Who are the users of this solution?
- Insurance Claims Team
- Providers
- Members (Corporate & Individuals)
- TPAs
- Corporate HR
- Claim Investigators
- Regulators
Ensure transparency and compliance for quick claims settlement with streamlined workflows using ClaimsLive – a state-of-the-art technology platform for end -to-end health claims management and motor claims management
ClaimsLive is a comprehensive and modular platform that aids collaboration among various stakeholders throughout the claims handling process, automates claims management processes and enables insurance claims fraud detection.
This insurance claims management software comes with mobility extensions for customers, investigators, auditors etc., to ensure greater accessibility.
Who are the users of this solution?
Explore the distinctive features of this unique insurance claims management software, that helps in delivering value in terms of fraud detection, operational agility and process digitization
Enterprise Level Integration
API driven microservices based architecture
Configurable Modules
Robust and elaborate benefits administration module
Enable Auto Adjudication
Rule-based triggers for straight through processing of claims and flagging non-compliant claims
Configurable Business Rule Engine
Identify and generate alerts for fraud/ suspicious claims with smart validation
Stakeholder Collaboration
Individual self-service portals for each stakeholder for specific functionality
Mobility Solutions
Investigate fraudulent and suspect claims using mobile apps developed by iNube’s proprietary Evidens mobility platform
ClaimsLive platform comprising core functional blocks in a modular setup. Each of the functional blocks or a group of functional blocks, may be leveraged independently to fit into the existing IT ecosystem of the insurance company
Manages users across the applications
Manage and configure master values
End to end empanelment of various service providers
Configuration of product parameters
Workflow driven processing of claims
Calculation of net liability and generation of settlement reports
Configuration of business rules to enable automation of claim processing
Generation of insights by studying historical data
Capture and track status of complaints
Configurable notifications to all stakeholders, on defined trigger events
ClaimsLive insurance claims management software comes with a host of benefits, designed to meet your business objectives
Enables straight through processing of Pre-auth/Claims with real time claims data
Auto flagging of claims, assigning suspect cases for investigation, capturing suspect claims details along with audio video evidence
Eliminate inconsistencies in the claims management process such as over payment of claims due to erroneous billing, human errors, etc.
Readily integrates with iNube’s enterprise mobility solutions, for real-time flow of data from the field, thus helping in faster claims processing
Interested to learn how ClaimsLive helps
streamline claims management?
Join the conversation on ClaimsLive.
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Enable insurance companies to conduct on-field claim investigations electronically and help reduce TAT for claim settlement
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