Items to Consider While Choosing a Claims Management System

Finance

  • Author Nate Rodney
  • Published July 3, 2011
  • Word count 720

As a business owner or a risk manager of the organization, it is your responsibility to maintain a safe environment at workplace. In order to ensure a safe working environment, it is necessary to address all the factors that are causing accidents. This is where a Claims Management System comes to your rescue.

An effective Claims management system can be a blessing to those organizations which are struggling to deal with claims and their associated costs. Claims management systems assist you in analyzing claims (including property, casualty, workers compensation, general liability and others) and enables you to monitor and control your risks effectively. Today, it has become a necessity in every organization, particularly for insurance and risk claims departments, third party claims administrators and risk managers.

With its increased requirement in organizations, a multitude of systems from various manufacturers (many of them are inexperienced) are popping up every day. With a wide variety of choice, choosing a good claims management system can often be an intimidating task due to the risks involved and the complexity of each system. The purpose of this article is to help you focus on what really matters while choosing the right claims management system.

Quick and instant response

The very reason for implementing claims management software in any business is to address transactions quickly and efficiently. Every transaction, whether it is accessing and saving a claim, entering payments and reserves, creating letters and notes or any other item, the system should respond instantly in order not to negatively impact or frustrate the examiners. With every transaction, the system should manage all of the relevant data to each case and provide quick and instant details. It should return all the related details such as type of accident, date and time, employee involved, severity of the accident, etc. within seconds.

Latest technology

When it comes to buying a system, the choice should always be for the latest release of the technology. Reputed manufacturers continually are updating and modernizing platforms that facilitate improved performance and stability. Systems with latest technology are generally more user friendly, which will ensure that claim handlers and adjusters are more comfortable utilizing the software.

Easy to capture accidents

Your claims management system should be designed in such a way that it captures all relevant claim information, document all file activity, captures necessary documents, incorporate all reports and correspondence and maintain permanent transaction records. Efficiently managing the details of the claims will provide clear and organized data regarding the claims, which will assist in easy retrieval of the pattern of accidents so you can focus on correcting the issues.

Ad hoc reporting

A good and advanced system should be able to provide specific and intricate details of an accident. If the standard reports of the system are not helpful, your claims management system should be able to provide you with ad hoc reports whenever needed. With the keen analysis of every claim, addressing the issue is a relatively simple task.

Provide clear and understandable information – Data Visualization

Managing and sorting the information in a clear and organized fashion helps you clearly understand the factors responsible for accidents and their effects. Therefore, clear and understandable information, preferably illustrated through customizable graphs, charts, flow charts etc. is very essential. It is time saving too, as it greatly reduces the time necessary to analyze the issues.

Powerful user access rights

Your claims management system should have powerful user access rights to protect the valuable data from unauthorized use. The system should have multi-level access passwords and data should be encrypted. Only responsible persons with correct user ids and passwords should be allowed to access the system which can be maintained across multiple tiers.

Experience of vendor in the field

Looking for an experienced vendor will only better your chances of choosing a best system for your organization. An experienced vendor will be better prepared to understand the needs of the industry and provides you the right system. Remember, reputed and experienced vendors continuously communicate with their clients and will consider their requests and suggestions to update and modernize their systems.

A good claims management system helps you identify the patterns of accidents and significantly reduces your operational costs. So, you need to spend some time evaluating the system capabilities, vendor response and vendor reputation while choosing one.

JDi Data Corporation has provided insurance claims software since 1992. JDi Data offers web based workers compensation software and also claims systems to administer property, casualty and general liability claims. JDi Data has built a reputation in quality claims management software with special emphasis on specialty lines and complex litigation.

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