Insurance Claims Management Services
Handle claims efficiently and effectively. Streamline claims processing workflows with our Insurance Claims Management Services - from intake to settlement and payment.
The claims process is complex and time-consuming for insurance carriers. There are multiple factors to take into consideration with every claim, from the involvement of various stakeholders to critical compliance requirements. Additionally, the dynamic nature of the insurance industry can significantly impact the claims management process. When the inefficient management of claims can make all the difference to your bottom line and reputation, you should leverage the assistance of an expert insurance claims management company – like us.
As a professional provider of insurance claims management services, we have helped multiple leading insurance companies improve their claims process operational efficiency. We can streamline your claims processing, improve customer support, and lower operational overheads. Partner with us – implement effective workflows for seamless intake, settlement, and payment processes for your insurance firm.
Insurance Claims Management Solutions We Offer
We understand the significance of efficient claims processing and provide highly efficient services to our clients. We have helped multiple insurance carriers streamline their claims management processes by following a responsive approach, where our claims management first response unit (FRU) assist our clients as soon as they contact us. Our key insurance claims management services include the following –
First Notice of Loss (FNOL) and Initial Triage
We leverage multiple channels to receive and record the initial claim information. Then, our experts triage the claim and assign it to the appropriate adjuster or specialist.
Investigation and Adjustment
We thoroughly investigate the claim to determine liability, coverage, damages, and any other aspects. We can also help you negotiate and reach a fair settlement with the claimant.
Settlement and Resolution
Our services will help you ensure all necessary paperwork is completed and the payments are made on time for the settlement of the claim.
Fraud Prevention and Detection Services
Our experienced fraud investigators will leverage advanced data analytics to identify anomalies and detect and prevent fraudulent claims.
Medical and Legal Review
Our medical and legal experts will thoroughly review any claims to ensure you do not overpay for the claimant's settlement.
Subrogation and Recovery
We have subrogation specialists who can identify opportunities for recovery. We can also pursue recovery to recoup losses that you may have paid out in claims.
Data Analysis and Reporting
Our comprehensive services leverage data analysis to create reports that can help you identify trends, inefficiencies, and opportunities for improvement.
Compliance and Regulatory Support
To minimize risk and exposure, we ensure that our clients are in complete compliance with the applicable regulations and standards.
Our Process for Effective Insurance Claims Management
We leverage a streamlined and systematic process to boost productivity and reduce turnaround times for our insurance claims management services. The key steps involved in our process are -
Receive Claims Request
When a customer claim request is received, we process and evaluate the claim.
Claim Investigation
We thoroughly investigate the damage or loss sustained by the insured claimant and ascertain whether the policy covers the damage.
Policy Review
We review all underlying clauses of the insurance policy.
Detailed Evaluation
We confer with the underwriter and adjusters and finalize the course of action for the claim.
Transfer of Approval to Adjuster
After arrangements for claims settlement are made, we transfer the settlement and supporting documents.
Services We Offer
At Flatworld Solutions, we understand the significance of efficient claims processing and hence, provide highly efficient services within a quick turnaround time. We help insurance carriers streamline their processes. Besides, we follow a responsive approach, where our claims management first response unit (FRU) will be assisting our clients, as soon as they approach us. Our key insurance claims management services include -
Claims Intake
Series of business-specific data capture fields for First Notice of Loss
Incident definition will be provided to all the persons involved
Correspondence creation and tracking
Claims Case Management
Secure views and access control and object and data levels
Track claim payments to service providers and claimants
Authorization-based processing and ensure secure claim settlement
Reinsurance and coinsurance management
Claims Allocation
Manual and automatic claims allocation based on business rules
User-related task management with feedback
Workload management
Network partner tracking
Claims Document Management
Claim document to digital document repository conversion
Marking and digital signature features
Document number creation and allocate to link with claims
Mobile scanner and portal integration for agents
Risk Management
Effective fraud detection from the input data
Indications and alerts for fraud detection
Icons to draw attention to key events such as litigation, possible fraud, fatality, etc.
