ClaimsPro for Workers' Compensation

Providing end-to-end, automated claims lifecycle support for Workers’ Compensation insurers, enabling them to create or adjust lines of business through intuitive configuration tools.

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Sapiens ClaimsPro for Workers’ Compensation allows insurance organizations to handle unexpected changes that may arise throughout the workers’ compensation claims cycle, from FROI to final benefit resolution and closure. Advanced processing expedites the loss reporting and assignment process and offers significant savings in loss adjustment expenses.

Our detailoed data capture assures compliance with regulatory reporting and other critical claims data. Consistent information ensures swift processing and our payment management functionality facilitates financial integrity.

Automated Policy Lifecycle

Better Injury Management
Financial Efficiencies
Advanced Regulatory Processes
Ensure Appropriate Treatment and Improve Customer Retention

Better Injury Management

Our 360-degree view offers claims professionals a centralized way to view and analyze the incident, claims and claimant information for quick resolution and increased customer satisfaction.

Financial Efficiencies

Industry-leading financials provide flexibility and control of claims reserves and payments. Comprehensive, real-time payment processing supports automatic payments, split payments, offset and deductions, refunds, transfers and 1099 processing.

Advanced Regulatory Processes

Streamlined compliance reporting improves the efficiency and accuracy of your review process, reducing risk of potential fine (OCI, CMS, FROI, SROI).

Ensure Appropriate Treatment and Improve Customer Retention

Containment of medical costs through outcome-based case management that focuses on the injured employee’s health and productivity. Workflow processing support allows for proactive case management and faster claims resolution.