Claims Management Software

All businesses get some type of claims starting from customer complaint and up to employee’s claim for benefit, business mileage or workers compensation. Proper claims management require input and contributions of numerous employees and departments and it is vital for business to ensure a smooth claims process for all involved.

Non-coding claims management software by Comindware enables businesses to automate claims processing with ease. Design, run and modify claim settlement workflows that are highly intelligent, agile, and ready to deliver ROI. Claims processing system empowers non-technical users to create their own processes, optimize and reconfigure the claims workflow on-the-fly to meet changing circumstances.

Automated Claims ProcessingComindware

Automated Claims Processing

Get end-to-end claims workflows that are customer-focused, cost-effective, and adaptable automated and running within days, not months.

  • Full automation and elimination of operational inefficacies and legacy issues
  • Visual workflow editor for easy workflow design and Business Rules setup
  • Timely and accurate claim routing and notifications
  • Sequential or parallel workflows to specify whether documents are reviewed and approved in a specific order or by multiple reviewers at the same time.
Agile Workflow and Specific ClaimsComindware

Agile Workflow and Specific Claims

Enjoy advantage of on-the-fly changes to claim forms and automated claims management workflows and claims processing software flexibility.

  • Automatic claim route by product, amount, department or any field data
  • Designated alternative approvers
  • Both manual and automatic claims routing and processing based on configurable business rules
Claim Submission FormsComindware

Claim Submission Forms

Configure different claim forms for various claim processing scenarios in a web-based claims management software.

  • Graphical form builder available via both mobile and desktop web browsers
  • Configurable tabs and data fields
  • Standardized claims management and processes across company units
  • Changes to claim forms during claim management workflow execution
  • Claims data export to MS Word and MS Excel
Claim Processing Transparency and ComplianceComindware

Claim Processing Transparency and Compliance

The claims management software ensures that all claims data – such as associated policies, claims history and similar cases are immediately available to enable claims settlement.

  • Transparent view of the entire claims process — from initial notification to claims disposition and settlement
  • SLA and compliance management
  • Data and document centralization
  • Policy and contract management
  • Reports on efficiency of claims management process overall or for individual claims

Powerful and easy claims management tool you were seeking. Risk-free trial!

Insurance Claims Processing Challenges

Claims management is one of the key services insurance and healthcare companies provide. Common challenges are multiple user environments and applications, conflicting and duplicating data, manual task hand-offs and as a result – errors and delays resulting in degraded customer experience.

Leading businesses in the highlighted industries would utilize insurance claims management software and health insurance claims management software to ensure the following benefits:

  • Higher productivity and lower operational costs
  • Improve service levels and customer satisfaction
  • Higher visibility into claims processing
  • Accurate and streamlined claims decisions

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In Cloud & On-premise
Comindware in Cloud
In Cloud & On-premise

Comindware® provides both on-premise and in Cloud deployment options as well as enables flexible transition between these options if needed.

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Regardless of the device type – tablet, phone or ultra-book – Comindware ensures a fully consistent user experience and operational continuity.

API and Integrations
API and Integrations
API and Integrations

Comindware provides advanced integration capabilities including bidirectional integration scenarios as well as support for both fine grained and bulk export operations – all available through Web Services open API’s and built-in enterprise service bus.

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