Claims Fulfilment

Our Claims Fulfilment solution offers unparalleled visibility of the Insurance Claims Fulfilment process from creation of the first instruction to completion and closure of the last supplier instruction.It gives a unified view of claims across all lines of the business.

The use of ediTRACK and web services provides instantaneous communications with suppliers, automating previously time consuming manual tasks. This means that for complex claims, such as flood or fire it integrates all of the participants into a common plan, linking the suppliers either automatically or via a web portal. The claims advisor has one point of reference for the the claim.

Activity tracking not only gives clear progress visibility to all parties throughout the life of the claim, but stores this data so that it can be used in management information to analyse and report on claim trends, spend patterns, supplier performance and much more.

ediTRACK Claims Fulfilment is configurable, flexible, integrates easily with supplier host systems and is quick to change in line with the business needs. It is an exception based system with dashboards, email alerts and traffic lighting to maximise the efficiency and productivity of the claims handler.

The simple web based access from any common browser allows insurers to reach deeper into the supplier base, making it accessible to smaller suppliers who have previously not had the capability to link in automatically with insurers in the past. Automated links with suppliers saves time and increases efficiency.

Potential Benefits

• Shorter claim cycle times
• Improved information to and from suppliers
• Better control of approved suppliers
• Improved claims handler productivity with fewer touch points leading to increased customer satisfaction

The Instruction Process

Supplier instructions can be raised by the insurer through the portal screen. This screen provides workflow screens for the claims handlers to complete information about the instruction including; the insured, policy, incident, broker, special instructions etc.

The Supplier Fulfilment Process

The supplier is given authority to access specific screens and data on the ediTRACK portal to view their instructions and action the fulfilment steps. These steps include the key activities the suppliers will complete to fulfil the claim from first contact to final payment.

The Payment Process

Approved suppliers are able to submit a request for payment to the insurer through the ediTRACK portal screen. The request is validated against the insurer's specified criteria and accepted or rejected with an appropriate error message.

Management Information

ediTRACK Claims Fulfilment includes extensive reporting and management information across business lines, supplier types and instructions.