GO for Workers’ Compensation

A rapidly deployed, full-featured suite that can be implemented standalone or as a fully integrated system, including the major components, PolicyGO and ClaimsGO.

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GO for Workers’ Compensation is a full-featured solution for specialized carriers, MGAs, self-insurance funds, and third-party administrators. Incorporating AI, ML and GenAI to drive automation and innovation, GO for WC lowers medical costs through outcome-based case management, while improving operational performance. It enables smart, data-driven business decisions and increased operational efficiency, and the agility for carriers to thrive in today’s rapidly changing digital landscape.

  • A Turn-Key, Full-Featured System
  • Complete Lifecycle Policy Processing
  • Comprehensive Claims Automation

A Turn-Key, Full-Featured System

A rapid-deployment, full-featured solution designed for specialized carriers, MGAs, self-insurance funds, and third-party administrators who seek seamless integration from new business quoting to underwriting processing, injury management, and claims settlement adjudication. As a dedicated partner, we cater to all your business and technical needs. Our core components include policy administration with billing, claims management, case management, and bill review. These components are pre-integrated with our advanced digital offerings, significantly extending your technical capabilities.The system is meticulously designed for faster implementation and ease of use to improve efficiencies, reduce administrative burdens, and enhance both customer satisfaction and profitability.

Complete Lifecycle Policy Processing

Our rules-driven processes provide the ability to define workflows, with an emphasis on elevating underwriters’ daily activities and effectiveness. This streamlined approach provides better-quality risk analysis and underwriting performance for higher profitability.

  • Maximize results with straight-through processing
  • Increase productivity and reduce cycle times with comprehensive automation and compliance reporting
  • A global view of the customers across quotes and policies supports thorough aggregation and analysis of the customer profile, resulting in better service and higher retention
  • Flexible and scalable for quick adaptation to a highly dynamic market

Comprehensive Claims Automation

Claims automation is the key to increased productivity and stronger financial controls. Handle unexpected changes that arise from FROI through final benefit resolution and closure. Advanced processing expedites the loss reporting and assignent processes and offers significant savings in loss adjustment expenses.

  • Improve injury management with a 360-view throughout the claims process
  • Outcome-based case management contains medical costs and retains customers
  • Reduce growing claim inventories through seamless workflow driven by best practices to achieve better closure ratio
  • Streamlined compliance reporting increases the efficiency and accuracy of your review process
  • Ensure appropriate treatment leading to improved financial efficiencies

Transformational Products

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

PolicyGO

Accelerate your policy administration with a comprehensive, no-code solution designed specifically for Workers’ Compensation management

ClaimGO

Revolutionize your claims management with AI-driven automation for increased productivity and stronger financial controls

Connect for Workers' Compensation

Empower agents and policyholders with seamless web access and real-time data integration for enhanced efficiency and customer satisfaction

Customer Stories

Industry Recognition

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