Showing 9 results
First Notice of Loss (FNOL)
Automate FNOL operations to shorten the claims processing time, make your customers happy and your employees more productive....
Claims Subrogation and Recovery
Insurance company subrogation efforts are a critical step in the claim management process. With so much focus on meeting customer communication and repayment demands, this step creates a separate work...
Property Loss Notice
To begin a property loss claim, even insurance companies that can consistently access standardized ACORD forms need to manually extract and organize the information provided, which can slow down the c...
CMS1500 Claim Form Management
Workers’ compensation claims that begin with a CMS1500 standardized form are ripe for automation. Stop re-keying this data, risking both data-validation errors and wasted time. Automate the process of...
Benefit Calculation and Payment
Once teams have analyzed and approved a claim, manual work remains to calculate the final benefit amount based on the policy details, claim amount and eligibility determination. The information must b...
Short-Term Disability Claim Preparation
Short Term Disability claims require gathering and organizing many unstructured, variable documents before claims can be evaluated for eligibility or payment. Tight SLAs make this process a great cand...
Not In Good Order (NIGO) Claims Identification
With endless checkboxes and documents required to process claims safely, effectively, and compliantly, NIGO errors can feel like an inevitable part of the claims process. WorkFusion can check claims i...
Claims Fraud Investigation
Fraud detection and investigation are a critical part of the claims process. Nearly 10% of all claims are found to be fraudulent, so the pressure to complete a timely and thorough check is paramount t...
TPA Claim Filing
Third-Party Administrator (TPA) claims filings need to be analyzed and managed differently than direct claims from consumers. TPA information and authorizations should be cross-checked to validate the...