Claims Management Software

Riskonnect’s Claims Management software streamlines the claims process from intake to final settlement.

Track all claim details in one place. Seamlessly integrate people, systems, and data from multiple sources.

Reduce costs. Streamline workflows, automate routine tasks, and facilitate collaboration among stakeholders to shorten the claim lifecycle.

Resolve even the most complex claims quickly, easily, and fairly. Move every claim through the system with maximum efficiency.

Claims Management Software dashboard on laptop screen

Claims Management Software

Product Highlights

  • Adjudication
    Streamline adjuster tasks and notifications using configurable data-entry screens, rules, and forms.
  • Assignment
    Triage claims for quicker, more efficient handling based on adjuster experience, workload, location, and other criteria.
  • Intake
    Streamline your claim and incident entry with intuitive mobile forms, automatic alerts, real-time access to data, and instant data validation.
  • Closure
    Log every step of a claim to gauge progress, ensure compliance, and confirm all required activities are completed before closure.
  • Data Transformation
    Services
    Transform – and simultaneously validate – data from more than 900 external systems used by major carriers and TPAs.
  • Electronic Report
    of Injury
    Complete and send complex electronic filings for First Report of Injury (FROI) and Subsequent Report of Injury (SROI) to keep you compliant with state workers’ compensation requirements.
  • Intelligent Claims
    Processing
    Embed predictive models and AI capabilities into claims workflows to automate tasks and augment claims adjuster expertise to drive faster, smarter decisions.
  • Regulatory
    Compliance
    Proactively monitor current and potential regulations, manage relationships with external entities, and execute documentation to ensure regulatory compliance.
  • Reserve
    Management
    Create and maintain indemnity benefit schedules with full reserving functionality while capturing an audit trail of all recorded changes.
  • Return to Work
    Manage the complete return-to-work process using insights from official disability guidelines and extensive collaboration capabilities to get ill or injured employees back to work quickly and safely.
  • Settlement
    Efficiently manage and process recurring payments, multiple pay parties, and garnishments.
  • Subrogation
    and Recovery
    Quickly identify recovery opportunities and simplify the subrogation lifecycle.
  • Risk Analytics
    and Insights
    Easily customize your reporting and dashboards to tell your story and inform decisions.

Claims Management Demo Video

IHG Hotels & Resorts

Trey Braden at Randstad

Riskonnect is helping us in terms of achieving financial accuracy for payments for insurers, which is great. We have full visibility of what’s going on in terms of claims management from start to end.”

Marcela Siera, Insurance Systems Manager, IHG® Hotels & Resorts

Reimagined Parking

Anybody in the claims industry knows that the longer a claim is open, the more costly it is,” says Hauf. “With Riskonnect we now have a more efficient claims intake process and quicker triaging, helping to reduce claims duration and expenses.”

Jeff Hauf, Senior Director of Claims, Reimagined Parking

McLane Company

Riskonnect gives us one platform to house all claims data from the cargo standpoint to the liability standpoint. If you want to get accurate information, you need accurate data. And to access that in one platform and be able to utilize that to mitigate, minimize, or prevent accidents, it’s critical to get it all under one roof.”

Rocky Coe, McLane Company

IHG
Reimagined Parking
McLane Company

Streamline, Automate,

and Close Claims Faster

How much are lingering claims costing you? Riskonnect’s Claims Management software automates tasks, reduces clicks, and adds efficiency to every step of the process to save you both time and money.

  • Customize checklists, standards, workflows, and scoring methodologies according to regulatory requirements or your own best practices.
  • Attach notes, images, files, and more directly to the claim.
  • Eliminate duplicate work and improve data accuracy with survey-style intake questionnaires and automatic data validation.
  • Automatically assign adjusters based on workload and expertise.
  • Speed up response time with real-time access to critical information from the moment something happens.
               

Put Your Claims Data
to Good Use

Are you squeezing all the intelligence possible from your claims data? Riskonnect’s Claims Management software offers machine learning and AI capabilities to help you respond faster, allocate resources better, and even prevent similar claims in the future.

