Enhanced Disability Claims System
The disability claims system from Portland, Maine-based ClaimVantage is now available with MDGuidelines, a return-to-work (RTW) reference toolset from Westminster, Colo.-based Reed Group.
With more than 1,300 topics, MDGuidelines includes evidence-based, physician-reviewed RTW duration guidelines and a predictive modeling tool that enables case managers to tailor guidelines to individual employees.
A key product feature of MDGuidelines is identified as the toolset's two types of RTW durations: idealized durations, the actual time it takes for the injury or illness to heal; and real-world durations based on millions of cases. ClaimVantage says that comparing both types of durations allows case managers to identify psychosocial factors that extend recovery times and apply additional resources as needed to help employees return to their normal productive endeavors.
ClaimVantage Disability Claim software, distributed through a software-as-a-service (SaaS) model, is designed to support the full life cycle of claim management, including intake, assignment, eligibility, case management, workflow, tasks, payments and operational reports.
New Claims Management System
Pegasystems Inc., a Cambridge, Mass.-based business process management and customer relationship management software provider, has released a new insurance claims management system.
The company says that Pega Claims for P&C insurers is designed to provide greater ease-of-use and faster time-to-value through a single, unified and strategic platform that supports the varied claims management needs of insurers. Pega says that its "Build for Change" technology delivers rapid deployment and increased flexibility without compromising its out-of-the-box functionality.
Pega Claims features case management capabilities, which, the company says, frees up claims operations from manual, inefficient tasks by automating work activities and guiding support staff to the next best action, for better decision making.
