FINEOS insurance claims management software is the leading Life, Accident and Health customer-centric, web-based claims processing software. Used globally by over 50 insurance organizations, our claims tracking software supports both group and individual claims on a single platform. It has been deployed by carriers of all sizes, from small departmental claims teams to large teams with thousands of users and millions of claims. Scroll down to see the benefits your organization can enjoy from using our claims management solutions.

Recorded Webinar

The Growing Group Claims Space

Presented by: Adam Edwards, Business Architect

We unpack and explore how funds and their insurers can work together to deliver better outcomes for members, with data and insights being one of the key tools to drive change.

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Offer superior customer service

Learn how you can:

  • Increase your knowledge of customers
  • Build trust
  • Increase customer retention

Gain insight

Learn how you can:

  • Optimize and reconfigure the claims process to meet changing circumstances
  • Accurately forecast reserves
  • Improve understanding of customer lifetime value

Improve claims administration

  • Improve customer service
  • Gain full and detailed audit trails
  • Automate standard processes

Achieve better claimant outcomes

  • Reduce claims duration through improved rehabilitation and return to work
  • Improve reserve accuracy through tighter claims tracking and better claims management
  • Improve claims outcomes – for the claimant, the employer and the insurer.

Novarica Market Navigator Report Validates FINEOS as Market Leader

Claims gained ground as one of the most critical capabilities an insurer needs to meet heightened customer expectations.

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Resources

Recorded Webinars

FINEOS AdminSuite

FINEOS Absence

  • Integrated with FINEOS Claims
  • Covered paid and unpaid leaves
  • Simplifies compliance
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FINEOS Billing

  • Combined or separate bills
  • Reduced billing leakage
  • Automated cash application
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FINEOS Claims

  • Provides straight-through processing
  • Increases accuracy and compliance
  • Covers payments and return to work
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FINEOS Payments

  • Automated
  • Accurate
  • Payroll Continuity
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FINEOS Policy

  • Set up cases quickly
  • Service all tiers and admin modes
  • Connect to digital ecosystem
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FINEOS Provider

  • Drive outcome-orientated engagement
  • Manage service approvals
  • Accelerate rehabilitation and return to work
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FINEOS Quote

  • Fast Life, Accident and Health quoting
  • Extend quoting to distribution
  • Comprehensive workflow
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FINEOS Rate

  • Real-time data manipulation
  • Automated complex rating
  • Award-wining, patented technology
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FINEOS Underwrite

  • Integrated underwriting tools
  • Efficient collaboration
  • Comprehensive quote management
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FINEOS Claims Management Software – Frequently Asked Questions

What is claims management software?

FINEOS insurance claims management software is a leading Life, Accident and Health customer-centric, web-based insurance claims processing software.

Is the FINEOS Claims Management solution widely used?

FINEOS has over 50 Life, Accident and Health insurance customers globally; including 7 of the top 10 group life and health carriers in the US and 6 of the top 10 life and health carriers in Australia.

Does claims management software integrate with absence management software?

FINEOS Claims Management software integrates seamlessly with FINEOS Absence software providing a full absence management solution.

Does our claims management software support IDAM (integrated disability and absence management)?

The FINEOS IDAM solution holistically addresses absence management, claims management, payments and policy administration.

Does claims management software handle group insurance?

FINEOS Claims is the leading Life, Accident and Health customer-centric, web-based claims management software for both group and individual.

Does claims management software support group and individual life insurance?

Yes, our insurance claims management solution supports both group and individual life.

Does FINEOS claims management solution include disability claims?

Paid leave, unpaid leave and disability are integrated within FINEOS Claims.

How can I improve claims management with FINEOS Claims?

FINEOS Claims Management software improves claims outcomes by streamlining eligibility management and driving operational efficiency.

How can FINEOS Claims Management software reduce my costs?

Our claims management solution reduces claims administration costs by increasing process accuracy, reducing redundancy, and enabling faster service, fewer staff, and fewer calls.

How can FINEOS Claims Management improve adherence to legislation and regulations?

FINEOS Claims software integrates processes for HIPAA compliance, ERISA, Social Security and Unfair Claims Practice statutes and has ACORD-compliant interfaces, offering streamlined reporting, automated claim file assembly and easy access to change history.

How can a claims management software improve customer insights?

FINEOS Claims via FINEOS Engage provides omnichannel access with real-time insights.