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Description
The Sapiens Platform for Property & Casualty offers a comprehensive, cloud-based or on-premise suite of software solutions equipped with cutting-edge digital functionalities. This platform can be deployed either as an integrated system or as independent modules. Its wide-ranging offerings cater to the diverse requirements of P&C carriers, supporting various lines of business and distribution channels while providing an extensive array of digital tools. The Sapiens CoreSuite for Property & Casualty features several key components, including Sapiens PolicyPro for Property & Casualty, which oversees the entire policy administration process from the initial quote to rating and policy issuance; Sapiens BillingPro for Property & Casualty, which guarantees the accurate collection of premiums, management of claims payments, and processing of agent commissions; and Sapiens ClaimsPro for Property & Casualty, which manages claims processing and the settlement procedures. Additionally, the platform encompasses a reinsurance solution, enhancing its robustness and functionality. This comprehensive approach ensures that carriers can efficiently streamline their operations and improve overall service delivery.
Description
Shift’s Payment Integrity offers an advanced AI-driven solution tailored for health plans, aimed at enhancing the precision and minimizing expenses involved in the claims payment process. This innovative tool operates effectively during both pre-payment and post-payment phases, enabling plan administrators to identify potential issues early on while also recovering overpayments efficiently. Among its notable features are dynamic claims editing with updated rules, AI-supported reviews of medical records, detection of anomalies as well as instances of fraud, waste, and abuse, and integration of external data for a more comprehensive analysis. The system is designed to adapt to changing policies and guidelines, featuring automated policy assessments and an edit logic workbench that allows health plans to experiment with concepts prior to implementation. It also includes clear flags and alerts that inform reviewers about the reasons behind claim flagging, facilitates faster document reviews by emphasizing key sections of records, and employs data mining techniques to uncover emerging trends. Additionally, the platform boasts a cohesive case management interface that streamlines investigative workflows, further enhancing operational efficiency for health plans.
API Access
Has API
API Access
Has API
Integrations
SPLICE Dialog Suite
Sapiens Insurance Platform
Smarty
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
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
Sapiens International
Founded
1982
Country
Israel
Website
sapiens.com/solutions/property-and-casualty-insurance-software/
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity
Product Features
P&C Insurance
Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management