Case Management

Many insurance carriers encounter challenges with longer term Case Management processes, impacting efficiency and accuracy, including:

• Managing high volumes of documents over long periods of time
• Managing multiple documents from a variety of sources
• Performing the correct follow up action at the right point in time
• Sharing paper and systems based claims information among multiple departments

The IPD Solution
As an out-of-the-box application, Ultera is designed to improve Case Management activities by providing comprehensive, configurable business applications. Through the use of configurable modules, Ultera is able to adapt to each company’s business needs.

For instance, claims data comes in many forms and there may be many documents for any given claim. Ultera makes managing and viewing these volumes of documentation and data more efficient though its presentation capabilities. Documents from all sources are easily accessible through Ultera.

Case Management and related processes often involved "events" over long periods of time. Ultera has the ability to associate and attach incoming documents with existing files. It can then intelligently distribute the file based on pre-set business rules, while ensuring that large volumes of information and documents are effectively reviewed and processed.

Ultera’s work management tools automate and ensure the delivery of work to the right people at the appropriate time in the process. Ultera also improves processing efficiency by making files available to multiple, authorized staff at the same time.