Product Overview

Claims LettersWhat It's All About

The Claims Letters™ platform integrates thoughtful administration, specialized tools, and end-to-end workflows to guarantee organizations master claims correspondence - from draft to delivery.

The complete claims correspondence lifecycleA polished claims letter surrounded by a clockwise directional circle: Templates, Automation, Compliance, Approvals, Delivery, and Oversight. Templates Automation Compliance Approvals Delivery Oversight Claims Correspondence

Claims Correspondence. From Draft to Delivery.

The Importance of Claims Letters

Claims correspondences are critical legal documents.

Claims correspondence accompanies every stage of the claims lifecycle, from initial acknowledgement to coverage determination. Each claims letter (or correspondence) is a legal document with a binding power to make or break a claim. Missing a required disclaimer, failing to send a necessary notice, or overlooking a deadline can undermine a coverage position and expose your organization to litigation risk.

  1. Claim Acknowledgement
  2. Request for Information
  3. Reservation of Rights
  4. Coverage Denial
Order from chaos

Simplifying & streamlining claims correspondence.

Claims correspondence is complex. Each letter is a critical legal document which brings together recipient, claim, product, and writer details while addressing the claim's status, applicable policy language, regulatory requirements, estimate breakdowns, and more. The full life-cycle of any given claims letter also means coordinating approvals, quality assurance, traceability, oversight, delivery, and internal filing.

The Claims Letters™ platform integrates comprehensive administration, specialized tools, and end-to-end workflows to guarantee organizations master claims correspondence - from draft to delivery.

14%

Reduction in total claims operations

100%

Increase in standardization, consistency, accuracy, and compliance

The Claims Letters Effect

Reducing time spent on claims letters, while increasing letter quality.

Integrating varying products, policy forms, claim stages, regulatory requirements, approval cycles, and more into claims correspondences is a complex process. It is so painstaking that we've been told by many industry leaders, that this consumes roughly 20% of their total claims operations.

Claims Letters™ provides smart templates embedded in a well structured administrative framework, enabling Claims Departments to perfect their correspondence process. Our clients consistently report a 67% reduction in time dedicated to claims correspondence, accompanied by perfection in standardization, consistency, accuracy, and compliance.

Migrate Today

Fully Assisted Onboarding in 1-3 Months

We provide fully tailored onboarding and integrations to ensure Claims Letters™ seamlessly fits your operations.

Onboarding

Every aspect of your setup covered.

We provide guides which streamline your onboarding journey from administration, to template setup, workflow design, and special customizations.

Integration

Full Integration or Standalone Platform

Claims Letters™ can fully integrate with your Core System, or operate as a standalone platform. We provide full support for either option.

See How It Works

See What Claims Letters™ Can Do for Your Team.

Explore how your organization can achieve claims correspondence mastery too.