Claims Management

A better, more efficient, smarter way to move claims forward

Streamlining claims adjudication – the right way

PCMS Atlas Claim Management simplifies claims processing across the complete lifecycle (value chain), empowering insurance carriers to automate manual work, gain better control into processes and performance, and ultimately saving time and money – achieving higher quality outcomes.

Key Features

Support Personal, Commercial, Workers’ Compensation, and Specialty lines

Straight-through processing (support low-touch and no-touch claims)

Robust out-of-the-box functionality anduser centric experience

Reserve Worksheet (support multiple versions and sub-benefit level reserving)

Dynamic intelligent claim intake (FNOL /FROI) processing

Flexible Payments (one-time, recurring, split, bundled)

Centralized Claim and Incident Data

Catastrophe Management

360-degree claim summary view

Automated Escalation Alerts (Fraud, SIU, CAT, other events)

Maintain diaries, notes, tasks across the claim

Support full Recovery Management (Subro, Salvage, Second Injury Fund)

Claim Segmentation (split assignment based on coverage type)

Support Workers’ Compensation Regulatory Reporting and Compliance

Support Workload Balancing

Benefits

Increase customer retention

Faster, more satisfying, and better overall claim experience for the policyholder

Optimize operational efficiency

Straight-through Processing, increases claim handling capacity for adjusters by eliminating repetitive tasks

Reduce costs

Automated best practices, minimize errors and identify those claim leakage areas

Ensure Regulatory Reporting and Compliance

Stay compliant with accurate automated reporting (CMS 111, FROI/SROI)