POINT IN Advanced Claims

Perform and document each phase of the claims process electronically.

POINT IN Advanced Claims™ provides tools to help manage and reduce claims processing costs. With Advanced Claims, the claims department can perform and document each phase of the claims function electronically — copying, mailing, sorting, matching, pulling and re-filing paper folders are minimized.

Comprehensive System Provides Superior Claim Results

Real-time search capabilities in Advanced Claims allow users to locate and display online a particular claim or group of claims. Clients can determine data for reporting and the format in which it is reported. Through scheduled routine reports for statistical and actuarial purposes, ad hoc reports and system-provided best practice filters, management can monitor and control the claim process for the greatest level of efficiency and effectiveness.

Flexible Claims Handling Process With Electronic Files

• Document adjusters' analysis of coverage application, liability and damages exposure
• Attach and manage multimedia documents
• Generate and store form letters and merge defined claim-specific information
• Control workflow with manual and automated diary process
• Establish and modify reserves and generate payments
• Perform simplified and automated bill re-pricing based on multiple fee schedules

Manage Claims Data

• Define access, reserve and payment authority by individual user or user group
• Analyze data for trends in policy/claim activity
• Implement company-defined best practices
• Create standard and customized reports easily to provide underwriters, as well as senior management, with critical claims data
• Publish reports over the Web to management, customers and agents
• Import and export data to and from other databases
• Enable specialists to work a specific part of the claim

Additional Benefits

• Features DNAFs-based architecture using COM object program architecture (supported by Microsoft Visual Studio 6.0)
• Supports system extensibility through all tiers
• Supports multiple ODBC-compliant database platforms (SQL, Oracle, Informix, Sybase, ACCESS)
• Supports electronic data interchange (EDI) for first report of injury (FROI)
• Facilitates 800 reports with use of Quick Entry screens for capture of basic information to be developed later by adjuster
• Browser-enabled FNOL/FROI enables easy claims reporting by agents and customers

Advanced Claims is fully integrated with Microsoft Office applications to support generation of forms, extraction of data and integration to email.