Claims Administration Software

Accelerate claims admin workflows and improve productivity

Insurance claims are costly, complex transactions involving multiple parties, systems, and regulatory concerns.

Efficiency is key to driving optimal outcomes. Improve the bottom-line performance with our claims administration software by:

• Accelerating workflow and improving productivity
• Addressing regulatory issues with compliance support
• Tightly integrating information, systems, and people
• Using advanced analytics and reporting
• Reducing inefficiencies, waste, and overpayments

Coverage-specific lines include:

Satisfy state and federal claims reporting requirements

Always be up to date with ongoing local, state, and federal compliance changes. Ensure appropriate interactions with claimants and governing entities at every stage with Ventiv's claims administration software.

Ventiv maintains these for you, so you can focus on improving claim outcomes:

• IAIABC reporting for mandatory jurisdictions
• Compensation benefit rates for U.S. jurisdictions
• Jurisdictional forms for U.S. jurisdictions
• CMS reporting
• OSHA reporting
• W-2 for disability
• 1099 reporting, including TIN-matching feature

Transform your approach to content management and distribution

A typical claim generates a large volume of content: notes, correspondence received and sent (both email and physical), task assignments, document images, and more. For claim adjusters, selecting and distributing claim-related content is a frequent, time-consuming task.

With Ventiv's claims administration software, simplify the process of reviewing, selecting, compiling, and distributing claim-related content to authorized third parties with a central distribution printer, stuffer, and mailer for the actual physical mailing of content.

Automate a complex process and gain expertise from Franco Signor

For many claim organizations, MMSEA reporting is an administrative burden. It’s also the source of financial and regulatory uncertainty.

Now you can deliver the best financial and compliance outcomes from Medicare, Medicaid, and SCHIP Extension Act responsibilities with advanced CMS reporting powered by Franco Signor.

Automate a complex, manual process and gain expertise from a long-time industry leader in CMS compliance solutions. 

Integrate ODG's clinical guidelines and analytics into making claims decisions

Reduce costs and improve efficiency by identifying potentially high-cost claims early. With evidence-based treatment, you can improve performance for return to work, medical management, reserving, and risk assessment.

Integrate ODG's clinical guidelines and analytics into claims decisions to generate a risk assessment score. Account for claim intake information with an RTW comorbidity calculator, including all available diagnosis codes, demographics, and confounding factors.

With Ventiv's claims administration software, forecast projected disability duration using predictive analytics on the ODG claims database of about three million claims. Use output data to project target disability duration, benchmark lost time, and demonstrate savings.