FINEOS Claims for Disability Insurance Datasheet

FINEOS Claims for Disability Insurance is a comprehensive software solution designed to enable carriers to easily navigate the complex and highly-regulated claims landscape of short- and long-term disability insurance for groups and individuals. Its integrated approach with FINEOS Absence, Policy, Payments and Provider, coupled with its AI-enriched technology platform, redefines the customer’s claim experience while improving the bottom line.

FINEOS Claims for Disability Insurance resides on the open core, cloud-based FINEOS Platform, powered by AWS and delivered as a Software as a Service (SaaS) model.

Key benefits of FINEOS Claims for Disability Insurance solution

Increase Productivity

  • Support your organization’s unique claims servicing needs with automated workflows and AI-enhanced scripting.
  • Accelerate service delivery with online coverage verification and eligibility as well as straight-through processing.
  • Navigate seamlessly between short- and long-term disability claims.
  • Ensure higher quality service with rule-based assignments, automated escalations, and faster approvals.
  • Enhance communications with shared information, integrated scheduling, and fewer follow-ups to claimants, rehab centers, and service providers.
  • Improve service delivery and ensure compliance with comprehensive access to current and prior claims history.

Improve Claims Outcomes and Increase Profitability

  • Inform and guide decisions, coordinate treatment options, and prevent fraud with online access to prior claims and provider cost history.
  • Leverage AI-enriched analytics to improve the quality of treatment and reduce the length of time benefits are paid.
  • Estimate costs and recovery times more accurately with MD Guidelines.
  • Improve contract negotiation, reduce costs, and prevent fraud with easier access to claims and provider information.
  • Manage claims expenses more accurately with more sophisticated tools to monitor provider costs and practice patterns as well as industry trends.

Configured for Maximum Flexibility

  • Out-of-the-box accelerators for deployment, including data migration tools, to reduce carrier setup requirements and ensure smooth integration with other systems.
  • SaaS solution delivered either stand-alone or as part of a complete policy administration or end-to-end platform solution.
  • Highly configurable, scalable platform to grow in line with business needs.
  • APIs that matter to support transactions and customer interactions throughout the entire claims lifecycle.
  • Trusted and compliant platform to support the most stringent security and regulatory requirements.

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