Class action case management TPAs or third-party administrators are organizations that process and manage claims & class action cases for a client. These organizations usually handle tasks performed by the insurance company or the company itself. The core of their work is on claims processing, adjudication, subrogation, and general claims management. A1 Enterprise recently conducted a demonstration of a web-based class action case management software. The company is a globally recognized provider of business solutions which focuses on claims and productivity management services. Due to a surge in their number of claims and highly standardized requirements for class action lawsuits, they need to have a sophisticated software system that can handle their requirements.
The company has several complex requirements as to compliment or integrate with their other existing systems. This includes a landing page capability for the portal, filing systems tracking progress & due dates, tracking work logs, workflow process steps, and the ability to integrate with other systems. A1 Tracker offers a high degree of scalability, supporting multiple integrated modules, a general ledger financial module, accounts module, CRM and anti-fraud governance systems which can automate alerts for potential claim and litigation fraud.
In the demonstration, A1 Enterprise presented class action software configured to match their business process with modifications for mobile access, user experience, & design. Another feature was the claims & litigation landing page.. The landing page capability also includes logic to control user submissions and minimize content based on user role. A step-by-step wizard also allows claimants to submit information in a way that prevents data omissions .
The class action filing software system is crucial for the company’s litigation & workflow process. A file for each class action case is handled by several team members at different stages. A1 Tracker supports “File Status” to classify a file according to its stage in the process. It can be tagged as “New”, “Negotiating”, “Investigating”, “Suspected Fraud” and the system admins may then govern the workflow and status steps to closure.. Status changes will send notifications to employees handling the claim and help expedite communication and action steps. Instead of waiting for status updates, real-time SMS text and email notifications will give them an insight as to which stage the claims are and what follow ups or action steps are required.
Tracking of work logs is also possible with the A1 Tracker. This process would focus more on who is currently working on a specific claim and how long it took for him to work on a specific stage of the claim process. In addition, the Workflow Process was also presented which allows for simplification and automation of their current workflows.
A1 Enterprise software is known for its scalability and adaptability to incorporate forecasted upcoming projects as to incorporate new business lines, products, services, and projects into the system. The application is designed to add individual modules that work cohesively with the existing structure of the software. Each module can be configured to meet the needs of different stakeholders as well as interlink different workflows, departments, business units, and job functions.
One of the modules of an A1 Tracker is a ledger module. This will allow for integrations in order for A1 Tracker to batch import records from external sources into the system. The company sought a way to allow 3rd party law firms to upload litigation data files which are then be batch imported into the system.
Furthermore, the company asked about anti-fraud capabilities of the system. The A1 Tracker has business rules which can be programmed, several levels of permissions security, fields display and data validation. What makes this feature a stand out is that a single business rule may serve three or four systems.
To summarize this presentation, these are the fundamental features of what was presented for this implementation:
- Claims Management
- Contract Module
- Insurance Module
- Online Claim Portal and Landing Page Capabilities
- Workflow Automation
- File System and Notifications
- Reports and Analytics
- Business Rules
- Scalability of the A1 Tracker
- Security and Anti-Fraud Provisions
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