ClaimsVISION
By P&C Insurance Systems, Inc
ClaimsVISION is a cloud-based claims management platform designed to streamline the entire claims lifecycle for insurance carriers, TPAs, and self-insured organizations. Its feature set begins with configurable claims intake, supporting submissions from multiple channels and capturing all necessary data for various insurance lines, such as workers' compensation, general liability, auto, and property. The platform offers user-configurable workflows powered by a robust business rules engine, enabling automation of assignments, task routing, escalation, compliance triggers, financial approvals, and correspondence. Key operational tools include diaries, notes, document management, and tracking correspondence, all within a claims-centric architecture that enhances efficiency and collaboration.
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Features2
Categories4.5
Verified User Rating
Claims Adjuster ManagementClaims TrackingCompliance ManagementElectronic ClaimsPaper-Based ClaimsPayor ManagementConfigurable claims intakeAutomated workflow managementUser-defined business rules engineUnlimited hierarchy for claim structuresReserve setting and adjustmentsIntegrated payment processingLitigation trackingTask automation and escalationsAutomated claim assignmentsTemplate-based document generationReal-time notifications and alertsComprehensive diary managementIntegrated notes and correspondence trackingExtensive document managementOver 100 pre-built reportsCustomizable dashboards (drag-and-drop)Dedicated reporting databaseReal-time analytics and KPIsSeamless B2B/data integration APIsMicrosoft Office Suite integrationAutomated compliance reporting (OSHA, MMSEA, Medicare/CMS)Role-based security and permissionsCloud-based SaaS deploymentCentralized audit trails and historiesPaperless claim environmentEmailHelp DeskFAQsForumCloud, SaaS, Web-BasedDesktop - WindowsMobile - AndroidDesktop - MacMobile - iPhone