Operational excellence in claims management requires strong relationships with external vendors. eClaims Workflow automates complex tasks and removes duplicative functions. All assignments flowing through eClaims are performance tracked, have timelines and expenses monitored, and security and compliance rules applied. All in one simple web-based portal.
Automated forms processing, document transfers (including large content like surveillance videos), and invoice management are all integrated functions. eClaims can bridge dis-similiar computer systems and deliver your claims data in your format. A single solution for multi-vendor relationships.
The eClaims dashboard provides an overview of active cases and allows a user to drill into any activity. File monitoring alerts to any case that is outside of compliance and can be automatically escalated to a manager if a threshold is passed. No losing track of a file.
Real-time reporting provides immediate supervisory data to ensure that both the department is meeting it’s targets and that no file goes outside compliance. Our auditing system tracks all activities (both adjuster and claims vendor) and provides performance metrics on all user activity. Claims managers can at a glance determine if vendors are within the fee schedule, are operating within the timelines of the vendor agreements, or review the activity of a file that results in litigation.
No hidden fees EVER
Transparency is our business model. The standard billing policy is to bill VENDORS for the referrals that they accept and complete. Under this policy the Insurer pays nothing. There is no monthly charge, no licensing cost, no implementation charges, no maintenance or support fee, and no charge for training. All content is owned by the Insurer and we observe the Insurers policies regarding security, document retention, access, and destruction.
Trusted since 2004
Completely independant from any claims vendor, eClaims Workflow is utilized by 6 of the 10 top ten Canadian Insurers and operates on both sides of the Canada/US border
To date we have trained 4800 users, processed over 250,000 referrals with 285,000 actionable results.