Market Solutions Configured with FINEOS AdminSuite Products

FINEOS AdminSuite is designed specifically for the Life, Accident, Health industry. As a comprehensive suite it includes absence, billing, claims, payments, policy, and provider. The flexibility and component-based structure enables configurable and powerful core capabilities for group, voluntary and individual insurance. The agility and stability of FINEOS AdminSuite enables the development of market solutions that align with the ever-changing and challenging insurance landscape.

The FINEOS IDAM Solution holistically addresses absence, claims, payments and policy

  • FINEOS Absence – a single book or record for all absence management related services
  • FINEOS Claims – enables streamlined and efficient operation for complete customer care service
  • FINEOS Payments – creates a unified payments stream for paid and non-paid leave
  • FINEOS Policy  – the complete source of truth for an insurer’s policies and products, managing the full lifecycle and all transactions and interactions at both group and member level

Simplify the Complex

There are over 100 reasons to be absent from work and an ever-changing regulatory landscape, including federal, state, and municipal regulations. The FINEOS IDAM Solution simplifies complexity by automating processes around paid and unpaid absences, including insurance Short Term Disability (STD) claims. Gone are the days of manual calculations, relying on spreadsheets, utilizing multiple legacy systems, or reading through a client profile database. FINEOS IDAM, the leading integrated disability and absence management solution, helps to ensure that you’re compliant. Automating and centralizing IDAM reduces both costs and hours, while a unified data archive gives you the security and analytical insight to run your operation.

Integrate Claims and Absence Management

You often have to move from one system to another to accurately calculate time and pay benefits, including STD benefits. The FINEOS IDAM Solution provides integrated claims and absence that automates calculations within a single interface. The solution also gives carriers and employers access to industry-leading configuration, rules, workflow, tasks, document management, and benefit payment capabilities.

The FINEOS IDAM Solution provides easy access to data to help you:
• Track and benchmark absence, insurance claims and accommodation reasons
• Score absence requests, completions, and predictive Return-To-Work (RTW) analytics
• Identify frequency and duration trends (by codes, job type, etc.)
• Reduce the time and cost associated with HR research and attorney fees involved in regulatory compliance
• Route absence claims appropriately, schedule follow-ups, and assign resources

Improve Engagement and User Experience

A unified system for paid and non-paid leave including disability, and accommodations with a user-friendly interface enables easy navigation for both employers and employees. Self-service capabilities allow employers to delegate authority, submit and retrieve documents, and create a unified payments stream.

Simple step-by-step interfaces guide both employers and employees through the absence process to help drive engagement, productivity, and better absence outcomes. Most importantly, you’ll provide a seamless, pain-free leave experience that’s compliant, fosters employee wellbeing, and promotes efficient return-to-work outcomes.

Resources

FINEOS IDAM – Frequently Asked Questions

What is FINEOS IDAM (Integrated Disability and Absence Management)?

FINEOS IDAM is an integrated solution for disability and absence management that simplifies complexity through seamless automation and integration of paid and unpaid absences with disability management.

What are the key features of FINEOS IDAM?

FINEOS IDAM provides self-service capabilities and streamlined engagement with automation and delivers entitlement, benefits payments, and accommodations in a single claim. FINEOS IDAM provides regulatory compliance and supports federal, state, and municipal plans out of the box.​

Does FINEOS IDAM integrate with absence and claims in addition to payments and policy administration?

The FINEOS IDAM solution integrates with FINEOS Absence, FINEOS Claims, FINEOS Payments, and FINEOS Policy providing a robust and streamlined operation.

How does FINEOS IDAM help reduce risk?

FINEOS IDAM leverages advanced claims analytics to reduce fraud and improve reserve accuracy. Risks are reduced through automated regulatory compliance and a unified data archive.

How does FINEOS IDAM improve the employer experience and employee outcomes?

FINEOS IDAM eliminates redundant follow-ups from multiple systems, enables 24×7 self service for reporting and managing claims, increases productivity through intelligent workflow and promotes efficient return-to-work outcomes.

How can we streamline our absence management operations with FINEOS IDAM?

The FINEOS IDAM solution simplifies the absence management process by handling time entitlement, benefits payments, and accommodations in a single claim​. FINEOS IDAM also coordinates leave plans with disability benefits and accommodations​ further reducing redundancies.

How are claims processes improved with FINEOS IDAM?

FINEOS IDAM provides a single intake for claims, enables integrated proxy approval for leave plans, automates manual calculations and provides instant access to cross-functional information.

How can FINEOS IDAM help us be more efficient?

FINEOS IDAM ensures efficient operations by enabling you to track and benchmark absence, insurance claims and accommodation reasons. You can also score absence requests and predictive Return-to-Work (RTW) analytics, identify frequency and duration trends, route absence claims and assign resources appropriately.