FINEOS Insurance Solutions for Workers' Compensation

When your business is workers’ compensation insurance, business is all about getting people back on their feet.  From initial notice of injury through return-to-work, insurance providers must manage their own processes so they can be certain their insureds are managing their rehabilitation.

FINEOS has extensive expertise working with both public (governmental) and private providers of workers’ compensation insurance.  Our solutions provide measurable benefits including:

  • Comprehensive case management in a single system
  • Ability to manage fast-track and record-only claims
  • Reserving worksheet that manages reserves according to your business process
  • Support for electronic billing from third parties
  • Impairment benefit scoring according to industry-standard codes and defined rules
  • Anti-fraud indexing systems which cross-reference additional claims at claim intake
  • Auto-adjudication and decision support

FINEOS solutions for workers’ compensation insurance are built on a common componentized enterprise platform, developed with an open service oriented architecture (SOA) that integrates easily within an existing legacy environment. To learn more about our flexible technical architecture, click here.

Our products are available for implementation to address a single business need, such as claims, or to provide the framework for a larger, enterprise-wide business transformation, such as our recent project with ACC in New Zealand. 

Our solutions for workers' compensation insurance include: