End-to-end claims control
Run intake, adjudication, payment, appeals, and resolution in one connected claims environment.
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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
Run intake, adjudication, payment, appeals, and resolution in one connected claims environment.
Automate eligibility, benefit checks, claim summaries, and updates so teams can process more with less effort.
Turn claim documents into structured data to speed review, improve accuracy, and reduce rework.
Support disability, life, AD&D, critical illness, hospital indemnity, accident, dental, vision, long-term care, and more on one platform.
Handle calculations, payment schedules, adjustments, overpayments, delayed claim interest, and OFAC checks with greater control.
Give teams one dashboard for discrepancies, timelines, actions, and next steps.
Claims in action
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
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
Implementation
Start with the claims model you need
Align workflows, rules, and claim processes around your products, teams, and servicing model.
Configure for real-world complexity
Adapt tasks, exception handling, calculations, and payouts to match how your business actually runs.
Go live with room to grow
Launch on a platform designed to support change, scale across lines, and keep improving over time.
Support
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.
Claims for LA&H supports a wide range of lines, including disability, life, AD&D, critical illness, hospital indemnity, accident, cancer, dental, vision, and long-term care.
AI helps teams ingest claim documents, convert them into structured data, speed reviews, support adjudication, and reduce the manual work tied to routine claim handling and inquiries.
Straight-through processing helps automate steps like eligibility checks, benefit applicability, claim summaries, and post-submission updates, while routing exceptions to the right people for review.
A cloud-based platform gives teams easier access, reduces dependence on manual processes, simplifies change, and helps insurers stay more flexible as business and technology needs evolve.