Benefits of Claim Management Software

One Solution for Multiple Lines of Business

  • Increases 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.
  • Enables your team to share 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.
  • Ensure the right person is doing the right thing at the right time.
  • Quickly adapt to business process changes.

Configurable Auto-Adjudication

  • Increases efficiency and reduce operational effort.
  • Improves claim turnaround times.
  • Reduces potential human errors to increase accuracy.

Claim Intake

  • Reflexive and completely configurable claim intake allows you to specify the information you need to capture up front.
  • Automate eligibility determinations based on the information gathered.
  • Configure 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.
  • Consolidates views of all case notes.
  • Enables your team to export the full, or a portion of, the Case Management as a PDF.
  • Enables you to configure the view per user, allowing you to manage what each team has access to.

Benefit & Payment Calculation

  • Increase efficiency through automatic calculations.
  • Increase the quality of calculated outputs, including benefit calculations, payment calculations, payment corrections, scheduling, and varying frequency, and expense payment.
  • Provide automatic offset calculations, such as Return to Work, based on information pulled or entered into the central platform.

Claimant & Beneficiary Centric

  • Helps to improve the customer experience.
  • Assists with correspondence clarity, providing unique communications to each contact.
  • Provides independent payment calculation and multiple release schedules based on payees.

Customer Portal

  • Gives 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

  • Provide better insights to detect patterns in your claim data.
  • Enable you to make data-driven decisions.
  • Give you on-line reporting capability, with access to real-time data and a drag and drop interface for easier reporting.

Integration

  • Increases operational efficiency by improving the flow of information between systems.
  • Reduces effort required by eliminating duplicate data entries.
  • Gives better transparency across your business.

Regular Software Updates

  • Your ClaimVantage software is never out of date.
  • Bring products to market more quickly.
  • New features and functionality available every 6 weeks.
  • Leverage 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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