Claim Management System 

Overview 

• Introduction
• Table of Contents
• FAQ
• Practical DEMO

Introduction 

To simplify the claims process and improve claims service while reducing costs, companies have opted for the evergrowing ERP platforms to emerge the work easier. 

Claims processing is one of the most crucial service activities companies perform. However, the complexity of managing a claims environment with multiple systems and manual hand-offs can create errors and delays that can cause irreparable harm to clients and customer relationships.

HRMS helps organizations simplify the claims process for customers, employees, agents, and third parties. It provides an innovative solution to meet a common industry problem — improving claims service while reducing costs. Claims Management is a comprehensive system designed to provide claims management and processing support for a variety of claims types in a single system. The solution is focused on enabling financial services companies to increase productivity and reduce operational costs, ensure accurate and consistent claims decisions, improve service levels, and reduce backlogs.

With its common user interface for all claim types, policy administration system integration, image and work management, and business rules and calculation engine, Claims Management provides a flexible solution to manage the entire claims process — from initial notification through claim disposition and payment.

The common view of all claims

Claims Management makes it possible to receive initial notification from a variety of sources, including mail, fax, email, and employee center. Notification details are recorded and can vary by type of claim.

A complete list of policies associated with the claims, as well as previous claims history, is immediately available to claims professionals to review and validate the claim. Claims can be automatically or manually routed to an examiner or other claims professional based on configurable business rules.

Claims Management also provides support for defining parties and designations, information requirements ordering and follow-up, claim and benefit calculations and adjustments, and quality checking and approval. Claims requiring special handlings, such as contestable claims or claims requiring investigation, can be tracked and managed.

Support for all processes and claim types

Many progressive companies have begun adopting a paperless environment by managing their claims online. With the Claim Management System, your company can adopt a paper-free workplace too! Through this e-claim system, you can enjoy the reduction of claims processing manual effort by managing employee claims online. Our Claim Management System will provide you with a fully integrated solution for efficient claims tracking, seamless processing to payroll, and document management

Claims Management’s support for all claim types in a single system provides companies with the opportunity to improve productivity, reduce training time, and access consolidated claims data for increased management reporting and fraud detection. The configurable, rules-driven system enables more accurate and consistent claims decisions and calculations. 

HRMS can free your employees from tedious claim submission processes. Employees will be able to look into their payroll and income tax details through self-service functions.

Furthermore, the Finance and HR managers will be able to monitor their teams’ expenditures and manage the company budget more effectively. On top of that, the e-claim system can save your administrators from unnecessary backlog and reimbursement inaccuracies in the HRMS claim system. 

Table of Contents

Activity

Travel/Expense Request

Additional Advance Request

Expense

Travel/Expense Claim

Claim Settlement by Pay-process

Claim Provision

Settlement claim (against Provision)

Travel/Expense Closing

Claim Detail and Summary Register

Claim Provision and Summary Register

FAQ, Practical Demo