Streamline the Claims Management Process

Transcription

1 Streamline the Claims Management Process

2 Streamline the Claims Management Process Claims Management process Claims Manager is a modern, innovative and highly configurable cloud-based claims management solution. It is used by businesses in insurance, construction, travel, cargo, retail and manufacturing industries. Managing the endto-end process from Incident creation to settled claims while providing unrivalled management information at every stage. Xactium Claims Manager streamlines the entire claims management process, eliminating all duplication of effort and ensuring everyone has access to the information they need; from incident reporting and handlers, to your management team having access to all of the report data they need, when they need it. With automated workflows to manage work handover from one area of the business to another, assignment of tasks, handover, tasks, notifications, escalations and claimant communications you will always know that your claims management process will run as efficiently as it possibly can. Logging Incidents Incident Rejected & Closed Incident Approval Process Incident Management Incident Accepted & Claim Created Report & Analysis Cliamant Communication to Inform of Progress Updates Incident Rejected & Closed Claims Management & Investigation Claims Management Claim Approved & Paid 2

3 Powerful Workflows Driving the entire incident and claims handling process is the ability to configure powerful business orientated workflows that enable you to automate vast amounts of the administrative tasks needed to effectively manage the claims management process. When an Incident is logged you can automatically: Approve the incident Assign the incident to the relevant, person, team or queue Close the incident Send communications to the claimant via pre-defined letter or templates Send internal communications to the owner of the incident to ensure ownership Create and assign tasks with deadlines to eliminate delays When creating a Claim you can automatically: Approval Processes: Assign the claim to the correct person or team Assign tasks and actions Automatically approve incidents or claims depending on your own business rules Send communications to the claimant Send internal notifications to the claim owner Allow system users to request approval from specific managers, with tasks and notifications sent to the approver. Create automatic escalations: Automate work handovers: When a claims value level has been reached When a volume of claims are reached When many related incidents or claims are received By status of claims When there has been no action on the claim for a defined time period Create workflows that automatically hands over work items Automatically notify team members when new claims or tasks have been added to their responsibilities so that nothing ever gets missed 3

4 Quality Management Information Xactium Claims Manager allows you to report on the data you want, when you need. You ll be able to report on the detail at any stage of your claims process in order to assess anything related to your claims activity, including; the number of incidents created, areas of risk or average time to close a claim. Management Overview: Produce dashboards that highlight key information at a glance, whilst focusing managers on improved performance and efficiency of the claims process. Drill Down to the Detail: See the detail that makes up the dashboard items by simply clicking on the graphics. Easily Create Reports: Creating custom reports is simple using the report creation tool, with the intuitive, drag and drop report builder wizard. Export data: Export report data into Excel or.csv formats. Automatic Reports & Dashboards: Schedule your dashboards and reports to run and be distributed automatically. 4

5 Simple Incident Creation Incident creation shouldn t be an onerous task for your business or your customers. That s why Xactium Claims Manager allows for incidents to be logged in many different ways. All of which log a claim directly into the system without the need for any manual intervention. Custom Branded Web Form: Allow your customers or staff to log incidents from an easyto-us web page and capture all of the details you need including attachments. Dynamic content: Set the forms to dynamically change depending on drop down options selected. Log incidents directly from s and documents: The solution will scan s, attachments and documents, to automatically create and log an incident. Licensed users can log incidents directly into the solution Incidents listed in real time: Once logged, the incidents are listed in real time and depending on your criteria, are automatically assigned to specific users, groups or queues. 5

6 Efficient Claims Processing Xactium Claims Manager removes the administrative burden out of the claims handling process. The solution provides one source of all claims related information; meaning no matter who is accessing or updating records, the information is always easily available to everyone who needs it, whilst providing claims handlers with all of the tools they need to efficiently manage every stage. Easily Create a Claim: Claims can be created automatically from incidents via pre-defined workflow rules or simply at the click of a button. Clear Claims Ownership: Claims can be assigned automatically based on business rules or by a simple to use wizard. You can be sure that every claim is owned and acted upon. 5 Claims Visibility: Once claims have been assigned, the owner is notified by and the claim is added to their list of claims to ensure it is seen. All Information in one Place: All information related to each claim is stored on one record. Any team member who needs access to the data can access the most up-to-date information whenever they need to. 6

