ClaimsVISION

Additional features

Multi-line SaaS Claims Administration

Cloud-based solution handling claims for various commercial lines including Workers' Compensation, General Liability, Property, Commercial Auto, Professional Liability, Medical Malpractice, Excess & Surplus, and more. Accessible from anywhere with an internet connection.

Actionable Analytics and Business Intelligence

Provides data-driven insights through customizable reports and dashboards, enabling informed decision-making and identification of trends. Includes key performance indicators (KPIs) and predictive analytics.

Built-in Compliance

Automates compliance with industry regulations and reporting requirements such as OSHA, MMSEA, and No-Touch FROI/SROI, reducing risk and ensuring adherence to legal standards.

Flexible Intake Module

Template-based reporting forms capture incident and claim information across all lines of business in a dynamic and intuitive way, accessible from desktop, field, and even offline. Supports various data input methods.

Diaries & Notes Management

Helps adjusters manage caseloads efficiently with automated and manual diaries, user-configurable diary and note types and sub-types, configurable priority levels, due dates, searchable and sortable entries, spell check, assignment to internal users, and email notification to external users. Any file format can be attached to a claim note (.pdf,.doc,.xls,.jpeg,.png,.mov, etc.).

Configurable Rules Engine

Allows users (without programming) to customize and build intelligence into their unique organizational workflows, automating tasks and decisions based on pre-defined rules. Enables dynamic routing and escalation of claims.

Policy Management

Contains all policy information necessary for coverage verification and policy limits. When a claim is entered into the system, a policy must be in force on the date of incident for the policyholder or the system will not allow reserves to be established and the claim opened. Client configurable aggregate and coverage limits. The policy module also tracks property exposures and insured items, Including COPE data elements. Provides a centralized repository for policy documents.

Financials

Streamlines financial processes with simplified payments (cycle and non) and reserving (reserve worksheet). An industry-first Financial Approval Hub centralizes audits all steps related to managing your entities incoming and outgoing costs. Tracks expenses and recoveries.

Imaging

Sophisticated imaging capabilities, including auto-indexing and workflow, are pre-integrated with eQuorum’s ImageSite. Doc management with integrated electronic distribution and collaboration features drives users through lightweight email links to documents that you intend others to use. Supports OCR and barcode recognition.

Forms & Correspondence

A one-stop shop for all Forms & Correspondence needs. Using built-in logic to dynamically attach and/or make available only the letter templates relevant to each claim. Automatically activate a form/correspondence for a claim based on client, line of business, state, and other preconfigured business rules. Templates can be either conditional or optional. Maintains a library of templates.

Dashboarding

From current workload (department, adjuster), claims information, to associated policy data ClaimsVISION’s dashboards are designed to be intuitive and functional. All configurable, shareable, and mobile accessible. Offers real-time visibility into key metrics.

Automated Workflow

Built-in workflow elements, configurable, are engrained throughout the system. From data pre-population, navigation shortcuts, dynamic fields, to task load management tools these elements work in concert with an adjuster, team, supervisor. All enabling an intuitive and efficient user experience. Includes task assignment and reminders.

Data Fluidity

Systems set themselves apart by how easy it is to get the right data in and out of the system. This is true whether talking about interfacing or reporting (internal or external). To this end PCIS has invested heavily in a proprietary B2B interface layer which standardizes, stages, and verifies data entering and exiting the database. This means cheaper more flexible integration capabilities and more accurate Reporting BI. Supports APIs and web services.

Intelligent Analytics & Reporting

Reporting platform that is end-user friendly: 100+ Canned Reports, Drag Drop & Share Dashboards, Dedicated Reporting Database and more. Enables custom report creation and ad-hoc queries.

ISO Claims Search Integration

Enhances claim investigation with access to ISO ClaimSearch data, helping detect fraud and identify related claims.

Policy Administration

Comprehensive policy administration features including policy creation, renewal, endorsement processing, and document management.

Billing

Integrated billing functionality for premium collection, invoicing, and payment processing.

Web Rating

Online rating tools for generating quotes and policy pricing.

Permanent Disability Rating

Tools for calculating permanent disability ratings based on established guidelines.

Federal Reporting

Automated generation of federal reports related to claims and policy data.