Core Software
ClaimVantage Claims for L&AH – AI-Driven Claims Management Software
Transform Your Claims Operation with AI Intelligence
ClaimVantage Claims for L&AH revolutionizes how you process and manage claims. Built on the Salesforce Lightning Platform and powered by ClaimVantage Agentforce, our claims management software streamlines the entire claims lifecycle with AI-generated summaries that accelerate decisions and improve customer experiences. Proactively identify fraud, expedite claim processing, and deliver superior service with robust features and embedded analytics that optimize resource allocation and performance.
Optimize Claims Management
Streamline your claims operations to meet customer expectations for seamless, transparent, and fast interactions. Unshackle your business and team from legacy systems and their data siloes, spreadsheets, paper files, and manual workarounds with modern insurance claims management tools.
Advanced Technologies for Claims Excellence
Keep at the leading edge to support future initiatives, technologies and partners by leveraging our cloud native 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
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.
- Leverage ClaimVantage Agentforce to generate intelligent summaries of claim events, reducing manual review and accelerating adjuster decisions.
- Offer policyholders a user-friendly interface to easily submit claims and track their progress online. Establish clear communication channels, ensuring transparency and facilitating seamless interactions throughout the claims journey.
- Capture and store policyholder information digitally, facilitating personalized service. Deliver tailored communication, timely updates, and proactive support, ultimately enhancing customer satisfaction.
- Utilize ClaimVantage Studio’s JSON editor and custom settings configurator to simplify benefit management configuration.
Enhanced Customer Experience
Enable digital engagement to meet the demands of today’s customers.
- Accelerate claims processing with insurance claims management automation, leading to faster decisions and payouts. This reduces the waiting time for policyholders and enhance 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.
- Stay compliant with new regulations through overpayment management enhancements and updated ODG guidelines that improve claims handling and consistency.
Data Driven Insights
- Utilize advanced analytics to provide data-driven insights, enabling faster and more informed claims decisions. reduced delays and improved operational performance.
- Facilitate transparency throughout the claims process with data-driven insights, enabling you to identify bottlenecks, streamline workflows, and optimize resource allocation.
- Proactively manage risks by detecting patterns and anomalies indicative of potential fraud, ensuring security and 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
Featured Resources
Podcast
A Win-win for Claimants and Carriers
EvolutionIQ’s Michael Saltzman joins Denise Garth for a conversation on DI claims and absence management, how AI is impacting insurers, the next wave of data and analytics, looking for talent outside of insurance, and the importance of partnerships. Listen Now
Podcast
The Future of Integrated DI Claims and Absence Management
Join Majesco’s Denise Garth and Standard Security Life and Reliance Matrix’s Scott Boutin for an all-new podcast on the impact of the changing workforce, the opportunity to expand the definition of a product, the key factors of managing integrated DI claims and absence management, and how technology can drive operational excellence and manage complexity. Listen…
FAQ
The newest enhancements in our life and health claims platform 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.
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.
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.
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.
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.
