What is Claims Management Software?

Claims management software is a software designed to automate and streamline the process of managing insurance claims. Insurance companies use claims software to manage claims more efficiently and effectively, reducing costs and improving customer service.

Shaping the Future of Claims Managment

FINEOS Claims is not just an option but a critical tool for business success. Utilized by over 50 insurance organizations worldwide, FINEOS Claims supports both group and individual claims on a single platform. It’s been successfully implemented by carriers of all scales, from small departmental teams to extensive operations handling millions of claims.

Claims Integration for 2021 and Beyond

Regardless of whether you work for an employee benefits carrier, a brokerage, or an employer, claims integration is at the core of driving superior customer service. Industry experts from Milliman, Aon and FINEOS unpack how this can be accomplished across varying lines of business in the market.

In this session you’ll learn:

  • The market trends for claims integration
  • How modern technology can enable your integration strategy
  • What the future holds for claims experiences and expectations

Maximizing Benefits, Minimizing Claims Management Effort

Empower your insurance organization with FINEOS Claims management software, offering superior customer service, deep insight, streamlined administration, and improved claimant outcomes.

  • Offer superior customer service
  • Gain insight
  • Improve claims administration
  • Achieve better claimant outcomes

Deliver superior customer service with an effective Claims Processing Software

With the right claims processing software, you can:

  • Increase your knowledge of customers
  • Build trust
  • Increase customer retention

Gain Valuable Data Insights to Adapt and Improve Your Claims Processes

Learn how you can:

  • Optimize and reconfigure the claims process to meet changing circumstances
  • Accurately forecast reserves
  • Improve understanding of customer lifetime value

A Single Comprehensive Application for Efficient Claims Administration

Insurance claims management software can help your business improve claims administration:

  • Improve customer service
  • Gain full and detailed audit trails
  • Automate standard processes

Achieve better claimant outcomes

  • Reduce claims duration through improved rehabilitation and return to work
  • Improve reserve accuracy through tighter claims tracking and better claims management
  • Improve claims outcomes – for the claimant, the employer and the insurer.

Novarica Market Navigator Report Validates FINEOS as Market Leader

Claims gained ground as one of the most critical capabilities an insurer needs to meet heightened customer expectations.

Claims Management Resources

Claims Management Webinars

FINEOS AdminSuite

FINEOS Absence

  • Absence management software
  • Integrated with FINEOS Claims
  • Covered paid and unpaid leaves
  • Simplifies Compliance
Absence Management Software

FINEOS Billing

  • Billing management solution
  • Combined or separate bills
  • Reduced billing leakage
  • Automated cash application
Billing Management Solution

FINEOS Claims

  • Claims management software
  • Provides straight-through processing
  • Increases accuracy and compliance
  • Covers payments and return to work
Claims Management Software

FINEOS Payments

  • Payments management solution
  • Automated
  • Accurate
  • Payroll Continuity
Payments Management Solution

FINEOS Policy

  • Policy admin system
  • Set up cases quickly
  • Service all tiers and admin modes
  • Connect to digital ecosystem
Policy Administration System

FINEOS Provider

  • Provider management software
  • Drive outcome-orientated engagement
  • Manage service approvals
  • Accelerate rehabilitation and return to work
Provider Management Software

FINEOS Quote

  • Group insurance quoting software
  • Fast Life, Accident and Health quoting
  • Extend quoting to distribution
  • Comprehensive workflow
Insurance Quoting Software

FINEOS Rate

  • Group insurance rating software
  • Real-time data manipulation
  • Automated complex rating
  • Award-wining, patented technology
Insurance Rating Software

FINEOS Underwrite

  • Group insurance underwriting software
  • Integrated underwriting tools
  • Efficient collaboration
  • Comprehensive quote management
Insurance Underwriting Software

FINEOS Claims Management Software – Frequently Asked Questions

What is claims management software?

A vital component within claims management is claims administration, encompassing all administrative facets of the claims procedure, including documentation, paperwork, and effective collaboration with claims administrators or adjusters to maintain seamless communication

What is claim management in healthcare?

Claim management in healthcare refers to the process of handling and overseeing medical insurance claims from the point of submission to the final resolution of payment. This process involves checking if the request is correct, processing it, making sure it follows the insurance rules, and deciding how much should be given.

Why choose claims management software?

Claims management software can have many benefits for business including superior customer support, better claimant outcomes and, improved claims administration. Businesses can also gain insight through accurately forecast reserves and improved understanding of customer lifetime value with claims processing software.

Is the FINEOS Claims Management solution widely used?

FINEOS has over 50 Life, Accident and Health insurance customers globally; including 7 of the top 10 group life and health carriers in the US and 6 of the top 10 life and health carriers in Australia.

Does claims management software integrate with absence management software?

FINEOS Claims Management software integrates seamlessly with FINEOS Absence software providing a full absence management solution.

Does our claims management software support IDAM (integrated disability and absence management)?

The FINEOS IDAM solution holistically addresses absence management, claims management, payments and policy administration.

Does claims management software handle group insurance?

FINEOS Claims is the leading Life, Accident and Health customer-centric, web-based claims management software for both group and individual.

Does claims management software support group and individual life insurance?

Yes, our insurance claims management solution supports both group and individual life.

Does FINEOS claims management solution include disability claims?

Paid leave, unpaid leave and disability are integrated within FINEOS Claims.

How can I improve claims management with FINEOS Claims?

FINEOS Claims Management software improves claims outcomes by streamlining eligibility management and driving operational efficiency.

How can FINEOS Claims Management software reduce my costs?

Our claims management solution reduces claims administration costs by increasing process accuracy, reducing redundancy, and enabling faster service, fewer staff, and fewer calls.

How can FINEOS Claims Management improve adherence to legislation and regulations?

FINEOS Claims software integrates processes for HIPAA compliance, ERISA, Social Security and Unfair Claims Practice statutes and has ACORD-compliant interfaces, offering streamlined reporting, automated claim file assembly and easy access to change history.

How can a claims management software improve customer insights?

FINEOS Claims via FINEOS Engage provides omnichannel access with real-time insights.