Workers Compensation Claims Management Software

Accelerate workflows and improve productivity

Workers compensation insurance claims can be costly, complex transactions involving multiple parties, systems, and regulatory concerns.

Our workers compensation claims management software provides efficiency that is key to driving optimal outcomes. Improve bottom-line performance by:

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

Workers compensation insurance claims specifics consist of:

Meet state and federal claims reporting requirements

Stay up to date with ongoing local, state, and federal compliance changes. Be sure appropriate interactions with claimants and governing entities at every stage.

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

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

Transform your approach to content management and distribution

A typical workers compensation claim can generate 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.

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.

Automate a very 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 claims decisions

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

Combine 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.

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.