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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.

Description

Sinexo is a comprehensive claims management solution tailored for organizations that regularly process insurance and damage claims, including local authorities, private and social landlords, property management firms, fleet managers, insurance brokers, and legal teams. This software streamlines the entire claims process from initial notification to archiving, all accessible from a single interface that includes claim specifics, contact information, a detailed activity log with timestamps, categorized documents, and financial records such as quotes, invoices, payments, and settlements. The system is designed to adapt to your established workflows and terminology, allowing for flexible configuration of fields, claim types, statuses, and letter templates. It enhances communication by enabling emails to be dispatched from the claim with pre-filled templates and delivery tracking, while responses are automatically integrated into the timeline. Furthermore, any missing documents can be requested via a secure upload link, eliminating the need for an account. The software also boasts detailed user permissions, ensures the encryption of personal data and documents, employs IP filtering for added security, and provides daily backups on servers located in France, along with options for CSV and archive export to facilitate data management and transfer. This level of customization and security makes Sinexo an invaluable tool for organizations managing complex claims processes.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Microsoft Entra ID No 

Integrations

Microsoft Entra ID Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

79 EUR/month
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Acrometis

Founded

2002

Country

United States

Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Vendor Details

Company Name

EDITIONS CPSH

Founded

2017

Country

France

Website

www.sinexo.fr

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management Yes 
Customer Management Yes 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration Yes 

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management Yes 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

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