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FINEOS Claims for CRITICAL ILLNESS

In North America, more people will experience a critical illness before they reach 75, than will die before that age. In the United Kingdom, one in five men and one in six women will experience a critical illness before their normal retirement age; so the need to respond rapidly to those covered by critical illness insurances is urgent. It is vital that critical illness carriers provide excellent customer service, a painless and fast claims process and competitively priced, differentiated products.

FINEOS understands the challenges you face. With many years of experience in the insurance industry, FINEOS’ team of experts have the knowledge and expertise to deliver solutions that not only meet today’s challenges, but help the insurance industry prepare for the future. The following are some of the key features and benefits you can expect to achieve with FINEOS Claims.

Improved Customer Service

By enabling accurate and timely payments, you reduce the chance of legal action and improve customer satisfaction. This is particularly important given the sensitive nature of these claims. Customers who have filed a claim in response to a critical illness can be easily grouped within the system for faster processing and individual service. A real-time single view of the customer empowers claims handlers to deliver customized service over any channel to any party involved with the claim.

Streamline the Claims Process

As the volume of critical illness claims grows, carriers need to ensure that they have a straight-forward claims process in place. FINEOS Claims helps you to increase the automatic throughput of claims, reducing processing time and operational costs.
The solution enforces your business best-practices and routes work to the appropriate skill and authority level. FINEOS Claims allows you to configure and modify workflow at the business-user level, removing the need for complex IT coding.
FINEOS Claims is the number one claims solution in the Life & Disability industry according to Forrester Research.

Consolidate Lines of Business

FINEOS Claims can also help you to consolidate claims management for multiple products and businesses onto a single platform. FINEOS Claims is web-centric and designed to be delivered in an open Service Oriented Architecture (SOA) as a component-based infrastructure for enterprise claims management. This consolidation enables you to manage multiple claim types such as critical illness, disability and long term care making it possible for you to detect possible duplication of claims across different policy types and enabling you to provide better customer service and helping you to identify cross- and up- selling opportunities.

FINEOS Claims for Critical Illness goes beyond traditional claims processing to deliver all aspects of a total claims solution:

• Fully automated claims and case management
• Integrated customer management
• Comprehensive financial management
• Optimal provider management
• A flexible, modern, rules-driven technology platform