7 Efficient Claims Processing Easily Update Claim Information: Update any information relating to the claim such as well as add related documents and images. Track Financial Information: Set payment and / or reserve levels for each claim. You can integrate to other systems such as payment systems to automate the claim closing and payment process. Assign and Track Tasks: Easily assign tasks for others to action with a completion date. This will be added to their task diary as well as notifying them by sending automatic reminders. Claimant Communications: Send automated communications every time the claim status is updated or send customised letters or s direct from the system. 7

8 Key Platform features As well as the features that enable you to manage each stage of the claims management process, Xactium Claims Manager also delivers a host of tangible business and user benefits to ensure it s ease of use and successful adoption: Cloud-based Built on the Salesforce.com Platform, Forbes s most innovative business three years running and the Gartner Magic Quadrant leading business cloud platform. Using this platform, Xactium Claims Manager benefits from the highest levels of security in accordance with ISO The platform is easily scales and can allow for 1000s of users. Automated workflows, approvals and notifications You set the rules and the solution automatically does the rest. Your team members will always know what requires their attention and when it is needed. Lightning fast Always have access to the most up-to-date claims data and be able to run reports pulling information from thousands of records in matter of seconds. Incident reported automatically reviewed Assigned for review Automatically closed Highly configurable Virtually all aspects of the system can be configured to your specific needs including; fields, page layouts, approval processes, validation rules and other automated workflows. Claim created Incident closed Automatic letter to customer 8

9 Key Platform features Flexible reporting based on live data Easily create the reports that you need to analyse your risk status and report on to any level of your organisation. What s more you can schedule reports and dashboards to run automatically and deliver them by to those who need the data. Collaboration Chatter allows team members to have message conversations associated to specific records, these can be seen by everyone who has access to that record. Everyone is kept up-to-date with the information they need. Control user access Easily control the access levels that individuals or groups of users have to the system so that they only have access the data and features that are relevant to them. Simple Intuitive navigation The key to the success of the solution that it is extremely easy to use and navigate. The navigation is intuitive with links to all related data that is shown on any screen. 9

10 Other Solutions from Xactium Xactium also has a range of solutions to help any organisation to manage risk across their entire organisation, business units or individual projects, manage the internal audit or monitor key business metrics: Xactium Risk Manager is a next-generation cloud-based risk management solution, used by large organisations from regulated industries who need to manage business unit, project, operational risk, in order to support the Three Lines of Risk Management Defence. This completely scalable and customisable risk management solution can easily meet the needs of any large business. Whether you re making your first step away from using office applications such as spreadsheets or have the most complex risk management needs, Xactium Risk Manager can be configured to match your exact Risk Management needs. The solution also facilitates Enterprise Risk Management in accordance with ISO With thousands of users worldwide, it is one of the fastest growing risk solutions on the market, used by Regulators, Insurers, Banks, Brokers, Utilities and Energy companies as well as those organisations managing major infrastructure projects to streamline and modernise their risk management processes. 10

11 Other Solutions from Xactium Xactium Metric Manager is a native Salesforce application that allows users to track, manage and visualise all of their organisation s key metrics; including key risk, control and performance indicators. The solution allows for simple manual data entry or automatic data collection direct from Salesforce platform reports. Metrics are measured against pre-defined thresholds so users can instantly see how well or poorly each individual metric is performing enabling better informed decisions that will drive the performance of an organisation. This application links seamlessly with Risk Manager report data in order to automatically track all Key Risk and Key Control Indicator data against thresholds. These results will trigger automated notifications if results need the attention of one of your team members. Having a full and clear view of your organization s audit activities is an essential part of implementing a successful GRC programme. Without a centralized, automated solution for managing audits, organizations often struggle to aggregate audit related activities, monitor trends and gain a true picture of risk across the enterprise. Xactium Audit Manager is a cloud based GRC solution, which provides market leading support for managing, monitoring and reporting your Audit activities. Delivered on the flexible, scalable and secure Force.com platform, Xactium Audit Manager provides a powerful but easy to use enterprise solution that delivers significant advantages and cost benefits over traditional systems. Xactium Incident Manager is a flexible and scalable cloud based incident management software solution. It s ideal for capturing, tracking and managing incidents, including the resulting actions needed to remediate them. Xactium Incident Manager is used by large organisations operating in heavily regulated industries to track a wide variety of Risk Events. Incident Manager has also been used to help manage large events, such as the London 2012 Olympics. Xactium s solution allows you to efficiently evaluate the criticality of an incident, automatically assign it to relevant stakeholders, and create and track actions needed to resolve the incident. In addition, powerful reporting and dashboard tools enable you to gain an overall picture of current incidents and the status of their remediation. The incident reporting portal enables cross organisation reporting of incidents without the need for user licenses. 11

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