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Ratings and Reviews 0 Ratings
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Predict360Predict360, developed by 360factors, serves as a comprehensive risk and compliance management platform designed to streamline workflows and improve reporting for various financial institutions, including banks, credit unions, and insurance companies. This cloud-based SaaS solution consolidates essential components such as regulations, compliance management, risk assessments, controls, key risk indicators (KRIs), audits, policies, and training into one cohesive platform while offering powerful analytics and insights that help clients foresee risks and enhance compliance efforts. If your current Governance, Risk, and Compliance (GRC) system isn't equipped with an effective analytics and business intelligence tool for creating insightful reports for executives and board members, consider Lumify360 from 360factors. This predictive analytics platform can seamlessly integrate with any existing GRC, allowing you to maintain your workflow processes while equipping stakeholders with the timely reports and dashboards they require for informed decision-making. With these advanced tools at your disposal, you'll be better positioned to navigate the complexities of regulatory compliance and risk management.
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QuaerisTailored results will be delivered to you based on your preferences, past experiences, and specific role. QuaerisAI ensures that you have access to data that is almost in real-time for all your data needs. The platform boosts your data and document management tasks by leveraging AI technology. To foster knowledge exchange and monitor progress, teams have the ability to share insights and create pinboards. Our sophisticated AI engine swiftly converts your inquiries into a format suitable for database processing within mere seconds. Just as life requires context, so does data; our intelligent AI engine analyzes your search terms, interests, roles, and historical data to rank results that encourage deeper exploration. Additionally, you can effortlessly apply filters to your search outcomes, allowing you to uncover specific details and delve into pertinent questions that arise. This seamless integration of AI not only enhances efficiency but also enriches the overall user experience.
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XpertCodingXpertCoding, developed by XpertDox, is an innovative AI-driven medical coding solution that leverages cutting-edge artificial intelligence, machine learning, and natural language processing to rapidly process medical claims within a 24-hour timeframe. This software not only optimizes the coding workflow but also contributes to quicker and more precise claim submissions, enhancing financial outcomes for healthcare providers. Among its numerous features are a detailed coding audit trail, reduced reliance on human oversight, a module aimed at improving clinical documentation, seamless connectivity with electronic health record systems, a robust business intelligence platform, a flexible pricing model, a notable decrease in coding costs and claim denials, and a risk-free implementation process that includes no upfront costs along with a complimentary first month of service. By utilizing XpertCoding's automated coding system, healthcare organizations can ensure prompt payments, streamlining their revenue cycle and allowing them to concentrate more on delivering quality patient care. Opt for XpertCoding to experience dependable, efficient, and accurate medical coding that is specifically designed to meet the needs of your practice and improve overall operational effectiveness.
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PoloniousPolonious serves as an investigation management workflow solution that adheres to ISO27001 standards, built upon three foundational principles: 1 - Security 2 - Process orientation 3 - Adaptability and customization This framework empowers users to design workflows that not only safeguard data and evidence in a secure, ISO27001 certified manner but also streamline compliance with regulatory obligations with minimal hassle, thanks to workflows that are inherently compliant. Furthermore, the platform eliminates the need for costly and time-intensive coding alterations, allowing users to make modifications independently through an intuitive graphical user interface (GUI). Additionally, Polonious offers the capability to generate comprehensive reports on case outcomes, timelines, and financial metrics, which can be analyzed by case types, investigators, and investigation statuses. This functionality not only demonstrates value to higher management but also aids in pinpointing inefficiencies, paving the way for enhanced operational productivity. By leveraging these insights, organizations can continually refine their investigation processes to achieve better results.
What is Duck Creek Claims?
Duck Creek Claims provides a comprehensive solution tailored for managing the entire claims process, focusing on enhancing each phase of the lifecycle for insurance companies. This platform automates workflows starting from the initial report all the way to the conclusive settlement, and it also streamlines data analysis through built-in analytics while ensuring seamless integration with existing systems. Key attributes include sophisticated first notice of loss (FNOL) functionalities, automated task assignments that take into account the expertise of adjusters and their current workloads, instant access to policy and coverage details, and efficient workflows designed for adjusters. By leveraging this innovative system, companies can greatly improve operational efficiency and reduce manual interventions, leading to faster claims resolutions and increased customer satisfaction, all while complying with the latest regulatory requirements. Furthermore, the extensive range of tools and features provided by Duck Creek Claims empowers insurers to adeptly navigate the shifting landscape of the insurance industry and meet emerging challenges head-on. This adaptability is crucial in maintaining a competitive edge in a rapidly changing market.
What is Claims Signal?
Claims Signal™ is an innovative quality assurance solution for claims, created by Aon and Athenium Analytics, aimed at assisting insurers in identifying high-risk claims at an earlier phase. By enhancing the overall experience for policyholders, this platform has the potential to significantly improve claims indemnity and expenses, with estimates ranging from 4% to 6%. In the current dynamic landscape of insurance, claims teams are under increasing pressure to boost customer satisfaction, optimize workflows, and reduce financial losses. While regular quality audits can successfully uncover the underlying issues and divergences from best practices, the insights gleaned from these evaluations might not be available for weeks or months after a claim has been finalized. Envision having the capability to monitor open claims in real-time and address quality issues proactively before they adversely affect outcomes. The Claims Signal platform employs cutting-edge artificial intelligence to analyze open claims, pinpoint emerging challenges, and generate instant alerts, enabling frontline managers to act swiftly before a claim is resolved. By incorporating predictive analytics along with timely notifications, insurers can potentially decrease claims leakage by as much as 4%, thereby revolutionizing the claims management landscape. This forward-thinking methodology not only boosts operational productivity but also cultivates a mindset of ongoing enhancement among claims teams, ultimately leading to a more responsive and effective claims handling process. As a result, insurers can better align their strategies with customer needs and market demands.
Integrations Supported
Duck Creek Suite
API Availability
Has API
API Availability
Has API
Pricing Information
Pricing not provided.
Free Trial Offered?
Free Version
Pricing Information
Pricing not provided.
Free Trial Offered?
Free Version
Supported Platforms
SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux
Supported Platforms
SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux
Customer Service / Support
Standard Support
24 Hour Support
Web-Based Support
Customer Service / Support
Standard Support
24 Hour Support
Web-Based Support
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Company Facts
Organization Name
Duck Creek Technologies
Date Founded
2000
Company Location
United States
Company Website
www.duckcreek.com/product/claims-management-software/
Company Facts
Organization Name
Athenium Analytics
Company Location
United States
Company Website
www.athenium.com/products/claims-signal/
Categories and Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting
Categories and Features
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting