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What is Riskonnect Claims Management?

Riskonnect Claims Management Software is a powerful enterprise solution built to automate, streamline, and optimize the entire claims management process from intake through closure. The platform centralizes claims information, workflows, communications, and analytics into a single system that improves efficiency, visibility, and collaboration across organizations. Users can simplify incident and claim intake with intuitive mobile forms, automated notifications, instant data validation, and real-time access to important information. The software supports advanced functionality including electronic injury reporting, assignment triage, reserve management, adjudication workflows, settlement processing, subrogation tracking, and return-to-work coordination. Riskonnect leverages machine learning and AI-driven predictive analytics to help organizations identify litigation risks, estimate claim durations, uncover recovery opportunities, and proactively address high-risk or dormant claims. The system also enables businesses to automate repetitive tasks, reduce manual data entry, and streamline communication between adjusters, claimants, insurers, healthcare providers, and third-party administrators. Regulatory compliance tools help organizations stay aligned with workers’ compensation requirements and other industry regulations by supporting electronic filing processes and monitoring compliance obligations. Businesses can integrate the platform with more than 900 external systems and data sources, creating a more connected and accurate claims management environment. Real-time dashboards and customizable reporting tools allow organizations to monitor claims performance, analyze trends, and make data-driven decisions that improve operational outcomes. Riskonnect’s collaboration features help stakeholders manage deadlines, track action items, share relevant claim details, and accelerate claims resolution while maintaining transparency throughout the process.

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.

Media

Media

Integrations Supported

Rayven

Integrations Supported

Rayven

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

Riskonnect

Date Founded

2007

Company Location

United States

Company Website

riskonnect.com/claims-management-software/

Company Facts

Organization Name

Newgen Software

Date Founded

1992

Company Location

India

Company Website

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

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

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

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