Workers Compensation LOB Module Overview

What the Workers Compensation LOB module does

Connected Claims ships with the Workers Compensation LOB module, a pre-built, self-contained application that allows organizations to rapidly deploy a line of business-specific references, groups, records, workflows, and tasks. The module allows for a head start with Control Panel configurations for their Workers Compensation claims management process.

By incorporating this module with your Connected Claims Base application, teams can leverage our best practices for setting up tasks and workflows as well as augmenting their claims records with line of business-specific information.

This page provides an overview of the features, benefits, and use case of the Workers Compensation LOB module and how it can help streamline your claims management workflow.

Predefined claim types

This module delivers common claim types for a Workers Compensation line of business, such as Lost Time, Medical Only, Occupational Disease, Death, Disability, and Generic Workers Compensation. It also includes preconfigured data fields and intake forms to capture relevant information specific to these claim types.

Predefined exposure records

This module delivers supplemental records to capture incident details, like Medical Treatments, for your line of business so that claims records can be enriched.

Predefined workflows

This module also delivers preconfigured tasks and a common workflow so customers can use it as a guide as they set up their own workflows.

Use case: managing a lost time workers compensation claim

Consider a scenario where an employee sustains an injury at work and files a workers compensation claim for lost time. Without the Workers Compensation LOB module, the claims adjuster would need to manually gather and track various details related to the workplace injury, medical treatment, time off, lost wages, and return-to-work status.

With the Workers Compensation LOB module, your claims adjuster can leverage pre-built features to:

• Record Claim Details: Utilize predefined claim types to categorize and manage the claim appropriately.
• Capture Incident Details: Record specific information about the workplace injury, including the date, time, location, and description of the incident.
• Track Medical Treatments: Document all medical treatments received by the employee, including doctor visits, therapies, and prescriptions.
• Manage Lost Wages: Calculate and track lost wages based on the employee's salary and time off work.
• Coordinate Return-to-Work Process: Monitor the employee's progress and manage the return-to-work process, including any accommodations or restrictions.

This structured approach ensures that all critical information is captured and tracked effectively, streamlining the claims process and facilitating timely resolutions.

Module benefits

Integrating the Workers Compensation LOB module with Connected Claims offers the following advantages:

• Rapid Deployment: Accelerates the setup of Workers Compensation claim processing capabilities, reducing time-to-value after application deployment.
• Standardized Claim Types: Utilizes pre-defined claim types for consistent categorization and management.
• Comprehensive Data Capture: Ensures all relevant incident and medical treatment details are captured, providing a holistic view of each claim.
• Efficient Workflow Management: Leverages preconfigured tasks and workflows to streamline claims processing and improve efficiency.
• Best Practice Guidance: Provides templates based on industry best practices, enabling consistent and effective claims management.
• Customization: Easily customizable claim types, tasks, workflows, and more to fit specific organizational requirements and unique workers compensation regulations.
• Reduced Manual Effort: Automates many data entry and processing tasks, minimizing manual effort and reducing errors.
• Improved Decision-Making: Enables informed decisions based on comprehensive and well-organized claim data.
• Enhanced Tracking and Reporting: Facilitates detailed tracking of claim progress and generates reports on key performance indicators.
• Seamless Integration: Integrates seamlessly with the Connected Claims Base application for a unified platform.

Install the Workers Compensation LOB module

See Installing LOB Workers Compensation Module to incorporate this module with Connected Claims.

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