Client Server Software: P&C Claims Management

First Notice of Loss	Intelligent data defaults optimize the capture and printing of a Property & Casualty First Notice of Loss form. FNOL supports compliance with insurer and regulatory EDI requirements.
General Information	Record necessary insured company, insured person and claimant demographic data, in addition to claim numbers, type, status and representatives. This Section also contains a claim contact “rolodex” and claim file organizer, automatically linking the user to all Office and imaging documents related to the claim.
Automobile Loss	Document critical claim details including vehicle and driver demographics, vehicle damage description and estimates, owner and passenger information, accident description, safety compliance or violations, insurance and agency report submissions, traffic and injury related documentation, and third party investigation assignments.
Property Loss	Property information includes names, descriptions and locations, in addition to damage descriptions, estimates and owner demographics. Accident or loss related details include cause, nature, time and date, safety compliance or violations, fraud indicators, insurance and agency report submissions, and third party investigation assignments.
General Liability Loss	Allegro supports the administration of all liability claims because the policy, coverage and kind of loss tables are completely user definable. The adjuster can record a general description of loss and demand amount, in addition to accident or loss details including date and time, claimant age, safety compliance or violations, fraud indicators, insurance and agency report submissions, third party investigation assignments, and injury related documentation and medical history.
Employment Information	Includes vital wage, benefit, employer, occupation, employment history and job duties, in addition to a robust RTW tracking module. Track each disability by projected, guideline and actual RTW dates, describe restrictions, record date and RTW types, and calculate full or restricted duty days automatically.
Insurance Information	Links critical carrier, policy and coverage details to individual claims.
Financial Information	Retrieve bank and account defaults, set and edit reserves, issue single and recurring payments, record subrogation and recovery transactions.
Settlement Information	Document demands, evaluations, authorizations and agreements between all parties to the claim, including primary and excess insurers.
Controvert Information	Record coverage entitlement, denial dates and rationale, and rescind reasons.
MMI & PIR Information	Track Maximum Medical Improvement and Permanent Impairment Rating details including dates, body parts, guidelines and provider.
Litigation Information	Facilitate litigation management by tracking applicant and defense attorneys, filings, depositions, mediations and hearing outcomes.
Notepad and Diary	Configure notepad topics and categories to increase time management effectiveness by integrating task, diary and Email functionality.
Letters and Forms	Database merge fields interface with user definable templates automating critical claim management correspondence and forms.
Multiple Exposures	This feature enables the user to automatically link and toggle between multiple claims associated with a single exposure. Allegro enables the user to create new claims using the parent claim number and a unique suffix for each new claim. The system also duplicates critical information in each claim including claimant, client, adjuster, supervisor, loss and traffic details, insured, notepad, and the claim contact “rolodex”.
Billing and Invoices	The Billing Gateway enables organizations to establish product specific billing arrangements for each employer or insured, including global fees for service, flat fee per claim or claim type, milestone billing, in addition to time and expense capturing. The system also accommodates state sales tax, automated claim expense allocations, and the ability to generate and reconcile client invoices.

<< Back

Copyright © @Global, Inc. All rights reserved.