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Integrated Incident & Claims Management

The right solution provides companies with real-time insight on enterprise risk

ProcessMAP offers world-class incident and claims management modules. Our enterprise platform can be used for incident/claim reporting, managing investigation, performing root cause analysis and corrective actions management. A cloud-based architecture allows for seamless integration with most Third Party Administrators (TPAs) for claims management.

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This solution helps manage workplace safety, and spans across various incident types including

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    Real-time Intelligence

    Our platform automatically calculates over 1500 Key Performance Indicators (KPIs), tailored for Claims Managers and Safety Managers. The result is visibility to metrics that drive smarter decisions.

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    Next-Generation Analytics

    Leveraging pre-integrated IBM Cognos BI software, ProcessMAP’s platform provides you with a wide range of advanced analytics reports and dashboards. Tightly integrating BI capabilities with incidents and claims data provides critical insights for better decision making.

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    OSHA Compliant Recordkeeping

    With ProcessMAP, facilities can instantly record important data when an accident or incident occurs. Alert features ensure that relevant personnel receive immediate notifications when these reports are entered. With mobility features, key stakeholders can review company-wide results whether in the office or at an airport.

Business value and Competitive advantages

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    Increase Return on Investment

    Visibility to incident data leads to timely corrective and preventive actions, reduces claims, and increases earnings per share, EBITDA, and employee productivity.

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    Automate Claims Submittal to TPA

    Seamless two-way integration with TPA systems enables claims management data exchange and helps eliminate duplicate processes.

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    Streamlined Reporting Process

    Details and results of incident investigations and corrective action can be entered, managed, and tracked in one platform, which increases efficiency.

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    Improve Safety through Root Cause Analysis

    Built-in, best-in-class investigation and root cause analysis tools such as 5-Why, Fish-Bone, and others can be easily configured based on customer needs.

Features

Integrated Incident and Claims Management enables user to view detailed incident dashboards, as well as view/edit incident details such as witness details, nature of injury or illness, body parts, contributing factors, investigation findings, CAPAs, and supporting files (audio, video, documents, etc.).

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Track key metrics related to claims, such as Claims by Policy Year, Total Incurred Trend by Accident, Open vs. Closed Claims, Incurred vs. Paid claims, Loss Stratification of Claims, Lag Time Reporting, Litigation Flags, PPO Penetration, etc. on a real-time basis.

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Track your safety performance with a 360 degree view of records and metrics, such as Total Recordable Cases, Total Lost Work Day Cases, Total Lost Work Days, Total Restricted Duty Cases, Total Restricted Duty Days, Lost Work Day Injury, Lost Time Accident, OSHA Recordable Incident Rates, Monthly/YTD/12 Month Rolling Averages, Days Away, Restricted, Transferred.

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View dynamic incident reports and charts including OSHA 300, 301, and 300A Reports, Safety Indices, Incident Summary Reports, Workers' Compensation Reports, Employee Statement Reports, Witness Statement Reports, Daily Status Reports, Incident Records By Filters, Custom Reports.

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Keep on top of deadlines and deliverables with features such as action items tracking by due date, ownership assignment by role, group, or individual, rule based e-mail notifications, e-mail reminders and alerts, daily reports on tasks.

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Easily set up the system to fit your needs. Manage roles & permissions, reporting templates, and lookup values such as nature of injury/illness, medical diagnosis, body parts, unsafe conditions, behavioral factors, and root causes.

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Seamlessly correlate data to make smart business decisions. The platform easily integrates with other applications, including SAP, Peoplesoft, Oracle, Third Party Administrators, SSO, and payroll systems.

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Quickly retrieve information and updates on case management, case history and logs, OSHA forms (300, 301, 301A), RIDDOR Forms, workers' compensation reports, etc. Integration with third party systems enables users to correlate workers' compensation data and reduce claims costs.

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See ProcessMAP in action!

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