Insurance carriers and third-party administrators deal with claims that require meticulous review of medical information, accident details, and compliance with various protocols. Elevexa supports insurance organizations by accelerating these back-office processes.
How we help insurance providers
- Claim File Summaries: We review claim documents (e.g., incident reports, claimant medical records, police reports) and prepare concise summaries or chronologies of events for adjusters to quickly understand each case.
- Medical Records Review for Claims: Our medico-legal experts sift through medical files related to claims (such as personal injury protection claims, disability claims, or workers’ comp cases) and extract the pertinent information like diagnoses, treatment timeline, prior conditions and provide insights that help in liability and compensation determinations.
- APS and Medical Exam Reviews: We summarize Attending Physician Statements and Independent Medical Exam (IME) reports, pointing out important findings and any inconsistencies or red flags that could affect coverage decisions.
- Subrogation & Litigation Support: In cases where insurers pursue subrogation or are involved in litigation, we can assist by organizing exhibits, indexing discovery responses, and coordinating with panel law firms for information exchange.
- Data Entry and Policy Admin: Elevexa teams handle policy administration tasks like entering application data, updating claimant information in systems, or generating routine correspondence, which frees your in-house staff to focus on customer service and complex decision-making.
Impact: Quicker claim turnaround and improved accuracy. By outsourcing document-heavy portions of the claims process to Elevexa, insurance companies can reduce bottlenecks and process claims more efficiently. Our involvement also helps maintain consistency and thoroughness in file reviews, supporting fair outcomes and regulatory compliance. All services are executed with strict data security to protect policyholder information.