LA&H claims

Take the friction out of LA&H claims

Connect intake, adjudication, payments, appeals, and servicing in one platform so teams can move faster, see more clearly, and stay in control of every claim.

Business Value

Everything claims teams need to move faster

End-to-end claims control

Run intake, adjudication, payment, appeals, and resolution in one connected claims environment.

Straight-through by design

Automate eligibility, benefit checks, claim summaries, and updates so teams can process more with less effort.

AI built into the workflow

Turn claim documents into structured data to speed review, improve accuracy, and reduce rework.

Built for LA&H complexity

Support disability, life, AD&D, critical illness, hospital indemnity, accident, dental, vision, long-term care, and more on one platform.

Flexible payouts, fewer bottlenecks

Handle calculations, payment schedules, adjustments, overpayments, delayed claim interest, and OFAC checks with greater control.

A clearer view of every claim

Give teams one dashboard for discrepancies, timelines, actions, and next steps.

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Claims in action

Less chasing. More resolving.

Give teams one connected workflow from intake through payment. Majesco LA&H Claims brings AI assisted document ingestion, discrepancy management, event tracking, and 360 degree claim views together so staff can see what matters and take action faster. It keeps claim activity visible, reduces manual follow up, and helps teams focus their time on exceptions that require judgment. The result is a more consistent claims experience for employees, providers, and members. 

Why AI matters

Bring more speed and insight to claims

AI takes friction out of claims. Embedded intelligence speeds intake, reviews documents, supports adjudication, and answers inquiries so teams can cut rework, act faster, and focus on higher-value decisions.

70%

faster claim decisions

80%

less effort to create claims from PDFs

90%

less effort for benefit determination

70%

less effort for claim inquiries

Built to fit the way claims teams work

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Implementation

Three easy steps to go live

  1. 01

    Start with the claims model you need

    Align workflows, rules, and claim processes around your products, teams, and servicing model.

  2. 02

    Configure for real-world complexity

    Adapt tasks, exception handling, calculations, and payouts to match how your business actually runs.

  3. 03

    Go live with room to grow

    Launch on a platform designed to support change, scale across lines, and keep improving over time.

Support

Support that helps teams stay on pace

  • Configurable workflows and business rules
  • Flexible exception management
  • Centralized claim visibility
  • Integration-ready architecture
  • A platform built to adapt as needs change

FAQ

LA&H claims management software helps insurers manage and automate the claims process from first notice through adjudication, payment, and resolution so teams can work more efficiently and make better claim decisions.

Move faster, cut manual work, and stay in control.

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