CLAIMS
An automated adjuication system for managing payments to your third-party Service Providers. AI based tools allow for easy entry of data and enhanced analysis for fraud detection and systemic product issues. The SXCL rules engine, extensive API suite and cybersecurity foundation ensure the product can support your business as it changes over time.
Why Claims?
Designed to require minimal interaction by your claims team. Claims is built with a manage by exception mentality.
Dynamic rules engine allows for easy management of complex claims rules.
AI based logic verifies claims as they are being processed.
Built from the ground up with security and integration in mind.
OPERATIONAL DASHBOARDS
Manage claims direct from dashboard
System identifies jobs in jeopardy
Find problems before impacting customer
Agents work directly in the system to resolve issues
CONFIGURABLE FORMS
Easily create multiple forms leads to improved data quality
Change languages real time
Specific rules sheets
CONFIGURABLE RULES ENGINE
Make adjustments without code changes
Flexibility to rapidly respond to changes
Reduces reliance on IT resources
Accelerates implementations of new product constructs