Insurance Claims Management Software

HealthRules Payor is a next generation core administration system that provides transformational capabilities to health plans of all types and sizes. HealthRules Payor features the patented HealthRules Language, a revolutionary approach to configuration, claims processing and transparency of information that leverages an English-like vernacular to enable health plans to quickly react to market changes and new opportunities. With HealthRules Payor, your organization can design and implement any benefit plan or provider contract in significantly less time and at less cost than typically required with other systems.

This modern, rules-based platform helps forward-looking life and annuity insurers lay the foundation for new levels of back-end performance and connectivity, as well as faster and more efficient go-to-market strategies.

i2S Life software, built on state-of-the-art technologies and following the best insurance practices, allows insurers to offer differentiated products and services, without being limited by technological factors. The software’s flexibility and versatility lend agility to the insurance business, with new products being created and launched on the basis of a configuration that fits the company’s needs, without requiring specific developments.

Bridge insurance claims software offers powerful features to improve the speed and efficiency of claims management and settlements, further enhancing customer service and satisfaction levels.

PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. The cloud-based platform, Policy Claim and Reporting Solutions™ (PCRS), supports and automates the full lifecycle of all aftermarket products in the automotive and consumer goods sectors.

Flexible, fast and intuitive for examiners, Ventiv Claims Enterprise saves claims organizations money through enhanced productivity and consistency; improved process automation; and regulatory compliance. The most feature-rich, examiner-preferred claims administration system, Ventiv Claims Enterprise is built on the most current technology and continually delivers new, cutting-edge capabilities for claim organizations.

A fully cloud-based health claims management software offering a flexible solution for accurate and timely claims processing. SpyGlass makes benefit and plan setup straightforward and handles full medical, dental, vision, standard or lifetime disability, time-loss payments, COBRA and life claims. Configurable rules and roles-based framework allows business users to easily manage plan setup for increased security and improved workflow systems. SpyGlass integrates with advanced tools, like Microsoft Word and Excel, to deliver the flexibility and functionality necessary to increase efficiency and improve performance.

Gain unparalleled agility with business rules, processes, analytics, and case management integrated into a unified claims management platform. By implementing reusable processes and rules across your operations, Pega ensures a consistent execution by every adjuster regardless of skill or experience.

HyperQuest services compress cycle time, improve severity accuracy, and provide transparency into the claims process. To company managers, adjusters, repairers and part retailers, our products provide rich information, better control over how you operate, and improved profitability.

SIMS Claims™ is a pure browser-based system, and was built by experienced enterprise system architects with direct input from a knowledgeable group of seasoned Insurance professionals. The system provides a complete set of out-of-the-box functionality enabling claims organizations to reduce expenses and increase productivity. SIMS Also provides the flexibility companies need to configure the application to meet their unique business needs.