Claims Administration Software

Who is using Ventiv

Workers’ Compensation

Integrated FROI / SROI automation and processing
Over 1,600 jurisdictional form letters delivered and maintained in solution
Jurisdictional compensation rates kept in the system for ease of benefit, reserve, and payment calculations
Standard Bill Review interfaces to facilitate the best Medical Management Cost Containment solutions on the marketplace
Scheduled payment features to handle Indemnity payments
Reserve and payment workbooks
Work Status can track Restricted Duty segments

Employee Benefits

Manage Short Term Disability, Long Term Disability, and FMLA
Plan Rates can be stored, retrieved, and integrated with Microsoft Excel Reserve Workbooks
Reserve and payment workbooks
Integrated tax tables for benefit calculation
Work Status can track Restricted Duty segments
Scheduled payment feature to manage recurring payments

Liability

All Liability lines including General Liability, Professional Liability, Errors & Omissions, Directors and Officers
One-to-many claimant-to-claim relationship with ability to set documents, correspondence, and notepads at incident level
Reserve and payment workbooks
Standard policy interface to include insured, policy, coverage details, and asset information
Subrogation and litigation modules allow for tracking and financial management
Companion claim feature and catastrophe codes allow for linking of multiple claims together for reporting and financial accounting

Commercial Auto

Detailed vehicle and asset modules to track fleet
Reserve and payment workbooks
Automobile conditions tracking for police report data
Subrogation and litigation modules permit tracking and financial management
Companion claim feature and catastrophe codes allow for linking of multiple claims together for reporting and financial accounting

Property

All property types
Standard policy interface for insured, policy, coverage, coverage details, and asset information
Reserve and payment workbooks
Special instructions
Companion claim feature and catastrophe codes permit the linking of multiple claims together for financial accounting and reporting

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.

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

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.

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, 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.

Make informed, timely decisions.

Slice and dice your data in limitless ways to get the insights you need to make fast, smart choices.

Identify hidden opportunities.

Find ways to reduce costs and modify coverage by asking simple questions using Ventiv's claims administration software.

Shine a light on those problem areas.

Identify root cause(s) through data-driven, interactive analysis of major contributing factors.

Create and support your strategy.

Pull together the data you need to build consensus and support for your risk and insurance objectives.

Deploy resources and measure findings.

Deliver metrics, information, and insights to distribute resources to increase your returns.

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Products

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Your Business

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Claims Administration Software

Claims Administration Software

One of the key benefits we get from Ventiv is enhanced efficiency. It allows our adjusters to navigate easily through the different components of the claim and put more focus on getting an optimal outcome for the injured worker.

Challenges facing claims departments today

Ventiv Claims enables

Increase claims automation

Decrease claims costs

Lower loss adjustment expenses

Enhance customer experience

Improve adjuster efficiency

Reduce compliance costs

Claims admin software that handles claims with speed and precision

Stay up to date with compliance changes

Streamline management and dissemination of content for claims

Achieve clarity and efficiency in CMS reporting

Identify potentially high-cost claims early

Accelerate claims admin workflows and improve productivity

Satisfy state and federal claims reporting requirements

Transform your approach to content management and distribution

Automate a complex process and gain expertise from Franco Signor

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

Ready to learn more?

A Unified Solution for the County of Los Angeles

Improve Outcomes and Efficiency with the Adjuster's Preferred System

Modern User Experience

Powerful & Robust Self-service

1099 Processing

ISO Claims Search

Printing of Checks

Incident Management

Document Management

Business Rules

Standard Data Exchanges

Make better, faster, more accurate decisions that minimize risk and maximize value with advanced analytics

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With Ventiv Patient Safety, we have all of our claims and incident data in one system, and we can better understand event trends and drivers with advanced analytics and reporting.

One of the key benefits we get from Ventiv is enhanced efficiency. It allows our adjusters to navigate easily through the different components of the claim and put more focus on getting an optimal outcome for the injured worker.

We have more than ten-year relationship with Ventiv. There’s a really strong level of trust in our relationship, which gives us confidence that the team at Ventiv is advising us based on their experience with us and knowing what we need and why.

Working with an experienced provider like Ventiv Technology is an important precondition of achieving our goals and furthering the mission of the County of Los Angeles.

Having the Ventiv team’s guidance was such a great benefit for HPIC. There were many times we turned to Ventiv to ask what other Ventiv clients in our line of work were doing; access to best practices is something we really appreciated.

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