Protected: AI, Low-Code Platforms, and Customer-Managed Core Systems
Managing Claims Internally: When It Makes Sense to Bring Adjusting In-House
For public entities and risk pools, managing claims is more than just an operational function—it’s about accountability, fiscal responsibility, and delivering fair outcomes to members and stakeholders. Traditionally, many organizations rely on third-party administrators (TPAs) for claims adjusting. But as technology and Claims Management Software evolve, more entities are asking: When does it make sense […]
Client Onboarding Made Easy: Launching New Programs in Days, Not Months
For Third-Party Administrators (TPAs), the speed and precision of client onboarding sets the tone for the entire relationship. Delays in launching new programs can frustrate clients, disrupt operations, and even jeopardize retention. In today’s competitive market, TPAs can’t afford to spend months configuring systems, mapping workflows, and building reports from scratch. That’s why leading TPAs […]
Claims Auditing Without the Headache: Automating Compliance and Quality Checks
For public entities and risk pools, claims auditing is a necessary safeguard—but it can quickly become a logistical burden. Manually reviewing files, chasing documentation, and verifying service level agreements (SLAs) across multiple Third-Party Administrators (TPAs) can consume weeks of staff time and strain resources. The good news? Modern Claims Management Software now includes claims management […]