IME Workflow automates claims processing so that adjusters can adjuicate and claims managers can manage. We strongly believe in working smarter…
As a claims assistant to the adjuster, IME Workflow helps streamline the outsourcing of Independant Medical Assessment companies and doctors. The secure portal offers one click automation to communicate referral information, supporting documentation and notes directly to their Independent Medical Examination firms online instantly. Adjusters can track the progress of their assessments, update status, notes and documents or search past claims related data in real time.
As an assistant to the team leaders the integrated workflow management tools ensure that no file activity gets overlooked. The adjuster dashboard allows each user to review claims activity and adjudicate in minutes. Smart email notifications will alert upon claim activity and overlooked items can escalate to a team lead (when an adjuster is on leave or has overlooked a file).
For claims manaers the real-time reporting module provides immediate statistics 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 agreeements, or review the activity of a file that results in litigation.