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Claims Administration Software

Using Ventiv, combat inefficiency, waste, and overpayment and focus on costs, outcomes, and service

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Who is using Ventiv

  • Seal County of Los Angeles
  • Indiana Public Employers Plan
  • Tribal First
  • Cox Enterprises
  • The Mosaic Company
  • Nestlé
  • Seal-State-of-Georgia-sm
  • Takeda
  • Saint-Gobain
  • Henkel
  • Stagecoach
  • Travelopia
  • Textron
  • Uniting Church in Australia
  • Logo-Imperial-Brands-sm
  • 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

claims manager or administrator stressed leaning between stacks of claims files

Challenges facing claims departments today

escalating-claims-severity-graphic

Escalating claims severity

dwindling-claims-talent-graphic

Dwindling claims talent

increasing-claims-duration-challenge-graphic-simple

Increasing claims duration

regulatory-changes-graphic

Regulatory changes

manual-process-graphic

Lack of automation

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

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

Stay up to date with compliance changes

With our dedicated compliance department, never worry about not being current.

Streamline management and dissemination of content for claims

Our claims administration software allows you to focus on claim settlement, not administrative tasks.

Achieve clarity and efficiency in CMS reporting

Produce the best possible financial and compliance outcomes.

Identify potentially high-cost claims early

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

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 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.

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.

Content Management with Distribution

 

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, 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.

Ready to learn more?

CoLA-bg

A Unified Solution for the County of Los Angeles

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 User Experience

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

Powerful & Robust Self-service

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

1099 Processing

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

ISO Claims Search

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

Printing of Checks

Decrease the costs of producing checks. Now print the checks directly from the system or interface with a third-party printer.

Incident Management

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

Document Management

Realize a completely paperless environment with electronic filing. Control access to receive and view documentation.

Business Rules

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

Standard Data Exchanges

Claims admin software that allows for importing of data from external sources and other internal systems at your desired frequency.

claims administration software, claims admin software

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

Attain a deeper understanding of claims, predict outcomes, and take preventive actions to optimize performance.

As Seen on G2 & TrustRadius

5-stars

"Everything in one system to make the end user experience easy to navigate- no other software needed."

Cindy Smith
Workers Compensation Claims Manager, NC League of Municipalities

5-stars

"I love using the Reporter and Scheduler tools. They are very user-friendly and very helpful in doing my monthly reporting."

Rebecca C.
Management Analyst, Los Angeles Department of Water and Power

4-stars

"The ease of access to our claim data has allowed us to make internal improvements in handling our claims. We are able to easily identify trends and make necessary recommendations to our members based on the data."

Katherine C.

5-stars

"Ventiv is responsive to our need. Ventiv Claims provides capability to automate tasks to increase productivity."

Eva P.

4-5-stars

"CE allows us to manage claims and provide solutions to our members. CE allows our adjusters to work efficiently while allowing management to monitor progress and track productivity."

Lisa M.
Sr. VP of Claims & Risk Management, Brown & Brown

5-stars

"Ventiv Policy has unlocked the ability to expand business. The policy site has allowed us to expand our business in ways we would never have been able to with our previous underwriting methods."

Katherine Cooley

4-stars

"Ventiv is easy to learn and use. I appreciate that the system allows me to upload and secure data quickly and easily."

Tawni B.
Executive Assistant to CEO & President, HPIC (Healthcare Providers Insurance Company)

5-stars

"Ventiv is like family. Everyone is accessible and well-versed in the product."

Debbie M.

4-stars

"I like the modules and ease of use. I like the new dashboards and plug-and-play format."

Dr Tyrone S.
Division Chief, City of Los Angeles

4-stars

"Full Claims solution down to every detail. The product utilizes document workflows, trigger business rules, oracle procedures to create a business process that is easy to use."

Richard M.
System Administrator, Intermountain Healthcare

5-stars

"Ventiv offers consistency and thoroughness; can reliably find claims and navigate through the behavior of the functionality."

Patricia V.

4-5-stars

"I feel Ventiv truly understands my industry, CA Workers Compensation. They have a very good compliance department that helps me keep on top of all state requirements. The application itself is pretty user friendly for my examiner staff. The layout is nice as well as the coloring scheme of the screens."

Gabriel Rodriguez
Executive Director, Workers’ Compensation, Self-insured Schools of California

5-stars

"Ventiv Policy is a great tool that has a way of breaking down policy administration into an easy-to-understand process."

Gail Alexander

4-5-stars

"Ventiv Claims Enterprise provides an excellent path for multiple users to pick-up and understand what has transpired on the claim and the current claim status."

Jeanette Romo
Principal Analyst –WC Program Manager, LADWP

4-5-stars

"Once Ventiv assigned a Customer Success manager to us, work life has been amazing working with Ventiv. Ventiv customer support doesn't just help you fix issues, they teach you how they fix issues."

Verified User

3-5-stars

"I like the flexibility of the user interface, the power of business rules and the functionality of ad hoc reporting. I also really like the people we work with -- they put in effort to help us move forward."

Jeanne S.

Want to talk?

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

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

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Considering a claims admin software 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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With 500+ global customers 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 software.

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