Insurance Adjusting Software: Self-Insured Management, Legacy System Integration 

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KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays & deductibles; full claims history display; adjuster analysis reporting; actuarial reporting; custom & ad-hoc reports, online portals for members/participants & providers, document imaging integration
Virtual Benefits Administrator is a highly customizable and comprehensive enterprise application used to administer all aspects of benefits management. Utilizing a modular design, Virtual Benefits Administrator can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.
Prognos provides a powerful suite of claims management tools to help both employers and service providers efficiently manage workers' compensation and disability claims. Employers using third-party administrators or insurance carriers will find everything they need to manage notes, tasks and return-to-work programs and import and reconcile cost data. Self-administered employers and third-party service providers will find everything they need to administer claims.
FACTS Services is an integrated technology and services provider focused on providing cost effective healthcare payor solutions across the entire claim continuum. The result is a dramatic reduction in cost and improved turnaround time for all facets of the healthcare delivery cycle. FACTS delivers technology within the ASP and turnkey settings and a full administrative services solution that lowers the overall cost of doing business while increasing the value and quality of customer service.
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans and benefit administrators. HEALTHsuite is a rules-based auto adjudication software solution designed to administer complex benefit offerings including Medicare, Medicaid, Indemnity, HMO, Consumer-Driven and Federal Employee products.
The Alyce Claims Management System is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently. Features include multi-tiered infrastructure, duplicate claim alerts, check printing, forms, letters and reports.
Venue is a secure web-based claims processing software that can handle multiple lines of insurance claims (except health and dental). Track time and expenses accurately, invoice your clients from within Venue, eliminate duplication using Venue's comprehensive document management, store audio, video and other file formats. Form templates allow you to complete forms with a click of a button. Venue also allows your clients to view the status of their claims and uses 128-bit encryption.
ClaimVantage delivers world class claims management software for the life and health market. The target market includes insurance carriers, Third Party Administrators and self-funded companies who require flexible software solutions that can be customized and enhanced by internal IT resources. Lines of business supported include disability, long-term care, life, AD&D, critical illness and supplemental products.

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Web Listings
Virtual Claims Adjuster - Web Based Claims Software
Why Use Claims Software? Virtual Claims Adjuster is a secure web based claims management system handling multiple lines of insurance claims such as: ...
http://www.virtualclaimsadjuster.com/
Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates and ... Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. ... solution and allows for rapid integration with legacy systems. .... SPI Software Solutions - Insurance Claims Management System ...
http://software.forbes.com/claims-processing-software
CSC's Insurance Claims Software
RISKMASTER® is integrated, browser-based software that helps self-insured organizations, ... Fault Evaluator™ is an expert system that guides insurance adjusters through ... Business Process Management & Systems Integration · Insurance Software · Software Services · Strategic Consulting ... See also Self Insurance ...
http://www.csc.com/insurance/ds/11097/12630-csc_s_insurance_claims_software
Claims management and loss adjusting | CGI
CGI's claims management and loss adjusting services help clients ... Systems integration and consulting · Managed application services ... of 20 years of insurance experience – and leading software provide quick ... For more information, visit the following pages: 24-hour claims assist; Self-insured services; ...
http://www.cgi.com/web/en/industries/insurance/loss_adjusting_claims_management.htm
Risk & Insurance Online - Story
At a time when many software companies are having a hard time differentiating themselves ... Benefits Outweigh Costs for Modernizing Legacy Systems (05/01/09) ... market for claims and risk management reporting and analytics used by self- insured, ... Automation and workflow management tools have increased adjuster ...
http://www.riskandinsurance.com/story.jsp?storyId=200078372
Xactware and KLJ Announce the Integration of Xactware Tools with ...
Jun 26, 2008 ... Xactware's technology tools include software estimating programs for PCs and tablet ... adjuster's, third party administrators and self-insured organizations . ... KLJ has its roots in the claims adjusting industry, starting in 2002 ... auto, worker's compensation and temporary disability insurance. ...
http://www.xactware.com/news/release20080626.html


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Insurance Adjusting Software

Find insurance adjusting software solutions that are right for your business.
Insurance adjusting software applications go the gamut of separate programs for each type of claim, all-in-one programs or even web-based programs that work with you wherever you are. An insurance adjuster has to evaluate the damage, take pictures of the damage, take statements from the parties involved, and then make sense of all of this data to award the proper monetary proceeds to the customer.Use programs that allow you to ... Read more

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