Best Claims Processing Software in New Zealand

Acrometis' flagship claims processing solution provides unparalleled workflow management. Documents are automatically routed using a configurable rules engine. Acrometis business rules, which are based on claim assessment scoring, claim compensability matching, body part to claim compensationability matching, jurisdictional directives and relatedness scoring, are designed to reduce claim costs and length. CLAIMExpert automatically processes 65 per cent of all incoming medical bills. Documents that require adjuster intervention are flagged for easy review and quick decision making. All incoming documents are processed automatically with no adjuster intervention. In the first year, clients typically see an average of 11 to 23 points improvement in their medical loss. CLAIMExpert has rules for more than 190 document types. This allows you to quickly handle whitemail and other documents that may come across your adjuster's desk.

LMS allows for efficient trading and management residential whole loans. LMS allows you to monitor your entire loan pipeline, manage third-party reviews, fund/settle loans in a seamless, automated manner. Through our portal, sellers can lock and price loans on either a flow basis or in bulk that meet your product's eligibility criteria. They can upload credit documents and meet conditions during reviews. Securely upload credit documents to a trade, pool, or loan level. Secure integrations allow you to exchange documents with third-party vendors. Direct orders to the appropriate diligence vendors based upon product and volume. Utilizing automated vendor data feeds, view and resolve the results of third-party reviewers. Generate funding schedules using amortized balances, calculated interests and fees.

Startech Software's TotalEclipse™ product offers a fully-featured single-database Claims Management & Medical Bill Review Software Application. TotalEclipse™, the culmination over three years worth of development and testing, was created by real claims adjusters and bill reviewers as well as administration managers who use this critical software every day to do their job. Software is often designed with the user in view. TotalEclipse was developed with our users in mind. The application was built around real-world workflows and focuses on making it easy to access the most important information for the job. Eclipse provides the processing power, functionality, and reporting capabilities that you need to maximize productivity and reduce costs. The single-database backend can be scalable to work with either the Microsoft SQL Server™, or Oracle™.

Recordables offers software solutions for managing liability claims. Software solutions for improving claims management, including Auto, General Liability, Property, Incidents, etc. Software that tracks incidents and claims for insurance policies, Recordables Liability, organizes auto, property, general liability policies, and more. TrackAbility offers comprehensive liability claims management software solutions. This software tracks all claims and liabilities. You can create customizable liability claims types using user-selected criteria. Safety professionals and field workers can collaborate on claims and reports, continuing with the addition of photos and videos for incidents and claims. You will have a complete view of financial data that is necessary for claims management. This includes information about payments and losses, as well as data on individuals, locations, policy specifications, etc.

We are a market leader in providing an information exchange platform that allows for collaboration and information sharing within the insurance industry. We are the first to offer Software as a Service (SaaS), for the motor insurance sector. This model has been successfully implemented across the insurance ecosystem. Our infrastructure has allowed our clients to grow quickly without having to spend a lot of money. It also allows them to transform faster and at lower costs.

This software is for Insurance Brokers. It automates the Truck / Commercial Insurance Form processing by transferring data directly from your source Quick quote to any other Carrier Application or Broker Agreement/Legal Docs, Permits or any other form. The best part is that we use your existing MS Office licensing, so there is no need for additional licensing fees. TIFA can also be used with our CRM application.

Vitech's cloud-native management, engagement and analytics platform V3locity® is a transformative suite that provides full life cycle business functionality as well as robust enterprise capabilities. It combines core administration with a new digital experience. Its modular design enables flexible, agile deployment strategies. V3locity uses a cloud-native architecture to provide a solution that is unmatched in security, scalability and resilience.

This application automates repricing claims in a Web-based environment. WebCR verifies provider participation, validates dates and identifies duplicate claims. WebDM, a data management system that ensures accuracy and currency of data, supports it. This application automates the repricing and pricing of claims in a client/server setting. WebCRX verifies provider coverage and patient participation, validates dates and identifies duplicate claims.

Users can provide real-time rates, contracts and dealer menus via eRating or eContracting. Users can issue policies with electronic signatures, and present products to customers through their own sales channels or their partners. Our network has 140+ partners that allow dealers to connect to the eMenu and DMS systems of their choice. Our policy administration software allows for billing, commissions and cancellations. This allows for seamless coverage rating, contracting and contract remittance. Integrating with your accounting system allows you to create, manage, modify, and change your agents, dealers and coverages. Your agents also have direct access to our Agent Portal. The F&I software allows the Dealer Principal and Field Representatives to access integrated reports for F&I forecasting, sales, and overall dealership performance in real time with powerful analytics.

