Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
Integrations
Microsoft Entra ID
No
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