Claims Management
Settle claims faster.
Bring all stakeholders onto one platform to streamline your claims process. With Mavera DSS, you will experience improved collaboration, a unified process, and enhanced efficiency. Every step of the way.
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Optimize your workflow
Experience streamlined operations with Mavera DSS, automating manual tasks to save time.
Full traceability
All communication, documents, and decision support are handled within the system, leaving a clear audit trail for full traceability and data for further optimization.
Enhanced collaboration
Claims management is a collaborative effort. Mavera DSS simplifies sharing a claim with a colleague or medical advisor for a second review, promoting teamwork and desktop assessments.
Reduced risk
Manual processes carry inherent risks. Mavera DSS offers a straightforward, easily transferable process, minimizing disruption if the assigned claims handler is unavailable.
Dedicated tools tailored for every role
In Mavera DSS, each user is assigned a specific role, complete with matching workspaces and access levels.
Claims handler
Handle claims effortlessly, make desktop assessments, or assign them to a medical advisor for additional support.
Head of claims
Obtain a helicopter perspective on the claims business with our performance management features, identifying areas for improvement.
Medical advisor
Automatically receive and assess claims swiftly, delivering structured assessment reports.
The quality team
Automatically receive claims with suspected discrepancies for swift review and approval.
Network manager
Have complete view and control over the availability and performance of medical advisors.
Never lose track of a claim
Seamlessly assign and relocate claims with Mavera DSS, always knowing who is accountable. The system automatically gives a claim to the best-suited user, and you can track its progress between different users.
Never lose track of a claim
Support open communication
The messaging features in Mavera DSS foster easy and focused collaboration. Each case has a dedicated chat, allowing claims handlers and medical advisors to communicate and write notes, ensuring everyone is updated on the latest developments.
Support open communication
Receive timely notifications for required actions
Each claim follows a structured process with expected next steps. Mavera DSS organizes your claims based on their status, and sends email notifications prompting action. Set a claim for monitoring to receive notifications after a designated period.
Receive timely notifications for required actions
Easily navigate through your documents
Our Intelligent library doesn’t just store documents; it categorizes them for you. Key information such as document type, creation date, and page count is displayed prominently, enabling quicker document access and faster case resolution.
Easily navigate through your documents
Get transparent claims reports for enhanced customer satisfaction
The system automatically generates custom assessment reports describing how the assessment was made, what information was used, and what questions were asked.
Share these with the claimant for transparency and customer engagement.
Get transparent claims reports for enhanced customer satisfaction
Ensure consistency with harmonized templates
Use injury-specific templates and standardized question types to save time and ensure a consistent assessment process. Our system supports important workflows like unbiased verification and second opinions.
Ensure consistency with harmonized templates
Explore other feature areas in Mavera DSS
AI-Powered Medical Overview
Empower your claims handlers with AI that quickly summarizes documentation, helping them settle claims faster and with greater accuracy.
Medical Network Management
Optimize your medical assessment process. Enhance the accuracy and efficiency of medical assessments, ensuring reliable and consistent outcomes.
Performance Management
Get insights for strategic business decisions. Utilize data-driven insights to inform strategic planning and performance improvement.
Contact us to learn more
Talk to our solution experts to get a guided tour of Mavera DSS.