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Claims Administration

Claims Administration System

Combat inefficiency, waste, and overpayment and focus on costs, outcomes, and service

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Who is using Ventiv

  • County of Los Angeles
  • Indiana Public Employers Plan
  • Tribal First
  • Cox Enterprises
  • The Mosaic Company
  • Nestlé
  • State of Georgia
  • Takeda
  • Saint-Gobain
  • Henkel
  • Stagecoach
  • Travelopia
  • Textron
  • Uniting Church in Australia
  • Imperial Brands
  • Decathalon
  • Schlumberger
  • HPIC
  • K&S Freighters
  • Marriott

What they are saying about Ventiv

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.

Lisa Mohler, Vice President of Claims and Risk Management, Indiana Public Employers' Plan

Handle claims with precision and speed

Save your adjusters valuable time and promote a total focus on claim resolution.

Remain current with compliance changes

With our dedicated compliance team of experts, never worry about being out of date.

Streamline management and delivery of content for claims

Focus on claim settlement, not administrative tasks using Ventiv's claims administration system

Achieve clarity and efficiency in CMS reporting

Deliver the best financial and compliance outcomes possible.

Locate potentially high-cost claims early

Improve performance for return to work, reserving, medical management, and risk assessment.

Accelerate workflows and improve productivity

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

Effectiveness is the key to driving optimized outcomes. Enhance bottom-line performance with our claims administration system by:

  • Accelerating workflow and improving productivity
  • Tightly integrating data, systems, and people
  • Tackling regulatory issues with compliance support
  • Decreasing inefficiencies, waste and overpayments
  • Leveraging advanced analytics and reporting

Coverage-specific lines include:

Meet federal and state claims reporting requirements

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

We maintain these for you, so you can focus on improving claim outcomes:

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

Transform your tactics to content management and distribution

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

Streamline 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 physical mailing of content.

Content Management with Distribution

 

Automate a complex process and benefit from the expertise of Franco Signor

For most claims 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.

With Ventiv's claims administration system, automate a complex, manual process and gain expertise from a long-time industry leader in CMS compliance solutions.

Integrate ODG's analytics and clinical guidelines into 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 with Ventiv's claims administration system. Account for claim intake information with an RTW comorbidity calculator, including all available diagnosis codes, demographics, and confounding factors.

Forecast projected disability length of time using predictive, AI-powered 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.

Ready to learn more?

CoLA-bg

A Unified Solution for the County of Los Angeles

Learn how the County of Los Angeles uses Ventiv Claims for risk management, claims administration, disability and leave management, corrective action plans, legal case management, and more.

Read their success story

Improve Outcomes and Efficiency with the Adjuster's Preferred System

Modern UX

The intuitive user experience is designed for key roles such as adjuster, supervisor, risk manager, and healthcare professional.

Powerful Self-service

With self-service claims admin system tools, you can easily configure the system to your needs without technical support.

1099 Processing

Provide both paper and electronic reporting of payments to providers and claimants in multiple 1099 formats.

ISO Claims Search

Locate vital data on property, casualty, and automobile claims, including physical damage, theft, and salvage information.

Check Printing

Reduce the costs of producing checks. Print checks directly from the system or interface with a 3rd party printer.

Incident Management

Integrate investigation, root cause analysis, and corrective actions with incident intake to make necessary safety improvements.

Document Management

Achieve a paperless environment with electronic filing. Control the access to receive and view documentation.

Business Rules

Automatically create diary records, form letters, emails, reserves, notes, and more based on over 1,000 events or conditions.

Standard Data Exchanges

The claims administration system allows importing of data from external sources and other internal systems at your desired frequency.

claims administration systems, claims admin systems

Make better, swifter decisions that minimize risk and maximize value with advanced analytics

Gain a far deeper understanding of claims, predict outcomes, and take preventive action to optimize performance.

Ready to learn more?

Want to talk?

You have questions about our claims administration system...we have answers!

Let’s talk about how we can move your business forward.

Download eBook

Considering a claims admin system technology purchase?

Download our Essential Guide to Claims Technology in a Changing Environment.

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Why should Risk and Claims Managers use AI-Powered Analytics?

This short video covers 7 reasons just focused on claims.

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Ready to move your business forward?

Let’s Talk

With 500+ customers around the world and counting, Ventiv is one of the premier leaders in the risk management, insurance claims and advanced analytics space. Helping some of the biggest brands on the planet with products like our industry leading claims administration system.

Fill out the form, email us at contact@ventivtech.com or call one of our many global office locations to get the conversation started today on moving your business forward.