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Managing Accident and Health Claims

Accident & Health claims programs are often made up of high-volume / low-severity claims, with a need to complete the claim validation process as soon as possible and thereafter make regular, swift payments to ensure positive customer experience and reduce reputational risk.

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In addition, there is a requirement for enhanced data capture and playback, so that the benefits or insurance cover available continues to be fit for purpose whilst also remaining profitable or in surplus.

Why work with our Accident and Health team?

We have developed a sophisticated approach to the notification and validation of such claims, where we have the ability to provide clients with a bespoke online notification portal, accessible via desktop or mobile application.  Should that not be required, notification by email can be accepted.

Our technical claims handlers triage the claim and determine coverage and ensure maximum service level efficiencies are in place.  

In addition, our offering has built-in alert and referral functionality, enabling our clients to be instantly aware of any complex or problematic issues that they need to be aware of and approve / reject proposed courses of action at the touch of a button

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Get in touch with our specialist team

Data capture and playback

As part of our commitment to innovation and best practice, we have developed our own, proprietary claims management system, called Evoclaim

Evoclaim enables new claims logged via the customer's dedicated online portal to be automatically registered and acknowledged. It then uses automated business intelligence to review what was submitted and provide a checklist of outstanding items to the claims handler on a case-by-case basis, ensuring the validation process is completed as quickly as possible. Evoclaim also enables us to help clients monitor their financial exposure, not only in terms of reserves and payments on a claim by claim basis, but also the performance of an overall scheme or program from a risk management perspective.

Using Evoclaim, clients can access reports and statistics on individual claims or entire portfolios, as well as filtering in whichever way required such as by year of account, geography, injury type etc. 

In addition, we provide a client dashboard available via a secure extranet portal that displays instant graphical analysis on claims according to the client's precise business requirements. This provides direct & instant access to the most important data without the need to request information via our team.

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Get in touch with our specialist team

To find out more about our services get in touch with a member of our team by completing the form.