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Claim Management

You don’t really know what your insurance policy will do for you until you actually suffer loss or damage. When this happens, you need your insurer to help you. Although you as the insured are not aware of this, more often than not you’re not actually contacting your insurance company to notify your claim. You’re contacting the organization that deals with claims on behalf of your insurer. ProtechGenie is one of these organizations and we’re quite competent in it.

Claims management is a collective term for all work that ProTechGenie carries out for people or companies that suffer damage, as well as for the insurance provider. What does this work involve?

The main features involved in our developed system are

  • - Registering notice of claim (by telephone, e-mail, post or online), which automatically opens the client file.
  • - Checking the cover: is the damage insured and up to what amount? Asking for documents such as police reports of road accidents, medical reports in case of injury, invoices, etc.
  • - Determining which party is liable for the damage if another party is involved
  • - Determining the amount of the claim and engaging a loss adjuster if necessary
  • - Arranging for the damage to be repaired or for transport back home if the damage occurs abroad
  • - Paying the claim to the insured party
  • - Initiate subrogation process to recover loss from a responsible third party, if applicable.
  • - Reporting to our client (the insurance provider), including management information, showing e.g. the progress of all their claims files and the total amounts to be reserved and paid
  • - Fraud prevention checks

The Key Features of Our Claims Analytics Pack

Wide range of Reports, Metrics and dashboards – Easily identify your reporting / analytics needs
Prebuilt extensible Data Models and Marts – Fast track your insurance warehouse initiative
Key ratios (Combined, Loss, Expense, Settlement, Claim) to control costs and reserving accuracy
Analysis Product, Region, Channel – Deep insight for improving operational efficiency, customer satisfaction and retention, process effectiveness and cycle time
In-house accelerators & frameworks: Save ~25% cost / effort to build Insurance analytics solution

Our Solutions’ Highlights

Billing and Payer Solutions

We can help you to improve cash flow by handling patient administration and billing more effectively through our billing solutions.

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Claims Management

Our solutions help HealthCare payers in designing, transforming and running end-to-end claims operations to achieve efficiency in back as well as front-office operations.

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Migration Services

Being a highly dynamic industry, with continuous changes in the government regulations and standards, Healthcare providers often have requirement to migrate system from older version to latest versions OR to move their data to cloud for better access and security

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EHR and EMR Systems

ProTechGenie has developed its own EMR and EHR systems that can be utilized for further modifications and customizations to suit different specialties. We have already worked for General practices, psychiatric practices, Optometrist practices and many more

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Healthcare interoperability

This term has created a lot of curiosity in the Industry and very few companies have worked closely on Interoperability, understanding the main essence of it.

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HIPAA Compliance

If you DON’T KNOW HIPAA, then you DON’T know US HEALTHCARE at all. Most of the changes, security measures, and system requirements in the Industry are correlated with HIPAA, directly or indirectly

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Tele-health Solutions

With the increasing focus on Tele-health solutions, ProTechGenie already has significant achievements in the tele-health domain. We have worked on various such solutions to support tele-medicine, online prescriptions, and real time monitoring

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Patient Data Management

Our solutions help in managing the data of the patients effectively, increasing the quality of the data, improving efficiency and sustaining flexibility.

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What Our Client Say?

Business & IT Consultant

ProTechGenie were extremely meticulous with our IT Security & PCI DSS Compliance Requirements on new MOTO payment platform and separate eCommerce project. Their business acumen and project management Skills for Web & Mobile Application Development were incomparable.They are the team I can rely on for my future IT and security requirements.

CEO, Legacy Gold

Their communication before they start the project is really refreshing.

CEO, Digital Marketing Company

They’ve never let me down, and they’ve worked terrific hours.

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