Claims Processing Solutions Helps Life Insurers Properly Adjudicate Claims

Life Insurance Claims Processing Software

When original policy information is hard to find, processing a death claim can become difficult for Life Insurers. To properly adjudicate a claim, examiners must have access to all of the information pertaining to the incident.

eDocument Resources can improve life insurance claims processing by storing information in one central location and utilizing business process management tools to automate tasks like verifying coverage and tracking missing or required information. Because eDoc can integrate with Claims Handling Systems, such as LifePro, as well as home grown AS400 Mainframe systems, examiners can access documents and data from within one single interface.

For more complex claims product lines, such as short and long-term disability, cancer, and accident, the eDocument Resources solution allows insurers to dynamically interact with the claims process, handling even non-linear aspects of claims processing. Insurers can create tasks on the fly, monitor items that are “Not in Good Order,” and access  items that need further review.

Insurers who use eDocument Resources are able to reduce costs, improve time to decision and reduce claims leakage. Insurance customers who have deployed the eDoc solution have found that, in many cases, automating just one step saved 30 minutes of work in claims. Customers who manage the First Notice of Loss (FNOL) process with eDocument Resources have experienced staggering results, resolving new claims that previously took days within 24 hours.