  • Ingest structured and unstructured data to automate routine tasks, notifications, and alerts.
  • Identify litigation propensity, subrogation likelihood, and estimate claims duration with AI-based predictive analytics models.
  • Detect potential problems – including so-called sleeper claims – for early intervention.
  • Customize dashboards to surface important details of each claim.
  • Assess the performance of your claims management process and compare it to others in your industry.

Work Together –

and Achieve Better Outcomes

Are claims languishing while your adjusters chase down the information they need? Riskonnect’s Claims Management software offers real-time collaboration between internal and external parties to keep the process moving toward a speedy resolution while delivering the best experience.

  • Seamlessly integrate with third parties, including ISO and Official Disability guidelines.
  • See outstanding action items, approaching due dates, and expected costs.
  • Show collaborators relevant information, not necessarily the entire claim record.
  • Easily create reports using templates and dynamic workflows.
  • Automatically distribute reports to key stakeholders.
  • Streamline communications with claimants via a dedicated portal and texting services.

Get Started with These Helpful Resources

Claims Administration Software resource guide
EBOOK
The Complete Guide to Claims Administration Software
Whether you manage your own claims or manage claims on behalf of others, this ebook will give you the information you need to evaluate claims management software and decide what is right for you.
ebook excellence in claims management
EBOOK
Claim Success: How to Achieve Excellence in Claims Management
This ebook will help you take your claims process to the next level by reducing waste, enhancing customer service, and lowering costs.
Claims management RFP template
RFP TEMPLATE
Starting an RFP process for claims management software?
Download Riskonnect’s list of the most critical claims management software-related questions and customize it to suit your needs.

Customers with

Enhanced Claims Management Programs

Also Use

Enterprise Risk Management
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Billing
Streamline the insurance payment process to efficiently service your policyholders and agents.
IT Risk Management
Identify your top IT, cyber, operational resilience, and other technology risks to minimize the financial impact.

Start anywhere. Expand everywhere.

Industry Recognition for Riskonnect

Redhand Advisors Forrester Wheelhouse Advisor

Start partnering with Riskonnect today.
Find out how Riskonnect can transform the way you view risk.

Quick Answers to Your Claims Management Software Question

Claims management software is a platform for managing, analyzing, and reporting on claims information. The software integrates people, data, systems, correspondence, and more into one place. It saves time and money by automating tasks, streamlining workflows, and closing claims faster. The software can also help you identify fraud, litigation potential, and severe loss potential and reduce the workload and stress on adjusters.

Claims software offers a variety of applications – like intake, document management, electronic report of injury, regulatory compliance, and data transformation services – to close even the most complex claims quickly, easily, and fairly.

The answer to this question depends on the number and complexity of your claims. Companies with a limited number of straightforward claims might find spreadsheets a perfectly adequate tool. As the volume and severity of your claims grows, however, so does the amount of data and reporting needed to effectively manage costs.

You will likely benefit from claims management technology if you have multiple carriers or TPAs, are struggling to identify potential problem claims, or are unable to easily determine how well your claims program is performing. Claims management software helps you respond faster, allocate resources better, and even prevent similar claims altogether.

Riskonnect’s flexible model allows you to start anywhere and go everywhere. You can build a solution that fits your needs today – and easily add and upgrade as your business grows and changes.

Riskonnect is designed to seamlessly connect claims data from multiple sources inside and outside your organization. The software can handle vast amounts of data from numerous insurers/TPAs in multiple formats and currencies. We also offer APIs (application programming interface) to easily import and export data and out-of-the-box integrations with specialized partners to help you get the most from your data as efficiently as possible. And you can easily incorporate that data into your enterprise-level risk analysis.

Pricing depends on the size and complexity of the project and how much customization you require. We offer three industry-leading implementation options at different price points to fit your budget, while achieving your business objectives as quickly as possible.