insurance claims management software

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.

• User Management

  Manages users across the applications

• Master Data Management

  Manage and configure master values

• Service Provider Management

  End to end empanelment of various service providers

• Product Setup

  Configuration of product parameters

• Claims Management

  Workflow driven processing of claims

• Payments & Settlements

  Calculation of net liability and generation of settlement reports

• Business Rules Management

  Configuration of business rules to enable automation of claim processing

• Business Intelligence & Analytics

  Generation of insights by studying historical data

• Grievance Management

  Capture and track status of complaints

• Communication Management

  Configurable notifications to all stakeholders, on defined trigger events

• Reduce Claims Turnaround Time (TAT)

  Enables straight through processing of Pre-auth/Claims with real time claims data

• Reduce Claims Fraud

  Auto flagging of claims, assigning suspect cases for investigation, capturing suspect claims details along with audio video evidence

• Reduce Claims Leakage

  Eliminate inconsistencies in the claims management process such as over payment of claims due to erroneous billing, human errors, etc.

• Enhance Customer Engagement

  Readily integrates with iNube’s enterprise mobility solutions, for real-time flow of data from the field, thus helping in faster claims processing