CoreSuite for Workers' Compensation

A full-featured, cloud-enabled, digital solution for larger carriers that includes PolicyPro and ClaimsPro components.

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CoreSuite for Workers’ Compensation is a powerful, cloud-native solution that is easy to deploy and maintain, with a highly configurable rules engine to meet ongoing industry challenges. Providing dynamic, digital engagement with omni-channel experiences, CoreSuite reduces time to market, offering enhanced customer value and customized products for sustainable, high-performing insurance operations.

  • Flexible, Configurable, and Fully Automated
  • Complete Lifecycle Policy Administration
  • Advanced Claim Administration

Flexible, Configurable, and Fully Automated

As a comprehensive suite for larger entities like state and provincial funds, private insurers, and third-party administrators, the CoreSuite system is feature-rich and includes a broad range of customization options. With digital capabilities across policy, billing, and claims, the modules can be deployed individually or as an integrated solution. Our end-to-end solutions are delivered in browser-based technology with deep workers’ compensation insurance functionality and methodology that allows for easy upgrades. Add-on solutions and the ability to deploy all or selected components of the enterprise solution provide the utmost in versatility.

Complete Lifecycle Policy Administration

A multi-state, mulit-program solution supports quoting, rating, issuance, endorsement, billing, audit, and loss prevention.

  • Maximize underwriting results, as rules-driven, straight-through processing enables workflow definition for better risk analysis and higher profitability
  • Flexibile and scalable for quick adaptation to the changing workers' compensation market
  • A global view of the customer across all quotes and policies offers underwriters and agents the tools to thoroughly aggregate and analyze the customer profile, resulting in better service and higher retention
  • Increase productivity and reduce cycle times, from automated underwriting to compliance reporting (WCPOLS and WCSTAT)

Advanced Claim Administration

Sophisticated automation seamlessly handles unexpected changes that may arise throughout the claim cycle, from FROI to final benefit resolution and closure. Advanced processing expedite the loss reporting and assignment process and offers significant savings in loss adjustment expenses.

  • A 360-degree view offers a centralized way to view and analyze the incident, claim and claimant information for quick resolution and increased customer satisfaction
  • Industry leading financials provide flexibility and control of claim reserves and payments. Comprehensive, real-time payment processing supports automatic payments, split payments, offsets and deductions, refunds, transfers and 1099 processing
  • Streamlined compliance reporting improves the efficiency and accuracy of your review process, reducing risk of potential fines (DCI, CMS, FROI, SROI)
  • Containment of medical costs through outcome-based case management that focuses on the injured employee's health and productivity

Transformational Products

Sapiens provides a comprehensive set of solutions to fully automate the insurance landscape.

PolicyPro

Easily modify products in response to market changes and gain insights for better service and customer retention

ClaimsPro

Contain medical costs through outcome-based case management while improving operational performance

DigitalSuite

Transform your insurance operations with seamless digital experiences, empowering customers, agents and third-parties to achieve a fully digital engagement experience.

IntelligencePro for Workers' Compensation

Empower your business with smart, data-driven decisions and increased operational efficiency through AI-powered automation

Industry Recognition

Celent Claims Systems Vendor
ClaimsPro
Luminary "Sapiens ClaimsPro is a comprehensive, and highly adaptable core claims system"