Customization | NetClaim uses rules-based logic to drive call-scripting, escalation and dissemination. This enables us to create programs that consistently achieve the requirements of even your most complex client.
Reliable Reporting of Complex Claims
NetClaim’s unique interview scripting feature keeps track of the details while dynamically guiding the process step-by-step, based on your clients’ business rules. The system adapts the script, suggesting appropriate questions, skipping questions that aren’t applicable to the incident and prompting the claim reporting specialist to provide any information that may be missing.
This “right-sizing” of the script ensures scrupulous documentation of complicated claims, while minimizing repetition and reducing the time associated with processing less complex reports.
An Intelligent System
The NetClaim system can also direct a line of questions designed to determine the possible causes of a claim. Answers to these types of questions can help your clients in their loss control efforts and prevent future injuries and claims. NetClaim’s intelligent system also offers critical next-step information, providing a framework of action items to undertake after the report is filed, based on the nature of the information reported.
Every step of the intake process offers customizable features including: - Rules-based dynamic call scripting to streamline the intake process and ensure you get the information you need
- Automated, rules-based dissemination to ensure the right people quickly receive notification in the preferred communication method
- System-driven escalation so the appropriate parties quickly learn about urgent situations
- Completely customizable greetings and next-step instructions
- A full spectrum of dissemination options including e-mail (PDF or text), EDI/XML, fax and U.S. mail
- Seamless integration with your existing data systems
- Flexibility to handle intake via telephone, fax, e-mail or direct Internet entry
- The ability to work with any referral partner network
- Custom reports to meet client-specific needs
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Exceptional Claim Reporting | | |
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