Innovator, connector, and leader in the insurance industry. We offer the UK's most comprehensive straight-through processing platform. Find out how our digital platform can help you meet your business needs. A digital experience that is seamless and agile will drive business transformation. Improved productivity is possible through the use of adviser and consumer self-service tools. Continual engagement with customers will result in a higher customer lifetime value. Customers and Adviser Portals allow customers to access policy documentation and make changes digitally in real-time. The components cover every aspect of the user experience, including full reinsurance reporting and integration with external portals and automated and clerical Underwriting. Flexible deployment - from complete deployment of the SSG Digital platform to individual components that can be integrated (e.g. Only underwriting, New Business only

InsuraSphere is a complete suite of products and solutions that grow with your business. InsuraSphere is the complete product suite designed by insurance professionals for insurance professionals. All the essential information you need to manage your business, including quotes, claims, agents and policies, can be found in one place. InsuraSphere's integrated policy management system will streamline your processes. With agent and insured portals, you can give your stakeholders access the information and workflows that they require. Agents can rate, quote, or issue their own policies using your company's role-based permissions and business rules. Add third-party integrations to customize your company's workflows. InsuraSphere was designed to meet the changing needs of agents and carriers. InsuraSphere can grow with your business, whether you're just starting or moving from a legacy system.

The Whitespace Platform is a digital platform that connects global (re)insurance markets. Whitespace is entirely data-driven. Digital data can be used to transfer risk (not Word or PDF documents) and transform your business. The possibilities are limitless. Brokers and Carriers can reap the benefits of increased speed, accuracy, availability, as well as the quantity of in-depth information for risk analysis. Insurers act in the best interests of their customers. A digital connection can provide instant access to the risk placement, faster payments, and quicker responses to claims. Whitespace supports the entire process from start to finish. Brokers and underwriters can create risk submissions, collaborate and sign contracts, communicate through real-time instant messaging and request and provide quotes.

Polygonal takes the strengths and rich functionality of previous versions and combines them with the most recent Microsoft VB.Net technology and Business Intelligence technology. This comprehensive solution is able to quickly and efficiently respond to the changing market. Polygonal is a modular, multi-currency software solution for underwriting, policy/claims management, transactions, and reinsurance. It integrates with accounting, messaging, document management, document management, and workflow modules to provide an end-to-end business process that delivers tangible results. Polygonal was designed using City Computers' specialist team. As both solution providers and practitioners, we have many years of experience in the insurance industry.

DataGenix was founded in 2000 and is committed to providing TPAs, adjusters, insurance companies and other entities with modern claims processing solutions. We know that claims processing and managing health benefits can be complicated. Our ClaimScape software automates the entire adjudication process so that your business doesn't suffer any losses. Our Claims software and business are designed to solve the problems that prevent you from providing a superior customer experience for your clientele. Our software products can help your business grow in the most modern ways, keeping in mind current trends and requirements. We have earned the trust of top TPAs across the country and are ready to serve you more.

Like many other tasks, insurance payment posting falls under the 80/20 rule. The 20% of your payments that are still deposited from paper EOBs make up at least 80% of the overall payment post work. POWEReob is a better option. POWEReob is a combination software and a pay per transaction service that converts paper EOBs from certain payers into electronic remittances file in the ANSI-835 or NSF formats. These files can be used to automate payment posting to your practice management software as well as electronic secondary claims billing. POWEReob will work with any practice management that accepts remittances files from third party sources (not only from their designated clearinghouse). We will work with any practice management that accepts electronic remittances.

FINEOS Platform offers clients the only comprehensive SaaS core product suite. It includes FINEOS AdminSuite, which allows for quote to claim administration, as well as FINEOS Engage which supports digital engagement, and FINEOS Intelsight for analytics. Your digital insurance strategy's foundation. FINEOS Platform seamlessly combines FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and Platform Capabilities to create a modern, single-core insurance platform for Life, Accident, and Health. Legacy core systems used a single-size-fits-all approach to business technology that does not fit the needs of agile businesses. Consumers, brokers, and employers have access to powerful SaaS computing platforms, software tools, and a higher standard for digital strategy for insurers. The monolithic models of insurance software that were used in the past focused only on the details of the insurance contract.

Advanced Insurance System (AIS), which is available to all sizes of organizations, is intended to be an out-of the box solution. Customers can also modify and deploy products quickly, while also taking advantage of the wide range of configuration capabilities of the software. This modular integrated system can be used to interface with other platforms or as a complete policy administration solution. It can be used for Personal, Commercial, and Specialty business lines. AIS makes it easy to create new lines. AIS gives agents and insurers the functionality they need to grow their business. AIS provides automation and self-service functionality in a highly competitive market to increase sales and save time. AIS gives you the competitive advantage that you've been searching for.

