Claims Administration System

Who is using Ventiv

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:

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

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
Subrogation and litigation modules allow for tracking and financial management
Standard policy interface to include insured, policy, coverage details, and asset information
Companion claim feature and catastrophe codes allow for linking of multiple claims together for reporting and financial accounting

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
Work Status can track Restricted Duty segments
Scheduled payment features to manage Indemnity payments
Reserve and payment workbooks

Commercial Auto

Detailed vehicle and asset modules to track fleet
Reserve and payment workbooks
Vehicle conditions tracking for police report information
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

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

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

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.

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.

Make timely, informed decisions.

Slice and dice your information in limitless ways to get the understanding you need to make both smart and fast choices.

Identify hidden opportunities.

Ventiv's claims administration system helps find ways to reduce costs and modify coverage by asking simple questions.

Shine a light on problem areas.

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

Build and support your strategy.

Gather the information you need to build consensus and support for your insurance and risk objectives.

Deploy resources and measure the results.

Produce metrics, data, and insights to allocate resources to enhance your returns.

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Your Business

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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.

Handle claims with precision and speed

Remain current with compliance changes

Streamline management and delivery of content for claims

Achieve clarity and efficiency in CMS reporting

Locate potentially high-cost claims early

Accelerate workflows and improve productivity

Meet federal and state claims reporting requirements

Transform your tactics to content management and distribution

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

Integrate ODG's analytics and clinical guidelines into 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 UX

Powerful Self-service

1099 Processing

ISO Claims Search

Check Printing

Incident Management

Document Management

Business Rules

Standard Data Exchanges

Make better, swifter 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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