FINEOS Claims for Voluntary Insurance Datasheet

FINEOS Claims for Voluntary Insurance is purpose-built for you.

Voluntary insurance has evolved into an essential component of the majority of employee benefit packages, offering an economical way to provide additional insurance options that cater to the individual needs of employees. With an increasing number of employees embracing these choices, claims integration becomes a must-have feature. FINEOS Claims for Voluntary Insurance seamlessly integrates with the FINEOS Policy, Billing, Payments, and Provider solutions, offering a contemporary, SaaS-driven technology platform with AI-enhanced features that facilitate a swift and hassle-free claims process. This offering is available for accident, hospital indemnity, and critical illness products.

FINEOS Claims for Voluntary 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 Insurance solution

Streamline Claims Intake and Workload Management

  • Support your organization’s unique claims servicing needs with automated workflows and AI-enhanced scripting.
  • Provide a consistent user experience across products.
  • Accelerate service delivery with online coverage verification and eligibility at the point of intake.
  • Coordinate with disability claims intake for a single life event approach.
  • Ensure higher quality service with
  • rule-based assignments, automated escalations, and faster approvals.
  • Enhance communications with shared information, integrated scheduling, and fewer follow-ups.
  • Identify bottlenecks and optimize workflows with FINEOS Process Analyzer


Better Claims Outcomes and Increased Profitability

  • Improve case management with immediate access to prior claims, provider cost history, and relevant communications.
  • Identify treatment options and abnormalities faster with insights gained from user-configured dashboards and reports.
  • Monitor claims and payment trends, provider diagnosis, and practice patterns against industry benchmarks.
  • Estimate costs and recovery times using MDGuidelines.
  • Drive contract negotiations, reduce costs, and prevent fraud with integrated information on claims, payments, and providers.


Configured for Maximum Flexibility

  • Out-of-the-box accelerators for deployment 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.

To find out more about FINEOS Claims for Voluntary Insurance or to request a demo, please contact us.

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