Healthcare Claims Management

Innovative technology and process expertise to streamline healthcare and casualty insurance processes, ensure payment accuracy and improve healthcare claims outcomes

Healthcare Claims Management

Efficient claims management software solutions

In the competitive and complex healthcare and casualty markets, you need a trusted partner that helps you meet your goals, address challenges on a daily basis and quickly adapt and respond to shifting market dynamics. As a market leader, Conduent’s claims management solutions, technology and people help manage risk, control costs and turn data into actionable insights.

Our claims management software is a specialized system designed to streamline and automate the process of handling insurance claims. It helps insurers, brokers or other organizations efficiently manage claims from initiation to settlement, improving accuracy and reducing processing time. Key features typically include claims intake, documentation storage, task assignment, communication tools, analytics and reporting capabilities.

Straight-through processing of paper documents
Total reduction in medical bill charges
Dollars recovered in health plan payment audits

Our claims management solutions

At Conduent, we take claims management a step further with a team that has more than 20 years of combined industry experience helping payers improve operational efficiency and accelerate growth throughout the claims lifecycle.

What are the steps of claims management?

Claims management involves the process of handling and processing insurance claims. The steps may vary depending on the type of claim and the specific insurance company, but the general steps typically include:

  • Claim reporting
  • Documentation
  • Claim evaluation
  • Claim processing
  • Payment or denial
  • Appeals (if applicable)
  • Settlement
  • Claim closure
Optimizing financial outcomes through patient-centered experiences

Enhancing healthcare outcomes with efficient enrollments

Being able to effectively enroll, verify and route a patient to the appropriate care resources results in better healthcare outcomes for everyone involved. The most common health claims that individuals submit to their health insurance companies include:

  • Medical expenses
  • Dental care
  • Vision care
  • Prescription drugs
  • Laboratory tests
  • Maternity and childbirth
  • Mental health services
  • Physical therapy
  • Chronic condition management
  • Preventive care

Connect with a claims expert to find the best solution for your business.