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Lisa Mohler, Vice President of Claims and Risk Management, Indiana Public Employers' Plan
Gain a deeper understanding of claims, predict outcomes, and take preventive action to optimize performance.
Slice and dice your data in limitless ways to get the insights you need to make smart, fast choices.
Find ways to reduce costs and modify coverage by asking simple questions.
Identify root cause(s) through data-driven, interactive analysis of key program areas.
Gather the data you need to build consensus and support for your claims administration objectives.
Deliver metrics, data, and insights to allocate resources to improve your returns.
Save your adjusters time and promote a total focus on claim resolution.
With our dedicated compliance department, never worry about being out of date.
Focus on claim settlement, not administrative tasks.
Improve performance for return to work, medical management, reserving, and risk assessment.
Insurance claims are costly, complex transactions involving multiple parties, systems, and regulatory concerns.
Efficiency is key to driving optimal outcomes. Enhance bottom-line performance by:
Coverage-specific lines include:
Always be up to date with ongoing local, state, and federal compliance changes. Ensure appropriate interactions with claimants and governing entities at every stage.
We maintain these for you, so you can focus on improving claim outcomes:
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.
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.
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.
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.
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.
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.
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