optimize your claims process

Automate claims to quickly service policyholders and catch fraudulent activity.

ECM, BPM/Workflow, Records Management & Capture Solutions

Claims

Your profitability is influenced by claims payments and LAEs. Your ability to assess and process claims — and to mitigate loss — quickly and accurately can positively impact your bottom line. That’s why it’s important for insurance agencies to shorten processing times. Adjudicating claims quickly, efficiently, and accurately leads to cost savings for both you and your policyholders.

 

And even if you have a policy management system, by integrating DocFinity with all line of business applications, you can create a more comprehensive policyholder record. And by adding workflow processes around this information, you can automate the claims process for straight-forward claims while focusing on the exceptions, including red flags for fraudulent activity.

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improve claims Management

  Standardize processes from FNOL through complete
        adjudication.

Automate FNOL capture.

Allow self service for policyholders, adjusters and agents.

Allow straight-through processing of first-pass claims.

Provide secure access to files and data, when and where
       needed.

Deliver business intelligence to management for any claim
       at any time.

Claims Adjuster Work

At Your Self-Service

You can expedite processing even more with self-service options that enable agents, adjusters, policyholders, and other parties to claims to update information and check their status online. By improving their experience, you’ll improve your retention. And DocFinity’s automated signature tools, email management capabilities, and reporting tools further reduce turnaround times and help ease compliance efforts, financial exams, and audits.

Centralize information

 

Adjudicating claims quickly, efficiently, and accurately leads to cost savings by all parties involved, as well as satisfied policyholders. DocFinity’s ability to locate data quickly in disparate line-of-business applications – and to put all the pieces together – can save time and money otherwise lost to delays and/or continuing or worsening damage.

 

  • DocFinity centralizes all claim-related information in a single repository, enabling ready, securely controlled access to all parties to claims.
  • Online forms and barcode software simplify and standardize data capture to prevent redundancy and errors.
  • Digital workflow pushes documents through to multiple channels securely and simultaneously, for review, approval, denial, and signatures.

 

Decisions are made more quickly, keeping claim amounts from increasing unnecessarily, enabling insurers to expedite settlements, keeping claimants informed and happy.

Automating the Claims process

Documents fulfilling the checklist and matching predefined acceptable rules flow through the following steps.

Sample Claims Process

Documents are captured, indexed, and stored. A claims workflow is triggered based off of a specific metadata value.

DocFinity holds files in checklists and compares metadata values with predefined rules.

Exceptions, or documents not matching predefined rules, are pulled for a closer look by staff.

The system can trigger a letter and check issuing process when the job completes.

DocFinity stores the claim and associated files according to the pre-set retention rules.

A custodian is notified when claims are to be disposed of.

Complementing your Policy System

If your policy system automates part or all of your process, DocFinity can still be the comprehensive repository for all of your claim and policy documents. DocFinity enables more ways for policyholders, agents, and adjusters to get their information and images into the system.

 

Checklists ensure that claims are processed only when all needed information is received, and reminder notifications are sent automatically when checklists are awaiting fulfillment.

 

As your claims processors work within their familiar policy administration system, a simple click will display a hitlist of the documents associated with the claim stored within DocFinity for review. They will see only the files and information they're authorized to view, keeping sensitive information safe and secure.

DocFinity Claims Checklist

Contact Us.  We'll show you more.

 

DocFinity logo

100 Oakwood Avenue

Suite 700

State College, PA 16803

 

Ph: 814.238.0038

Toll Free: 800.678.3241

ECM, BPM/Workflow, Records Management & Capture

Claims Adjuster Work
Sample Claims Process
DocFinity Claims Checklist

optimize your claims process

Automate claims to quickly service policyholders and catch fraudulent activity.

ECM & automation Solutions

Sample Claims Process
DocFinity Claims Checklist

optimize your claims process

Automate claims to quickly service policyholders and catch fraudulent activity.

ECM solutions

  Standardize processes from FNOL 
        through completeadjudication.

Automate FNOL capture.

Allow self service for policyholders,
       adjusters and agents.

Allow straight-through processing of
       first-pass claims.

Provide secure access to files and data, 
       when and where needed.

Deliver business intelligence to 
       management for any claimat any time.

Sample Claims Process
DocFinity Claims Checklist
DocFinity logo

100 Oakwood Avenue

Suite 700

State College, PA 16803

Ph: 814.238.0038

Toll Free: 800.678.3241