Health Claims and Case Management Systems (Medical, LTC, Disability)
Add your medical, health, and group/voluntary claims systems to our directory. A core claims system is a transaction enabled system of record that gathers and processes information on a claim. This is includes rules for evaluating and analyzing the input, making decisions, and taking action. The system executes the decision and preserves a record of it.
Life / Annuity Claims Management Systems
A life / annuity claims system is a transaction enabled system of record that gathers and processes information on a life insurance or annuity claim. This is includes rules for evaluating and analyzing the input, making decisions, and taking action. The system executes the decision and preserves a record of it.
P&C / General Insurance Claims Management Software
A P&C/general insurance core claims system is a transaction enabled system of record that an adjuster or claims handler (or an automated process) uses to: • Gather and process information regarding the underlying policy and coverages, the claim, and the claimant. • Evaluate and analyze the circumstances of the claim • Make decisions and take actions including payment. • Execute transactions and preserve a record.
WHAT ARE CLAIMS SYSTEMS?
Insurance claims software helps insurers manage and evaluate insurance claims. The solutions can range from claims management systems that allow agents to manage the claims process within a centralized system of record to supporting systems that handle subrogation, loss control, medical bill review, etc.
CELENT CAN HELP YOU FIND AND EVALUATE CLAIMS SYSTEMS VENDORS
Celent Digital Services is a web-based vendor research platform, transforming vendor sourcing and due diligence. Our unique, collaborative approach to vendor research, where vendors respond centrally to surveys and share this information on a multi-lateral basis, creates a hub of vendor due diligence data supporting the most comprehensive vendor research facility available to the financial community. Celent Digital Services provides real-time research with data updated at the point of use, greater accuracy and depth of information, improved usability with tools to analyse the data and because its online, easier access anytime of the day. Our multi-lateral approach to data sharing means it’s more efficient for vendors and financial institutions to request and share vendor due diligence and evaluation information.