Core Software

ClaimVantage Claims for L&AH – Claims Processing Software

Digitally Transform Your Claims Operation

ClaimVantage Claims for L&AH revolutionizes how you process and manage claims. This cutting-edge claims management software solution, built on the native Salesforce Lightning Platform, streamlines your entire claims lifecycle, providing a powerful and intuitive platform to handle claims efficiently and effectively.

Proactively identify fraudulent activities, expedite claim processing times, and deliver superior customer service. The robust features and embedded advanced analytics empower your organization to make data-driven decisions, optimize resource allocation, and enhance overall operational performance with a modern insurance claims management system.

Optimize Claims Management

Modernize and streamline your insurance claims management operations to meet customer expectations for seamless, transparent, and fast interactions, unshackling your business and team from legacy systems and their data siloes, spreadsheets, paper files, and manual workarounds.

Advanced Technologies for Claims Excellence

Keep at the leading edge to support future initiatives, technologies and partners by leveraging our native cloud software that digitizes the claims process and efficiently manages group, individual, and worksite benefits from intake to adjudication and payments.

Insight-Driven Claims

Enhance accuracy and speed with real-time, data-driven insights. Eliminate paper files, centralize storage, and boost operational effectiveness – reducing manual effort by up to 30%.

ClaimVantage Claims Solutions

Integrated Disability and Absence Management

Digitally record, track and manage absence and disability for each customer in a fully integrated end-to-end claim and absence management solution, built natively on the Salesforce Lightning Platform.

Enhanced Operational Efficiency

Streamline the full lifecycle of individual, benefits, and group L&H claims – from intake to payment – on a cloud native digital platform.

  • Accelerate claims processing, resulting in faster decisions and payouts. This reduces waiting time for policyholders, enhancing their overall claims experience.
  • Offer policyholders a user-friendly interface to easily submit claims and track their progress online. It establishes clear communication channels, ensuring transparency and facilitating seamless interactions throughout the claims journey.
  • Capture and store policyholder information digitally, facilitating personalized service. This capability allows for tailored communication, timely updates, and proactive support, ultimately enhancing customer satisfaction.
  • Harness the power of Majesco Copilot, your new Gen AI digital assistant, that delivers personalized interactions and automates manual tasks to ensure customer satisfaction and improves operations.

Enhance Customer Experience

Enable digital engagement to meet the demands of today’s customers.

  • Expedite claims processing, leading to faster decisions and payouts. This reduces the waiting time for policyholders and enhances their overall claims experience.
  • Allow policyholders to submit claims and track their progress online via clear communication channels, ensuring transparency and ease of interaction throughout the claims journey.
  • Deliver personalized service by capturing and storing policyholder information digitally. This allows for tailored communication, timely updates, and proactive support, enhancing customer satisfaction.

Data Driven Insights

  • Utilize advanced analytics to provide data-driven insights, enabling faster and more informed claims decisions. This empowers you to process claims efficiently and effectively, reducing delays and improving operational performance.
  • Facilitate transparency throughout the claims process with data-driven insights, enabling you to identify bottlenecks, streamline workflows, and optimize resource allocation. This enhances operational efficiency and overall claims management effectiveness.
  • Proactively manage risks by leveraging data analytics to detect patterns and anomalies indicative of potential fraud. By identifying and addressing risks early on, you can safeguard their interests and maintain fair and accurate claims processing.

“We have been working with Majesco ClaimVantage Claim Management platform for over 13 years. Last year we made a decision to upgrade our system and move to the cloud platform. As we continue to digitally transform our business, this latest version will provide expanded and innovative capabilities that will drive operational effectiveness, but most importantly an enhanced, superior claims experience. We are looking forward to our continuing long-term partnership and excited about the possibilities for the future.”

Clodagh Elliott, Director of Corporate Business Operations

FAQ

Are there any enhancements to ClaimVantage Claims?

The newest enhancements include enriched eligibility and risk management for claims allowing the ability to define the waiting and elimination periods at the coverage level, rather than the policy level.

What is the benefit to upgrading and moving to the cloud for claims management?

The growing demands of customers and the need to optimize the claims operation is a key driver in digital transformation. The upgrade and move to the cloud will accelerate digital transformation while driving operational effectiveness, enhanced customer experiences that will enable agility, speed and innovation.

What are some of the top claim challenges Insurers face in L&AH?

Providing excellence in customer service that meets rapidly changing consumer demands is a growing problem. Managing claims efficiently while striving to improve claim outcomes is another challenge for insurers.

What role does AI play in modern insurance claims management?

AI-powered claims management software enhances risk assessment, fraud detection, and predictive analytics, helping insurers identify patterns and anomalies within claims data. By leveraging AI and data-driven insights, insurers can accelerate claims processing, improve decision-making, and enhance overall customer service.

How does claims management software improve operational efficiency?

Claims management software streamlines the insurance claims process by automating manual workflows, reducing administrative burdens, and improving data accuracy. With features like real-time data analytics, fraud detection, and automated claim adjudication, insurers can process claims faster and optimize resource allocation.

The Future Starts With Majesco