Products
- Claims Automation, has the capability of automating everything from simple generation of state required forms to extensive automation of medical bill review and payment within business rule thresholds. Best practices can be established and maintained using active automation of claims processes, proactive monitoring of claims status, and adjuster assistance throughout the claims life-cycle.
- First Notice of Loss, Everest Automation provides a robust FNOL/FROI process that includes manual entry by company personnel or the insured/employer. Integration with the existing Policy Management system insures coverage verification at the time of entry. Workflow and process automation allow for the automated assignment and handling of claims. Business rules can be applied to allow for automated handling of claims that meet specific company defined criteria to drive additional cost efficiencies.
- Case Management, Enable the entire team of claims handling personnel — from nurses to bill review staff — to collaborate and effectively manage the costs of extensive medical claims. Workflow, diaries, and business rules allow Claims Automation to proactively automate best practices in handling and managing costs and treatment plans.
- Litigation, enhance collaboration between claims and legal teams; while tracking litigation files and dates. Manage documents and document flow between claims personnel and legal team. Track settlement offers and status. Centralize litigation documents and generating automated litigation notifications and system monitoring of litigation events.
- State Forms, Claims Automation can generate all your state forms and filings.
- Document Management, imaged documents are associated with the claim and can be viewed as part of the claim without leaving the application.
- Reporting, Everest Automation provides a complete compliment of standard reports. Reports are can be pre-published and distribution automated. Published reports can be distributed by email, network share, or available from within the Claims Automation.
- Executive Dashboard, Instant and real-time updates to the key business intelligence indicators are available through the Executive Dashboard. Monitoring components include financial performance metrics, claim exposure, aging, claim type distribution, large reserve claim monitoring and claim performance metrics.