrated Disability Management (IDAM) platform seamlessly integrates our claims and absence management software solutions, enabling you to effectively manage both benefits in one central location.

Managing a workforce is challenging, with leaves of absence further complicating business processes. Rather than focusing on each leave and claim request separately, our IDAM software solution manages both in one end-to-end claim management solution. The software helps you to masterfully balance leaves of absence alongside short-term disability (STD) and long-term disability (LTD) claims, while keeping you compliant with complex regulations like FMLA.

Key Features

IDAM software

 Automated Workflows and Tasks

  Reflexive Claim Intake

  Case Management

 Adjudication

 Benefit and Payment Calculation

Automated Workflows and Tasks

  • Ensure the right person is doing the right thing at the right time.
  • Increase efficiency and reduce operational effort.
  • Increase accuracy and reduce human error.

Reflexive Claim Intake

  • Multiple claim creation ensures the right information is captured at intake.
  • Automated eligibility determination increases efficiency.
  • An integrated view of both absence and disability improves productivity and accuracy.

Case Management

  • See an overview of claim information in one location for increased efficiency.
  • View a consolidated list of all case notes.
  • Customize views by role, to manage what different users have access to.
  • Export all, or a portion of, case management data as a PDF.

Adjudication

  • Disability claim approval automatically triggers approval of applicable leaves, for increased efficiency and productivity.
  • Information and claim status is shared between absence and disability claims, for increased efficiency.

Benefit and Payment Calculation

  • Automate offset calculations such as return to work (RTW) based on information pulled from an existing system or manually entered into the IDAM system.
  • Increase the quality of calculations for benefits, payments, payment corrections, payment scheduling, and expense payments.
  • Boost efficiency and productivity.

The Right Vantage Point

For your business

Increased Efficiency

Improve your operational efficiency by 30%

Replacing your legacy system with ClaimVantage claim management software can increase operational efficiency by 30%. Increased efficiency can be achieved by:

  • Removing paper files from the claims process.
  • Reducing the number of systems a claims assessor must access.
  • Replacing manual workarounds with automated workflows and tasks.

Better Customer Experience

With accurate and timely decisions

The IDAM platform is claimant-centric to ensure you deliver superior customer service. Your customers expect to receive accurate and timely claim decisions, and the software solution is designed with this in mind. All leave and claim details can be viewed on one page, with hyperlinks to direct the system user towards additional information, increasing customer satisfaction.

Life Cycle

Of an IDAM claim

Intake

A key feature of the claim management software solution is the claim intake ‘wizard’. The ‘wizard’ guides the user with reflexive questioning to ensure the necessary data is collected to create a claim, enhancing standardization and efficiency. This process can be configured to meet your specific business needs.

Once created, a claim can be manually or automatically assigned to a user or team based on pre-defined criteria such as geographical location, or team structure.

ClaimVantage Wizard

Eligibility
Determination

An employee’s eligibility will be determined when an absence claim is created. The system will check hours worked, length of service, and the employee’s work site to provide you with an eligibility determination for both federal and state leaves, as well as any other leaves configured on the system.

Workflows and
Communication

Although there are best-in-class workflows set up as standard in the IDAM management software solution, we understand that each customer has a unique set of steps for processing claims. Our self-service workflows allow your system administrators to edit the standard configurable workflow sets, or to add new ones specific to your business needs. Workflows can be triggered when:

  1. A claim detail changes,
  2. A claim is created, or
  3. On a calendar date before or after a specific event.

These workflow sets can be used to:

  1. Create tasks to help your team manage their work,
  2. Create and send timely letters,
  3. Create and send timely emails,
  4. Create and send SMS messages, and
  5. Automate your business processes through auto-adjudication.

Leave Management

Automated workflows and tasks ensure all steps in the process are complete to meet regulatory requirements. A task list is generated to ensure the right person is doing the right work at the right time.

In the case management journal, your claim professionals can:

  • View benefit claimed details.
  • Initiate an approval process when the benefit claimed status changes.
  • Write a detailed synopsis.
  • Document an action plan and next steps.
  • Review and re-run eligibility rules.
  • Attach forms and documents.
  • Add and review notes in various categories.
  • Document and view information in many sub-categories.
  • View claim status and metrics.

Adjudication

Adjudication allows you to introduce automated workflows to the claims process based on specific rules, minimizing the need for human touch. These rules can be configured to process claims based on the benefit type, the eligibility status, and the payment specification, among other fields. Assignment rules can also be introduced with due dates to keep claim duration on track. All adjudication rules and workflows can be configured, depending on the level of automation you would like to introduce to your claims.

Regulatory Compliance
& Payments

No more manual checks on FMLA leave regulations. We maintain the system and keep the system updated, ensuring you are always compliant. PDF exports of all absence claims, containing a complete history in an easy-to-read format, are available for any DOL audit.

Our IDAM management software solution calculates payments based on the claim, policy, and benefit information provided. Whether you want to consolidate, set up automated scheduling, or make a lump sum payment our software can be configured to meet your needs. Depending on your business process, the payment calculation options can be configured to allow claim-level or beneficiary-level payments.

Claim Management

Software

Absence Management

Software

Accommodation Management

Software

IDAM

Software

Some Interesting Reading

On our IDAM management software

Take a look at our Case Studies

We’ve helped insurance carriers, TPAs and employers around the globe to perform digital transformation projects; from removing paper from the claims process, integrating multiple systems to streamline the claims process, and introducing auto-adjudication to minimize human interaction.

Learn More

Find out key features of our IDAM software

We would love to show you the unique features of our Integrated IDAM management software, so you can see how easy it is to use and how quick claims can be processed and managed.

Request IDAM Demo