Comprehensive Workers' Compensation Claims Software
Our web-based PowerSuite Claims workers’ comp system helps carriers, administrators, and state funds reach business objectives for productivity and cost containment. PowerSuite Claims is pre-integrated with PowerSuite Policy, so you have the option of implementing the policy and claims modules separately or together.
PowerSuite goes to work every day across the U.S. and Canada. Insurers count on our workers’ comp systems, which have consistently focused on helping you reach your business objectives. We understand workers’ comp claims—we have developed workers’ comp systems for nearly 30 years, building comprehensive functionality. Our seasoned professional services team members have a track record of successful implementations. You can learn from your peers and share experiences in our active customer communities.
Workers' Compensation Claims Software that Supports Your Business Goals
Claims team members can focus on processes that truly require their attention since routine tasks are automated. Automatic settlement without adjuster intervention is possible for simple injuries. And your workforce can receive sophisticated alerts for critical items that demand attention.
Key Features
- Case management to track costs, parties and forums
- Rules-based auto-adjudication
- Minimal data entry to register a new claim
- Automated coverage verification for claim entry
- Automatic pull of benefit rules associated to the state governing the claim
Workers’ comp administration typically carries a significant administrative burden. Adjuster workload and administrative tasks frequently lead to poor claim handling. PowerSuite Claims relieves the load. Transmitting letters electronically with PowerSuite Claims not only reduces the time taken but also postage costs and the size of the team needed.
Key Features
- Web-based FROI for agent/customer claim entry
- Standard formats that support the collection of ACORD and IAIABC data; capabilities to collect state-specific data, as well as automate coverage verification for streamlined claim entry
- Early duplicate checking
- Minimal data entry to register a new claim
- Automatic coverage verification
Inconsistent claims practices frequently influence claim overpayment. PowerSuite Claims provides consistency and helps eliminate unnecessary payments. You also gain control of where payments go. Data collection as early in the process as possible assists in controlling the downstream adjudication process and promotes a managed approach ensuring appropriate liability and minimized losses. In addition, you can stay on top of fraud problems through data mining.
Key Features
- Ability to manage all payments to providers in a configurable manner
- Ability to authorize provider for specific period or block provider from payment
- Complete medical bill and expense payment processing with multiple levels of control
- Advanced business intelligence and executive dashboards; data mining to trigger fraud detection