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Detect and prevent unnecessary payouts with SpearClaims™, an advanced claims leakage prevention solution powered by AI and analytics. Stop unnecessary claim payouts with award-winning software that identifies errors, fraud, and missed recovery opportunities using advanced analytics and automation.
Technology is no longer just a back-office tool—it’s a competitive differentiator. Clients rely on TPAs not only to handle claims efficiently but also to guide them in selecting and implementing the right Claims Management Software. When TPAs take an active role in technology selection, they position themselves as strategic partners, ensuring long-term success for both […]
For Third-Party Administrators (TPAs), rising claim volumes, staffing constraints, and client demands for faster resolutions create a constant balancing act. Adjusters are at the heart of the claims process, but too often, they’re overburdened with repetitive tasks, unclear priorities, and administrative work that steals time away from core claim resolution activities. The solution? Smart task […]
Staying compliant with evolving regulations is no longer a periodic task—it’s a continuous responsibility. From data privacy mandates to SOC 2 certification requirements, Third-Party Administrators (TPAs) must ensure their Claims Management System can adapt quickly without disrupting operations. The solution? Modern, cloud-native Claims Management Software built for compliance, security, and scalability. Why Compliance is […]
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 […]
For Third-Party Administrators (TPAs), fraud is more than a compliance issue—it’s a profitability and reputation challenge. Detecting fraudulent activity early can mean the difference between minimal loss and significant claims leakage. In today’s competitive market, TPAs can’t afford to rely solely on manual processes or outdated tools to manage fraud risk. That’s why many are […]
Third-Party Administrators (TPAs) success hinges on agility, transparency, and the ability to serve diverse clients without unnecessary tech bloat. The concept of a “skinny” platform—lean, focused, and flexible—resonates deeply with claims operations that want to stay competitive and cost-effective. That’s the essence of a “skinny” claims system. A recent article from industry analysts Datos Insights, […]
For Third-Party Administrators (TPAs), serving public entities like municipalities, school districts, and special districts presents both a challenge and a major opportunity. These organizations demand transparency, compliance, and cost efficiency—yet too many TPAs are stuck trying to deliver modern service with outdated tools. Enter the new generation of technology-enabled TPAs. Equipped with modern Claims Management […]
For Third-Party Administrators (TPAs), subrogation isn’t just an afterthought—it’s a high-impact opportunity to recover funds, reduce net loss, and demonstrate value to clients. But traditional subrogation processes are often slow, inconsistent, and difficult to scale. Fortunately, that’s changing. Today’s leading Claims Management Software platforms are embedding Artificial Intelligence for Insurance and Claims Automation Software directly […]
For today’s Third-Party Administrators (TPAs), claims management is no longer just about processing paperwork—it’s about delivering value through insight. Clients expect more than status updates; they want clarity, foresight, and confidence that their risk is being managed proactively. To meet those expectations, TPAs need Claims Management Software that delivers real-time analytics, customizable reports, and actionable […]
In today’s complex insurance landscape, Third-Party Administrators (TPAs) must do more than just process claims—they must deliver seamless, transparent, and responsive service to both clients and claimants. With rising expectations around visibility and responsiveness, communication can no longer be an afterthought. That’s why integrated communication tools are now a must-have within any modern Claims Management […]