Improving claims administration with an integrated solution

What stands in the way of a more efficient claims administration process? For too many organizations the answer to that question is a reliance on disparate systems, including the use of outdated legacy claims management systems.

The adoption of an integrated, SaaS claims management system that combines workflow automation tools with all of the functionality needed for end-to-end claims adjusting can be transformative.

Benefits an integrated solution and automated workflows

An Insurance & Technology article accurately captures the reality for adjusters working in numerous systems. “For insurance adjusters, one painful reality of their job is the need to switch between multiple software systems in order to find all the relevant information on a specific claim. It’s critical to have all pertinent data in one spot to reduce and/or eliminate this quest for data.”

Use of an integrated claims management system provides adjusters and claims managers with direct, centralized access to the pertinent claims information that they need to do their jobs. Additionally, integration of data into a single-system also opens up the potential for the automation of manual processes and workarounds that negatively impact adjuster productivity.

According to a 2017 Risk and Insurance article that examines the shift from legacy claims systems to newer SaaS technology, this transition “accommodates a younger, less-experienced adjuster workforce with automation that eliminates more of their decision making.”

An integrated solution that includes workflow automation tools improves the claims handling process by driving productivity and informing decisions that contribute to the swift, cost-effective closure of claims.

Selecting a claims management system

“How to Choose a Claims Management Software System” provides a list of helpful tips for organizations looking to purchase or replace a claims management system. While the extent of integration options and automation tools available is a key concern, other considerations include:

  • Does the vendor have expertise in converting data from legacy claims systems?
  • Is the platform adaptable enough to support unique, client-specific requests, as well as expansion into new lines of business?
  • How responsive will the vendor be to requests for support?
  • Are security measures in place—and continually updated—that will adequately protect data in the system and during transmission?

Ultimately, the article concludes that a vendor must be able to demonstrate the capacity to “provide flexibility, scalability and stellar customer service.”

Key features of an integrated claims management solution

Origami Risk is a scalable, cloud-based platform that includes all of the functionality required for the end-to-end handling of claims across all lines of coverage, combined with virtually limitless integration and workflow automation options.

Platform Flexibility

Designed for flexibility, Origami Risk allows you to make the platform your own. Accommodate client-specific requests, make system adjustments, and adopt new functionality as your client base expands and your business continues to evolve. Access to administrative tools means designated users no longer have to wait for a vendor to add fields, adjust workflows, update business rules, or schedule secure file transfers.

Legacy system conversions

Origami Risk provides both data tools and expertise for consolidating claims data from legacy claims systems into the Origami Risk platform. System conversions are supported by a team of data transformation experts, each of whom has years of experience working closely with clients to analyze, map, and load data.

Multiple system integration options

To break down silos of data, reduce the strain on resources, and eliminate error-prone process of copying or rekeying data from multiple systems, Origami Risk seamlessly integrates with internal systems and third-party software. This allows for the secure exchange of data between Origami Risk and other systems, including underwriting, legal, HR, accounting, and payroll applications, as well as systems used by medical billing and nurse case management providers.

Powerful workflow automation

From claim inception to final payment, automated workflows in Origami Risk streamline processes, standardize procedures, and increase efficiency. Events such as initial claim entry, changes made to claim details, or payments and reserves that exceed defined thresholds can trigger the generation of alerts, diaries, tasks, and the routing of financial approvals.

An integrated, SaaS claims management system that combines workflow automation tools with all of the functionality needed for end-to-end claims adjusting can be transformative. With Origami Risk’s claims management system, streamline claims handling processes, drive productivity, and inform decisions that contribute to swift, cost-effective claim closure.


See how Blue Stars Claims Management reduced manual data entry and improved reporting accuracy

Claims administration software helps reduce the potential for human errors in processes and frees up time for adjusters so they can focus on injured workers instead of clerical work.