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Organizations face rising challenges: increasing claims volume, stricter compliance requirements, and heightened expectations from boards and constituents. Traditional Claims Management Systems were designed primarily to handle transactions, not to serve as forward-looking tools for governance, risk management, and member engagement. But the future of risk management is different. Today, Claims Management Software and Insurance Software […]
Organizations face mounting pressure: rising claim volumes, evolving compliance mandates, and growing expectations for transparency and efficiency. Traditional Claims Management Systems struggle to keep up with these demands—leading many organizations to embrace Artificial Intelligence for Insurance and modern oversight dashboards as part of their technology strategy. But here’s the critical challenge: How do you leverage […]
Claims oversight isn’t just about checking boxes—it’s about protecting public resources, ensuring fairness, and delivering value to members. With rising claim complexity, increased scrutiny, and the demand for transparency, oversight has become more challenging than ever. The good news? Leading organizations are showing that with the right Claims Management Software and Claims Management Oversight Solutions, modernization […]
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 […]
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 […]
Modernization in the insurance world doesn’t always mean going big. In fact, as industry analysts Datos Insights point out in their recent article on skinny policy systems and underwriting workbenches, the smartest upgrades are often lean, targeted, and deeply effective. The same logic applies to Claims Management Software. For public entities and risk pools, success […]
Every dollar public entities and risk pools recover through subrogation is a dollar they can reinvest in safety programs, community services, or member support. Yet without clear visibility into the subrogation process, valuable recovery opportunities often slip through the cracks—driving claims leakage and underperformance. The good news? With modern Claims Management Software and purpose-built Claims […]
For public entities and risk pools, effective claims oversight isn’t just about managing what’s already happened—it’s about anticipating what could happen next. As risk exposures evolve—cybersecurity threats, social inflation, climate events—the ability to detect and manage emerging risks early becomes critical. Modern Claims Management Software gives public agencies, Joint Powers Authorities (JPAs), and pools the […]
For public entities and risk pools—such as municipalities, school districts, and JPAs—claims data is more than a record of past events. It’s a strategic asset. When captured, organized, and analyzed through modern Claims Management Software, this data becomes Risk Intelligence – the foundation for smarter decisions around loss trends, safety investments, and underwriting strategies. With […]
For public entities and risk pools—such as municipalities, school districts, and JPAs—outsourcing claims to a Third-Party Administrator (TPA) is a strategic way to manage operational workload. But as expectations for accountability, transparency, and speed increase, so does the need for stronger collaboration and oversight. Fortunately, modern Claims Management Software balances transparency and autonomy, helping to […]