ClaimVantage

SELF-INSURED CLAIMS ADMINISTRATION - A COST EFFECTIVE APPROACH

Self insured claims can be auto adjudicated and managed more efficiently using a new innovative approach from ClaimVantage and Reed Group. To learn how to streamline your claims process and reduce your cost per claim please complete the contact form or call (207)781-3175.

Companies who self insure and want to stay in control of their disability claims need to have a system that is:

  • easy to use
  • cost effective
  • provides a consistent approach to claims management across the company
ClaimVantage and Reed Group partner to provide a claims management system that helps automate the claim and payment process while providing consistent and appropriate diagnosis and care management.

Short Term Disability claims
The Claim Manager can manage the intake of short term disability (STD) claims directly or via an FMLA service provider. Claims can be assigned based on levels of complexity and diagnosis. Simple claims can be auto adjudicated using the Medical Disability Advisor (MDA) guidelines that is the defacto industry standard for evaluating and administering workplace disability absence. Self insured claims processing has never been easier.

Long Term Disability claims
Long term disability (LTD) claims require a more subjective approach to claims management. This claim management process requires the development of action plans used to develop return to work strategies. This may also require sharing a claim between the Claim Examiner, Nurses, Doctors and Rehab specialists. The ClaimVantage claim management system provides claims adjudication to support action plans, notes, diary and payment calculations. The system can also be shared by various resources that need to triage a claim and make a decision.

ClaimVantage and Reed Group deliver a state of the art claims management system that can be implemented in a relatively short timeframe and at a fraction of the cost for alternative solutions. The MDA guidelines impart a non-biased objective approach across an organization. It saves time and maximizes individual contacts with employees and physicians. This approach improves the communications process with an employee during a disability period and makes for happier employees where they know their employer cares for their wellness.