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As Good As We Claim

NavRisk Claims supports the claims lifecycle for Workers' Compensation, Auto, General, Property, Professional Liability and many specialty lines from first notice of loss to final adjudication. A user-defined rules engine simplifies the processes of setting up new claims, and automates routine tasks to reduce manual processing costs.  A customizable user interface provides access to dynamic reporting and analytics capabilities. NavRisk Claims integrates with NavRisk Policy , NavRisk Central and NavRisk Analytics and can interface with numerous third-party applications for seamless data sharing.  NavRisk Claims is a completely web-based solution that is available as a hosted or self-hosted model.

NavRisk Claims:

  • Robust reporting solution leveraging SAP Business Objects platform for powerful business intelligence and analytics
  • Sets automatic notifications, triggers, and actions based on workflow and process rules
  • Provides access to performance metrics through configurable dashboards with drill down capabilities
  • Organizes scanned documents, photographs and other media files
  • Provides detailed search capabilities to easily access data
  • Exports data into Excel with one click
  • Integrates with any third-party solution
  • Organizes emails and other correspondence to the respective claim
  • Automates report generation and distribution
  • Generates management reports providing detailed claim activity and financial analysis
  • Analyzes trends for claim activities annually and monthly
  • Produces OSHA 300, 300A and 301 reports
  • Provides enhanced reserve worksheet in order to perform reserve analysis based on best practices, claims experience and knowledge before committing reserve to the claim.
  • Integrates with Hyland's OnBase document and content management solution for a completely paperless environment

In addition, NavRisk Claims offers the following optional modules:

  • Organization Import
  • Medical Bill Repricing
  • Medical Bill Import from 3rd party review company
  • Employee Interface
  • Check Program
  • Payment Processing
  • Accounts Payable
  • Electronic Reporting of Claims and Incidents
  • Medicare Reporting
  • ISO Submission
  • PERI Data Exchange
  • Unit Statistical Reporting
  • EAMS Reporting
  • Claims and Financial Import/Export
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