Claims Administration

Insurance claims are costly, complex transactions involving multiple parties, systems and regulatory concerns. Designed for configurability, processing ease, accessibility and automation, Ventiv's iVOS 5 claims administration solution combats inefficiency, waste and overpayment by empowering claims professionals to focus on costs, outcomes and service.

Reduce claims costs

Overcome cost and profitability challenges. iVOS 5 helps eliminate claim overpayments, supports cost containment & subrogation programs.

Ensure total compliance

Ventiv’s integrated compliance solutions are unmatched. Perform EDI submissions, stay current with compensation rates and meet CMS reporting.

Robotic process automation

Enjoy strong ROI by automating the repetitive, transactional tasks your adjusters now perform manually. Make straight-through, no-touch processing a cost-effective reality.

Get valuable insights

iVOS 5 dashboards, reporting and analytical capabiliteis provide intelligent insight into day-to-day claims handling  and insight into future trends. 

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Contain costs, improve efficiency, optimize staff resources

iVOS 5 delivers the most feature-rich solution in the industry. Save your adjusters time and promote a total focus on claim resolution. iVOS 5 features toolsets that easily configure best practices; an integrated compliance solution; and a focus on productivity and automation.

iVOS 5 delivers value and saves you time and money with:

  • Integrated business-rule engine with easy-to-administer tools that allow clients to put their best practices into action
  • User, role, and group security on every field and every page, with every user, giving full control of the solution to our customers
  • Unlimited, no-cost access for read-only and report-only users
  • Robotic process automation that streamlines a wide range of processes, from claim assignment and coding to integration of claim data from disparate systems
  • Fully integrated compliance features allowing for real-time data feedback to resolve missing or wrong data BEFORE it is sent to the jurisdiction

Comprehensive, built-in compliance tools

Never worry about being out of date. As the only vendor with a dedicated compliance department, we will continue to support ongoing local, state and federal compliance changes. You’re assured of legal and appropriate interactions with claimants and governing entities.

  • Integrated IAIABC Reporting for mandatory jurisdictions
  • Integrated compensation benefit rates for US jurisdictions
  • Jurisdictional forms for US jurisdictions maintained by Ventiv
  • CMS reporting integrated with MMSEA module

Ventiv’s Claims Intelligence empowers users to make better decisions faster by bringing you timely, actionable data embedded in the claims administration solution. Delivery can range from simple lists to pivot tables, graphs and charts and a combination of integrated reports within dashboards.

 

Claims Intelligence

Coverage Lines

For over 15 years Ventiv has lead the marketplace in handling Workers’ Compensation, liability, auto, and property programs. Coverage specific capabilities include:

A typical claim generates a large volume of content: notes, correspondence received and sent (both email and physical), task assignments, scanned documents, images, and more. For claim adjusters, selecting claim-related content and distributing it to third parties is a frequent, time-consuming chore.

Today’s leading claim organizations want their adjusters to focus on claim settlement, not administrative tasks. Content Management with Distribution for iVOS dramatically streamlines the process of reviewing, selecting, compiling, and distributing claim-related content.  

Watch this video to see how Content Management with Distribution for iVOS can help your organization. 

For many claim organizations, MMSEA reporting is an administrative burden. It’s also the source of financial and regulatory uncertainty. Ventiv’s Advanced CMS Reporting solution, powered by Franco Signor, delivers the best possible financial and compliance outcomes from Medicare, Medicaid and SCHIP Extension Act responsibilities.

Franco Signor is the longtime industry leader in comprehensive Medicare secondary provider compliance solutions. Franco Signor’s proprietary MMSEA module is fully integrated into the iVOS claims-administration system.

The iVOS advanced CMS reporting tool automates what for many claim organizations is a largely manual process. By bringing in the expertise of Franco Signor, Advanced CMS Reporting empowers claims examiners with industry expertise integrated right into the iVOS claims platform.

Improve Efficiency and Outcomes with the Adjuster's Preferred System

Enhanced user experience

The modernized user experience is designed for key roles such as adjuster, supervisor, risk manager and healthcare professional. iVOS has long been renowned for its user-friendliness. The updated interface is even more intuitive and efficient.

Powerful self-service

Enhanced, powerful self-service tools allow your system and business administrators to securely configure iVOS 5 and to ensure that it runs smoothly on a day-to day-basis.

1099 Processing

The iVOS Integrated 1099 reporting solution allows for both paper and electronic reporting of payments to providers and claimants (where applicable) in multiple 1099 formats.

ISO Claims Search

Fully integrated interface with ISO Claims Search allows our clients to find vital data on property, casualty, and automobile claims, including physical damage, theft, and salvage information.

Check Printing

A secure, comprehensive module allows our clients to greatly reduce the costs of  producing checks. EFT payments, voucher payments and manual payments easily work alongside printed-check payments. An AP Extract module works with third-party check printing solutions.

Incident/event management

Our end-to-end incident/event management uses a state-of-the-art dynamic, multifunctional intake tool. Integrated with features like investigation, root-cause analysis, and corrective actions and recommendations. Also featuring dashboards that track safety improvements.

Enhanced Document Management

iVOS features enhanced electronic claim file capabilities that give you more options to expand the scope of your paperless documentation. And, we've improved the electronic-file receiving options and permissions for viewing electronic files.

Business Rules

Business rule engine allows for automatic creation of diary records, emails, form letters, reserves, notes, and many other additional actions based on over 1,000 events or conditions.

Standard Data Exchanges

Our standard import library includes Insured, Policy, Coverage, Asset, Claim, Claimant, Reserve, Payment, Vehicle, Contacts, Notepads, Document Images, Employee, Organization and Bill Review Payments modules.

Enhanced Reporting

Create ad-hoc queries, reports, graphs, and a multitude of dashboards using flexible and easy to use toolset with drag and drop report development, advanced graphics and drill-down capability. Output types included PDF, Excel, Word, PowerPoint and CSV formats. Reports can be generated real-time, scheduled and distributed.

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The Smart Claims Solution

Delivering the most feature rich solution in the industry with toolsets to easily configure best practices.

Download Overview brochure

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Marriott Claims Services

"Marriott has very high standards...we hold ourselves to very high standards, and we hold our partners to very high standards as well. Ventiv has consistently developed with us over the years as we’ve evolved from a claims perspective.” READ MORE >

STEVE PERROOTS

VP of Global Claims Services

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EMPLOYERS

"Since we’re focused on small businesses, our customers are agile and fast-paced by nature. It’s critical that we’re transactionally efficient; iVOS helps us achieve this, which in addition to properly managing loss costs, is the best way we can service our customers.” READ MORE >

CHRISTINA OZUNA

Vice President, Claims, Western Region

NWC CaseStudies Booklet

Efficient. Cost-effective. Data Driven.

Workers' Comp Client Case Studies

The six case studies featured in this booklet illustrate Ventiv's passion for client success. More than 100 organizations use Ventiv's iVOS solution to admister worker's compensation claims. 

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