Form Templates

Completing forms is tedious and time-consuming. The right case management software solution can include templates for SARs and other essential forms to make the process faster and easier. Your organization will save time and eliminate duplication of effort. Templates reduce your chances of missing data or making errors in your reports, ensuring compliance with reporting requirements. Thorough documentation also makes investigating easier for organizations with a large caseload.

Integration with Claims Systems

Fraud investigators are busy people. They don’t have time to search through every claim to see what cases need to be investigated. With case management software, claims agents can flag content in your claims system that needs to be reviewed. This feature then automatically creates a case on that content right in the software for the SIU team to investigate. Your organization saves time and communicates more efficiently, speeding up investigations.

Everything In One Place

When investigators have multiple cases or more than one person is working on a case, having all the data in one place eliminates the need for collecting information from different sources and team members. You will no longer need to track down forms, documents, or pieces of evidence. Everything can be uploaded into the case file, giving whomever is working on it a full picture of the investigation. You can even customize what each team member assigned to the case can view to protect sensitive information.

Task Reminders

• No matter the size of your organization, keeping track of workflow can be difficult. With case management software, you can ensure your insurance fraud investigations stay on track with task reminders. Everyone on the investigation team stays in the loop thanks to alert and notification features. Remind employees that they have a task due with notifications. Set alerts to go off when cases sit idle for too long. These features organize workflow to keep the team on track, reduce reporting time, and ensure nothing falls through the cracks.

Reporting Capabilities

• Creating and analyzing reports takes a lot of time and effort. With case management software, you can generate an investigation report in seconds. The built-in reporting tool allows your team to detect patterns and track trends of fraudulent behavior. Create graphs and charts using fraud type or other criteria to save hours of busy work and get straight to the analysis. You can even integrate these reports with maps to see which geographical areas are hot spots for insurance fraud. This information provides valuable insight that helps you detect fraud faster and be more proactive in deterring fraudulent behavior.

Customized Features and Fields

• Every organization has different needs. Rather than spending time creating your own forms and filing systems, case management software can be configured according to your specifications. Whether you want to set up automatic alerts for certain triggers, include templates for specific forms (like SARs), or customize options on your drop-down menus, case management software can be tailored to your organization. Using software made specifically for insurance fraud investigations streamlines the process, helping you work more efficiently.