Here are some common areas that companies choose to integrate with the claims system to help improve outcomes:

Third-party intake

Automating claims processing and fostering integrations with features already present on smart devices can help bring intake out of the realm of routine form filling and into more dynamic and meaningful interactions between the employer, injured worker and the insurance company.

Bill review

Bill review relies on accurate claim data and claim history to make proper payment decisions. Optimizing straight-through processing workflows helps maximize efficiencies. However, it is just as important to notify the adjuster or bill review specialist when critical information on an invoice or request for treatment requires human intervention.

Medical case management

Case management relies on accurate data to make important decisions about direction of care and treatment plans. Integrations can bring richer medical data, worker status and other critical information to the adjuster's attention.

Document management

Millennials aren't the only ones pushing for a more customer-centric experience — this demand spans demographics. Omnichannel communications, not just traditional correspondence and forms, can help you reach a wider audience. A best of breed solution can help companies improve in this area. By expanding your capabilities, you can meet consumer expectations for more instantaneous communication.

Regulatory reporting

Since the majority of states require electronic data interchange (EDI) for First Response of Injury (FROI) and Subsequent Response of Injury (SROI) reporting, most regional or national workers' compensation insurers can benefit by having a third-party system to help manage reporting with automated workflows, edit notification and pre-built sequencing.

Analytics and reporting systems

Analytic and reporting vendors that help manage claims with either real-time or historical reports and analytics are a growing segment of InsurTech.

Claims stakeholder portals

Portals offer insureds, vendors, injured workers and other stakeholders a seamless way to interact with you, and meet expectations that have already been set by the likes of leading technology companies.

Accounts payable/general ledger

Since claims affect the bottom line, integrations can help an organization get a more robust and actionable picture of claim financials from executive to operational views.

Special Reports /

Using technology to improve the claims process

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