Claims Management

Claims Adjudication has become a dominant force in the claims management industry by offering a single outsourcing solution for comprehensive, cutting-edge claims and administration services. Claims Adjudication works with clients to minimize their claims and loss costs and to maximize bottom line performance. Our commitment is to provide the highest level of customer service during settlement of claims.

Not only are our claim professionals thoroughly trained in best practices, they are knowledgeable and experienced in managing all aspects of claims administration. They focus on achieving uniformly high settlement quality, outstanding loss results on each claim, and positive financial outcomes for every client. Quality, consistency, and bottom-line performance are the hallmarks of the full range of our service capabilities.

Health Plans face increasingly complicated medical claims-handling processes—at the same time encountering rising healthcare costs and declining per-case prices. Claims Adjudication is focused on one goal: improving adjudication rates by guaranteeing data quality, decreasing turnaround times and significantly reducing costs associated with claim handling.

From claim receipt and pre-conversion cleaning to re-pricing and document management—all with state-of-the-art business process management technologies for maximized operational control and reporting— Claims Adjudication offers a medical claim process management technology solution even for the most complex health plans.

Why outsource your claims to Claims Adjudication?

Quality, efficiency and technology are Key in health insurance claims processing. That’s why so many clients rely on Claims Adjudication’s Claims Services Division for outsourcing support. Whether it is claim imaging and OCR claims data capture, full claims adjudication processing or system conversion support, we have the solution for your claims processing needs.

Outsource your transaction processing for claims administration, adjudication and membership services and pay claims faster, more accurately and at a lower cost and reduce internal administrative expenses and increase profitability.

Key Benefits