FINEOS Claims®

Claims management accounts for 70 - 90% of an insurer's administrative overhead.  And yet, one out of five customers considers changing insurers after going through the claims process. Why does such a resource-intensive function result in such poor customer satisfaction?

The claims process has historically been handled manually, with large staffs of claims handlers working with paper files and outdated or inflexible systems. But modern claims systems present the opportunity to not only streamline claims management by automating processes, but improve customer service through a reduction in settlement times, the enforcement of best-practice rules, and the ability to deliver personal service. At the same time, systems must provide a foundation that can support future business growth and development.


Introducing FINEOS Claims - a Total Solution for Claims Management

FINEOS Claims is a Total Claims Management Solution

FINEOS Claims goes beyond traditional claims objectives to deliver a best-in-class solution that addresses all aspects of a total claims solution:

  • Fully-automated claims and case management for automated electronic transaction handling and workflow
  • Integrated customer management for a single view of the customer
  • Comprehensive financial management for integrated reserving, payments and billing
  • Optimal provider management to support large and complex vendor networks and service agreements
  • A flexible, modern, rules-driven technology platform that prepares you for growth

FINEOS Claims is designed with a high level of standard business functionality and content to provide direct, measurable claims management improvements. Engineered to provide maximum flexibility and extensibility, FINEOS Claims can be implemented within a single line of business, across multiple lines of business to provide a single platform for claims management, or as the foundation for a broader enterprise transformation project.

FINEOS Claims provides a competitive edge by allowing insurers to manage change at the business-user level, without complex coding, testing, or re-engineering of systems. The agility built into FINEOS Claims ensures that the system will support an insurer's competitive strategies, whether that's through supporting new products, changing processes, or even changing lines of business.

FINEOS Claims is available industry-wide and supports multiple lines of business, including the following:

Insurance and Bancassurance

General Insurance including:

Property & Casualty including:

Life & Health including:

Government including:

    • Workcover
    • Transport Accident
    • Bodily Injury
    • Compulsory Third-Party

© 2009 FINEOS Corp. Ltd