Claims Case Management Life Insurance Solutions

Claims processing software helps life insurers properly adjudicate claims

When original policy information is hard to find, processing a death claim can become difficult for Life Insurers. To properly adjudicate a claim, examiners must have access to all of the information pertaining to the incident.

OnBase improves claims processing by storing information in one central location and utilizing business process management tools (OnBase Workflow) to automate tasks like verifying coverage and tracking missing or required information. Because OnBase integrates with Claims Handling Systems, such as LifePro, as well as home grown AS400 Mainframe systems, examiners access documents and data from within one single interface.

Case Management provides Life insurers more control over claims

For more complex claims product lines, such as short and long-term disability, cancer, accident and so on, the OnBase Case Management Solution allows insurer to dynamically interact with the claims process, handling even non-linear aspects of claims processing. Insurers create tasks on the fly, monitor items that are “Not in Good Order”, and access pend/diary items that need further review.

Insurers who use the OnBase Case Management solution are able to reduce costs, improve time to decision and reduce claims leakage. OnBase Insurance customers that have deployed the OnBase Workflow and OnBase Case Management solutions have found that, in many cases, automating just one step saved 30 minutes of work in claims. OnBase customers who manage the First Notice of Loss (FNOL) process in OnBase have experienced staggering results, resolving new claims that previously took days within 24 hours.

With the OnBase Claims Case Management Solution, claims administrators or examiners manage all aspects of a claim, from early assessment to investigation to settlement. From the onset of the claim through the determination, insurance carriers must complete many tasks – collecting, reviewing and maintaining the supporting documentation to assess the claimant’s coverage, validating statements and negotiating the payment of claims. The OnBase Claims Case Management Solution allows claims examiners to easily access information, schedule tasks, notifications, and time-based reminders increasing efficiency across claims operations even during times of higher volume. Additionally, OnBase seamlessly integrates with financial systems to manage payment schedules, providing better control over the release of funds and providing the ability to track and audit claims-related activities to reduce compliance risks.

Key Benefits

•   Increases productivity by reducing the need to search for information across multiple data sources
•   Ensures tasks are completed in a timely manner with reminders, timers, notifications, and other communications
•   Improves compliance through greater visibility, audit ability and adherence to internal controls
•   Reduces time to decision with immediate access to information