Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • Service Center Reviews & Ratings
    122 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    7 Ratings
    Company Website
  • XpertCoding Reviews & Ratings
    42 Ratings
    Company Website
  • Vantaca Reviews & Ratings
    363 Ratings
    Company Website
  • RegDesk Reviews & Ratings
    19 Ratings
    Company Website
  • PayHOA Reviews & Ratings
    670 Ratings
    Company Website
  • Elation Health Reviews & Ratings
    88 Ratings
    Company Website
  • Humanly Reviews & Ratings
    133 Ratings
    Company Website
  • Healthee Reviews & Ratings
    13 Ratings
    Company Website
  • Skillcast Reviews & Ratings
    1,105 Ratings
    Company Website

What is Newgen Claims Processing?

Optimize the entire claims process by automating every stage, from the initial loss notification and fraud detection to adjudication and final settlement. This system allows for the distinct handling of various claim types, such as death and maturity claims, while ensuring strict compliance with regulations to avoid any penalties. You will experience enhanced efficiency and accuracy in processing through features that manage data collection, oversee payments, handle salvage and recovery, process legal cases, and offer thorough monitoring. Additionally, the effective registration, adjudication, tracking, and oversight of all claim submissions are ensured. The integrated business rules facilitate automatic categorization of claims into “fast track” or “non-fast track” groups. Furthermore, you can effortlessly add or modify stakeholders involved in the claims process—such as garages, assessors, loss adjusters, surveyors, investigators, and claims officers—to boost operational efficiency. This all-encompassing strategy not only streamlines workflows but also promotes collaboration among all participants in the claims process. Finally, by implementing these enhancements, organizations can significantly improve their overall claims management experience.

What is CLAIMExpert?

Acrometis' premier claims processing solution excels in workflow management by leveraging a versatile rules engine that automates the routing of documents. This innovative system integrates various components, including claim assessment scoring, matching body parts to claim compensability, compliance with jurisdictional regulations, and relatedness scoring, all designed to reduce both the time and expenses tied to claims. Impressively, CLAIMExpert is capable of independently processing 65 percent of incoming medical bills and non-medical documents without any user involvement. Documents necessitating adjuster review are promptly identified and organized, which streamlines decision-making and keeps the process efficient. With initial processing free from adjuster participation, clients typically see enhancements in medical loss ratios, ranging from 11 to 23 points within the first year. Additionally, CLAIMExpert features rules that cover over 190 different document types, allowing it to effectively handle whitemail and any other paperwork that might reach an adjuster's desk. This holistic strategy not only boosts operational efficiency but also profoundly influences the entire claims management experience, ultimately leading to improved client satisfaction.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

Newgen Software

Date Founded

1992

Company Location

India

Company Website

newgensoft.com/solutions/industries/insurance/claims-processing/

Company Facts

Organization Name

Acrometis

Date Founded

2002

Company Location

United States

Company Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

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

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

Popular Alternatives

Popular Alternatives

Newgen Claims Processing Reviews & Ratings

Newgen Claims Processing

Newgen Software
ClaimBook Reviews & Ratings

ClaimBook

Attune Technologies
Duck Creek Claims Reviews & Ratings

Duck Creek Claims

Duck Creek Technologies
Claims Software Reviews & Ratings

Claims Software

Claim Ruler
CyberSource Medical Reviews & Ratings

CyberSource Medical

ComCom Systems