MFX ClaimsAssure is a highly intuitive processing system able to assemble, display and help adjudicate claims quickly. Best of all, its modular nature allows you to upgrade part of a system or all of it — depending upon your needs and the type of claim involved — Casualty, Workers' Comp or Property.

The Problem
Resolving a claim has traditionally required a number of intensely complex steps. The need to assemble, prioritize and submit properly the diverse information needed to settle has frequently lead to productivity bottlenecks, claim backlogs and sometimes mistakes. The result has been longer time frames to settlement, high processing costs and staff turnover.

The MFX ClaimsAssure Solution
ClaimsAssure is a web-based claim handling system developed and refined by insurance claims adjusters and administrators to speed the claim handling process, minimize mistakes and guide staff through multiple steps required. The result is a highly flexible, seamless on-line claim system that mirrors the work process. More importantly, ClaimsAssure frees the adjuster to spend more time adjudicating claims and less time completing paper forms. Form and paperwork intensive claims such as Workers' Comp are significantly streamlined with this on-line claim processing system.

“Fax-in” plus other innovative features expedite workflow from first notice
ClaimsAssure allows you to receive First Notice of Loss (as well as other claim documents) as a fax that can be easily sorted to key destinations and further identified through an option menu for automatic coverage verification and assignment. Emails, images and other file attachments are managed for effortless retrieval by this claim handling system.

Easily learned, intuitive navigation accelerates processing and eliminates the need to dig through screens to access information
As the claim file enters the workflow, several unique features provide additional support. A Financial Impact window displays total reserves and payments, with a link to provide the claim file's detailed financial information. Special handling instructions are also clearly visible through the use of a flag display. Pop-up menus for each claim offer immediate links to all documents that belong to that claim file.

Diary and File Notes track daily activities and update automatically.
Completion of designated tasks triggers automatic diary updates. File Notes also manages faxes, word documents and mailings to attorneys and other vendors. Color coded diary entries highlight critical tasks. The Correspondence module is equipped with standard letters plus editing to tailor the letter to the specifics of the claim, claim office and jurisdiction.

Workers’ Compensation module—customized by state—speeds processing and improves accuracy for these paper intensive claims
This module supports state mandated forms providing system-generated and adjuster enterable attributes. Data population of these forms is automatically handled in this claim processing system. Detailed claim information and error handling are system generated with minimal manual entry. Attributes like these, combined with ClaimsAssure's other capabilities, make this a powerful property casualty claim processing system for large multi-state property casualty insurance companies.

Improve accuracy of financial and accounting reporting
Tracking claim payments is critical for both claim systems and bottom line results. A Reserve Analysis Worksheet automatically updates and shows current reserve status by disability type for Workers' Comp claims and by payment type and line of business for Property Casualty claims. Medical bill processing offers an instant history of Explanation of Benefits. An automatic bill processing capability groups payments by vendor for bulk processing, benefiting multiple lines of business.

Accelerate claims processing while managing costs.
As a well-tested, web-based system, MFX ClaimsAssure gives you a full claim processing capability that requires little more than a computer with Internet access to use. Training is minimal and set-up is simple. This, coupled with ClaimsAssure's flexibility and intuitive usage, makes it ideal for those who need to move at the speed of opportunity.

Tech Basics and Support
Each MFX product has its own specific security system based on Internet protocols to secure information and transactions against unauthorized access. MFX ClaimsAssure also logs all access to claims, assigns access rights, monitors usage and adheres to recent privacy laws. A 24/7 help desk and a knowledgeable Account Executive further support your users.

In the unlikely event that the MFX processing facility is impaired, our disaster recovery plan targets having all clients back in process within 48-hours. Daily backup and recovery is provided, along with a weekly full-system backup with all tapes sent offsite to MFX's storage facility.

Customization
Although MFX ClaimsAssure is a complete “plug and play” product, MFX offers specialized customization services in order to "white label" ClaimsAssure to your company's requirements, whether it be for a casualty, property or workers' comp claim system. Conversion services enable complete claim file information available on-line on a going forward basis.

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