Risk Manager uses Microsoft SQL Server, which allows the creation of custom views or queries for reporting purposes. ODBC-compliant applications can also be used without dependence on ERIC Systems. Risk Manager is constantly under development. Updates are published regularly. Our policy regarding updating is simple. We provide newer versions without additional charges to the standard technical support agreement. User logins are given dollar limits for individual check or reserve transactions. You can not exceed the total paid to date or total incurred thresholds at the enterprise level without acknowledgment. Client suggestions are the basis of our policy for developing new program features and standard reporting.

This product is an all-in-one claims system. The product's primary functions include claims adjudication, claim workflow, and payment disbursement. Flexible design allows for the addition of adjudication modules to be added on a per-line basis. The core functionality of the system is reused for each new line of business. This system makes use of the user-friendly windows screen design and uses a relational database to store data within the system. Powerbuilder is the software platform. It can be used with an SQL database like Sybase or Oracle. This combination of software allows for a client-server based environment that can process large amounts of claims. Installation and training are provided. Source code is included in the license fee. Expert staff can customize the system and tailor it to the client's requirements. All modifications can be made with detailed design and support for acceptance testing.

USSI is proud that it offers its entire range of professional insurance software solutions. These software solutions are designed to be a complete turnkey administration solution. USSI's comprehensive software solutions will ensure that your insurance company operates at the highest level in a changing and competitive market. USSI's InsurancePlus Individual Life and Health Administration software solution manages the books of business for traditional and new non-traditional Life and Health insurance businesses. Products supported include Whole and term life, interest sensitive, final Expense, annuities, supplemental health, and others. USSI's InsurancePlus Group Life and Health Administration software solution manages the books of business for Group Health insurance providers, Self-Insured Funds and TPA's. The supported plan offerings include Point of Service and Major Medical, Term Life and High Deductible, Traditional Insurance, etc.

Rapidly analyze and understand episode costs to accelerate your value-based initiatives. Data-driven, evidence-based discussions about episode costs and individual provider practices patterns will increase provider adoption and engagement. Targeting variations in care delivery and provider performance can help drive cost and quality improvements. Analytics can help you guide network optimization and clinical change by empowering value-based strategies. Analyzing episode costs and using clinically validated episode definitions to identify value-based care opportunities. Engage providers in value-based conversations through analysis of utilization, care variations, and costs. Use episode analytics to optimize network designs, improve consumer engagement, and transform clinical guidelines. By defining the average episode cost and the associated clinical services, you can streamline episode budget creation.

Healthcare providers have to manually enter data for patient accounting tasks, which can be labor-intensive and costly because remittance advice is often populated with thousands of transactions. Healthcare providers are now using computer-aided recognition technology to extract transaction-based data from paper forms in an attempt to automate the process and speed up billing cycles. Although this technology is effective in extracting data elements accurately, there are still many processing tasks that must be completed for EOBs to be successful. The Optiform eobXL™ for Kofax Capture solution has all the features necessary to address these tasks as well as the data integration and image integration requirements. It is intuitive and easy to use.

PlanXpand™, Acero's proprietary transaction processor engine, powers all of our products for administrators of health benefits. Clients can leverage this engine to implement Acero products simultaneously or incrementally. Administrators can choose from one of our standard products or PlanXpand™, which allows them to create a custom solution that extends existing system capabilities. Acero's unique integrated solutions feature Service-Oriented Architecture. This allows health benefits administrators and insurers the ability to add functions and features to existing adjudication platforms. Our sophisticated design and engineering allows real-time adjudication for every type of claim in direct interaction with core claims system. This results in faster processing, happier customers, and less need to adjust claims.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.

Expedited claims. Multiple interfaces work in conjunction with your corporate brand. Access to digital data from any location, at any time. You can speed up your life and health processing by using faster systems that meet your needs. You can speed up your claims processing to meet the increasing number of claims. At the same time, you can reconcile and resolve more complex claims with record speed. It's here. It's out. There are no interruptions or delays in claims processing. CLAIMSplus expedites claims by working with employers, TPAs, and insurers using robust in-the cloud processing platforms. CLAIMSplusis focused on optimizing processes and expediting medical cases through secure, reliable, and efficient electronic claims management. Our technology, which is the core of our business, manages claims efficiently and quickly. We asked our clients and found that the claim's timeframe is the most important aspect of claims processing.