Insurance Claims Management Services

Handle claims efficiently and effectively. Streamline claims processing workflows with our Insurance Claims Management Services - from intake to settlement and payment.

The claims process is complex and time-consuming for insurance carriers. There are multiple factors to take into consideration with every claim, from the involvement of various stakeholders to critical compliance requirements. Additionally, the dynamic nature of the insurance industry can significantly impact the claims management process. When the inefficient management of claims can make all the difference to your bottom line and reputation, you should leverage the assistance of an expert insurance claims management company – like us.

As a professional provider of insurance claims management services, we have helped multiple leading insurance companies improve their claims process operational efficiency. We can streamline your claims processing, improve customer support, and lower operational overheads. Partner with us – implement effective workflows for seamless intake, settlement, and payment processes for your insurance firm.

Insurance Claims Management Solutions We Offer

We understand the significance of efficient claims processing and provide highly efficient services to our clients. We have helped multiple insurance carriers streamline their claims management processes by following a responsive approach, where our claims management first response unit (FRU) assist our clients as soon as they contact us. Our key insurance claims management services include the following –

1. First Notice of Loss (FNOL) and Initial Triage

   

   We leverage multiple channels to receive and record the initial claim information. Then, our experts triage the claim and assign it to the appropriate adjuster or specialist.

2. Investigation and Adjustment

   

   We thoroughly investigate the claim to determine liability, coverage, damages, and any other aspects. We can also help you negotiate and reach a fair settlement with the claimant.

3. Settlement and Resolution

   

   Our services will help you ensure all necessary paperwork is completed and the payments are made on time for the settlement of the claim.

4. Fraud Prevention and Detection Services

   

   Our experienced fraud investigators will leverage advanced data analytics to identify anomalies and detect and prevent fraudulent claims.

5. Medical and Legal Review

   

   Our medical and legal experts will thoroughly review any claims to ensure you do not overpay for the claimant’s settlement.

6. Subrogation and Recovery

   

   We have subrogation specialists who can identify opportunities for recovery. We can also pursue recovery to recoup losses that you may have paid out in claims.

7. Data Analysis and Reporting

   

   Our comprehensive services leverage data analysis to create reports that can help you identify trends, inefficiencies, and opportunities for improvement.

8. Compliance and Regulatory Support

   

   To minimize risk and exposure, we ensure that our clients are in complete compliance with the applicable regulations and standards.

Our Process for Effective Insurance Claims Management

We leverage a streamlined and systematic process to boost productivity and reduce turnaround times for our insurance claims management services. The key steps involved in our process are -

Insurance Back-office Support

Services We Offer

At Flatworld Solutions, we understand the significance of efficient claims processing and hence, provide highly efficient services within a quick turnaround time. We help insurance carriers streamline their processes. Besides, we follow a responsive approach, where our claims management first response unit (FRU) will be assisting our clients, as soon as they approach us. Our key insurance claims management services include -

• Claims Intake

  • Series of business-specific data capture fields for First Notice of Loss
  • Incident definition will be provided to all the persons involved
  • Correspondence creation and tracking

• Claims Case Management

  • Secure views and access control and object and data levels
  • Track claim payments to service providers and claimants
  • Authorization-based processing and ensure secure claim settlement
  • Reinsurance and coinsurance management

• Claims Allocation

  • Manual and automatic claims allocation based on business rules
  • User-related task management with feedback
  • Workload management
  • Network partner tracking

• Claims Document Management

  • Claim document to digital document repository conversion
  • Marking and digital signature features
  • Document number creation and allocate to link with claims
  • Mobile scanner and portal integration for agents

• Risk Management

  • Effective fraud detection from the input data
  • Indications and alerts for fraud detection
  • Icons to draw attention to key events such as litigation, possible fraud, fatality, etc.
  • Risk escalation to assessors

• Validation

  • Integrated policy and coverage verification
  • Fast track claim determination
  • Decision support process
  • Investigation and fraud detection features
  • Claim history review facilities

• Claims Cost Containment

  • Payout administration
  • Deductible and sums assured control
  • Payment arrangement creation and tracking
  • User and vendor management
  • Organization contact management
  • Provider/vendor management
  • Allocating roles and functions

• Dashboard Creation

  • Scorecards and Dashboards based on user's role and function
  • Easily configurable for additional functions
  • Industry standard key performance indicators
  • Monitor performance efficiency
  • KPI analysis against the targets

• Payments and Recovery Support

  • Automated authority checking, reserve, and limit
  • Security levels to access the claims management system
  • Track recoverable from reinsurers
  • Follow-up of recoveries

• Claims Management Reporting

  • Claims trend ad-hoc reporting tool
  • Configuration of dashboards and reports to suit your business needs

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Insurance Software we use

Why Choose Us as Your Insurance Claims Management Company

As a leading insurance BPO service provider, we have met the claims processing administration needs of insurance carriers and agencies from all over the globe. Our claims processing systems give our clients an edge in the rapidly growing, highly competitive insurance sector. Some of the major benefits of insurance claims management outsourcing to us include -

• Increased Customer Satisfaction

  We ensure that our top-quality claims administration services help businesses enhance customer satisfaction.

• Trained Agents

  By partnering with us, businesses can get access to our well-trained insurance specialists who can handle all their requests.

• Streamlined Processes

  We follow a streamlined insurance claims management process. We verify claims, coverage under policies, and conduct background checks.

• Fraud Prevention

  We have comprehensive procedures in place that help us prevent the processing of fraudulent claims.

• Data Security

  We ensure that all the information the insurance companies share will remain completely secure by following strict data security policies.

• Best Infrastructure

  We have access to state-of-the-art infrastructure, which allows us to deliver accurate results quickly.

• Quick Turnaround Time

  We have a track record of providing efficient services within a short turnaround time without compromising on the quality of the deliverables.

• Affordable Rates

  We provide top-quality insurance claims management services at highly cost-effective rates, thereby helping insurance providers cut down on overheads.

Additional Services You Can Benefit From

Customer Success Stories

We Provided Back-office Services to a Texas-based Insurance Agency

Our skilled and experienced resources provided quick, efficient, and cost-effective insurance back-office services to a Texas-based insurance agency.

Read the case study

We Helped a Chicago-based Consulting Firm With COI Services

A leading Chicago-based brokerage consulting firm was looking for a partner who could help them with COI services. Our team delivered effective services to the client.

Read the case study

Outsourced Insurance Claims Management for Better Organizational Efficiency

We understand the unpredictable and dynamic landscape of the insurance industry. Therefore, we consolidate streamlined processes with skilled professionals to provide proficient claims management services. With outsourced insurance claims management, you benefit from -

• Reduced overhead costs, more time and resources to focus on business development
• Maximized customer loyalty and better customer retention
• World-class services that exceed your quality standards

Leverage the expertise of a quick, accurate, and effective provider of insurance claims management services - get in touch with us today!