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Description
The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.
Description
Sinexo is a comprehensive claims management solution tailored for organizations that regularly process insurance and damage claims, including local authorities, private and social landlords, property management firms, fleet managers, insurance brokers, and legal teams. This software streamlines the entire claims process from initial notification to archiving, all accessible from a single interface that includes claim specifics, contact information, a detailed activity log with timestamps, categorized documents, and financial records such as quotes, invoices, payments, and settlements.
The system is designed to adapt to your established workflows and terminology, allowing for flexible configuration of fields, claim types, statuses, and letter templates. It enhances communication by enabling emails to be dispatched from the claim with pre-filled templates and delivery tracking, while responses are automatically integrated into the timeline. Furthermore, any missing documents can be requested via a secure upload link, eliminating the need for an account.
The software also boasts detailed user permissions, ensures the encryption of personal data and documents, employs IP filtering for added security, and provides daily backups on servers located in France, along with options for CSV and archive export to facilitate data management and transfer. This level of customization and security makes Sinexo an invaluable tool for organizations managing complex claims processes.
API Access
Has API
API Access
Has API
Screenshots View All
No images available
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
79 EUR/month
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Acrometis
Founded
2002
Country
United States
Website
www.acrometis.com/our-solutions/claimexpert-and-associated-services/
Vendor Details
Company Name
EDITIONS CPSH
Founded
2017
Country
France
Website
www.create-lab.fr/
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Alternatives
Alternatives
No Alternatives