Risk escalation to assessors
Validation
Integrated policy and coverage verification
Fast track claim determination
Decision support process
Claim history review facilities
Investigation and fraud detection features
Claims Cost Containment
Payout administration
Deductible and sums assured control
Payment arrangement creation and tracking
User and vendor management
Organization contact management
Provider/vendor management
Allocating roles and functions
Dashboard Creation
Scorecards and Dashboards based on user's role and function
Easily configurable for additional functions
Industry standard key performance indicators
Monitor performance efficiency
KPI analysis against the targets
Payments and Recovery Support
Automated authority checking, reserve, and limit
Security levels to access the claims management system
Track recoverable from reinsurers
Follow-up of recoveries
Claims Management Reporting
Claims trend ad-hoc reporting tool
Configuration of dashboards and reports to suit your business needs
Why Choose Us as Your Insurance Claims Management Company
As a leading insurance BPO service provider, we have met the claims processing administration needs of insurance carriers and agencies from all over the globe. Our claims processing systems give our clients an edge in the rapidly growing, highly competitive insurance sector. Some of the major benefits of insurance claims management outsourcing to us include -
Increased Customer Satisfaction
We ensure that our top-quality claims administration services help businesses enhance customer satisfaction.
Trained Agents
By partnering with us, businesses can get access to our well-trained insurance specialists who can handle all their requests.
Streamlined Processes
We follow a streamlined insurance claims management process. We verify claims, coverage under policies, and conduct background checks.
Fraud Prevention
We have comprehensive procedures in place that help us prevent the processing of fraudulent claims.
Data Security
We ensure that all the information the insurance companies share will remain completely secure by following strict data security policies.
Best Infrastructure
We have access to state-of-the-art infrastructure, which allows us to deliver accurate results quickly.
Quick Turnaround Time
We have a track record of providing efficient services within a short turnaround time without compromising on the quality of the deliverables.
Affordable Rates
We provide top-quality insurance claims management services at highly cost-effective rates, thereby helping insurance providers cut down on overheads.
Additional Services You Can Benefit From
We leverage data-driven marketing intelligence and a comprehensive strategy to generate viable leads for our clients to drive sales and help them scale up.
We offer key insurance endorsement services to our clients, including adding, limiting, or deleting a policy's coverage and adding or deleting people on an insurance policy.
Our comprehensive services help insurance carriers gain an edge over their competitors with better business models and efficient policy issuance, administration, and maintenance operations.
We provide fast, scalable, and reliable solutions and consolidated back-office management services for insurance agencies that help boost productivity and efficiency.
The processing and issuing of a certificate of insurance (COI) a time-consuming, repetitive, and rigid process for agencies. Our services can help streamline the complex process.
We can take over your renewal requests, complete the back-end work, and deliver the necessary information to the underwriters to streamline your renewal process.
Insurance Software we use
Client Success Stories
We Provided Back-office Services to a Texas-based Insurance Agency
Our skilled and experienced resources provided quick, efficient, and cost-effective insurance back-office services to a Texas-based insurance agency.
Read More
We Helped a Chicago-based Consulting Firm With COI Services
A leading Chicago-based brokerage consulting firm was looking for a partner who could help them with COI services. Our team delivered effective services to the client.
Read More
Outsourced Insurance Claims Management for Better Organizational Efficiency
We understand the unpredictable and dynamic landscape of the insurance industry. Therefore, we consolidate streamlined processes with skilled professionals to provide proficient claims management services. With outsourced insurance claims management, you benefit from -
Reduced overhead costs, more time and resources to focus on business development
Maximized customer loyalty and better customer retention
World-class services that exceed your quality standards
Leverage the expertise of a quick, accurate, and effective provider of insurance claims management services - get in touch with us today!
Our Customers
Key Differentiators
Case Studies
-
Flatworld Provided Back-office Services to a Texas-based Insurance Agency
-
Flatworld Helped a Chicago-based Consulting Firm With COI Services
-
Flatworld Provided Signature Management to a Leading Insurance Company
-
Flatworld Provided Policy Checking to a Leading Insurance Firm
-
Insurance Services for US-based Insurance Agency
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000