Digital Claims Management and Claims Fraud Detection

Digitizing Claims Management from the Inside Out

Ensure transparency and compliance for quick claims settlement with streamlined workflows using ClaimsLive – a new age state-of-the-art technology platform for end -to-end healthcare claims management and auto claims management

Reduce Claims Turnaround Time and Claims Leakage

ClaimsLive is a comprehensive and modular platform that aids collaboration among various stakeholders throughout the claims handling process.

This claims management software comes with mobility extensions for customers, investigators, auditors etc., to ensure greater accessibility.

Who are the users of this solution?

  • Insurance Claims Team
  • Providers
  • Members (Corporate & Individuals)
  • TPAs
  • Corporate HR
  • Claim Investigators
  • Regulators

Features

Explore the distinctive features of our 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

Variants – Digital Claims Management and Fraud Detection

Accident & Health Insurance

ClaimsLive Health, a state-of-the-art and customizable technology platform for end-to-end digital claims management and fraud detection for health insurance

Motor Insurance

ClaimsLive Motor, a versatile and customizable claims management system for efficient auto insurance claims or motor insurance claims processing

Core Building Blocks – A Modular Approach

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

  • 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

Value Proposition – How can ClaimsLive help you?

ClaimsLive technology platform for digital claims management and claims fraud detection, comes with a host of benefits, designed to meet your business objectives

  • 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

Related Solutions

P&C Claims Investigation Solution

Enable insurance companies to conduct on-field claim investigations electronically and help reduce TAT for claim settlement Know More

Live Streaming

Optimize your resources and TAT, with a pluggable software solution to live stream on-site audio video content Know More

Interested to learn how ClaimsLive helps streamline Claims Management processes?

Request Demo

We use cookies to ensure that we give you the best experience on our website.