
Intelli-claim is an ASP Claims Management System built upon the Metatomix Financial Services Framework (MFSF) that employs financial services-specific claims management “ontologies,” based on the W3C industry standard. The Intelli-Claim solution serves as a exchange service between all counter-parties. Each party raises their claims on the Intelli-Claim system, making all claims from all parties viewable and actionable for the specific parties involved. Each party will only see their own inbound and outbound claims.

Intelli-Claim eliminates the expensive, error-prone processes associated with manual claims issuance and control. Automatic claim creation and management, integrated with sophisticated communication tools, forms the core of Intelli-Claim. This hosted, automated environment promotes industry-wide straight through processing (STP) by connecting institutions on a common platform in a centralized location. With enhanced communication between parties throughout the claim management process, users achieve a level of management insight, audit trail, and accountability not possible with the current process most financial institutions use. Intelli-Claim offers full control and accountability through claim management facilities, along with net settlement calculations and exception management.
Intelli-Claim significantly reduces inefficiency and cost by enabling users to pursue claims and resolve them with minimal time and effort. Intelli-Claim can be deployed as an enterprise-wide claims data consolidation tool by combining exceptions generated across an organization. A repository of settlement records and data, control, and reporting services are available both as standard and customized services.
Reports can be customized specific to your business needs. Standard reports are available such as:
Frequently claims are opened, managed and settled through very manual processes that are error prone and inefficient. Intelli-Claim significantly reduces inefficiencies through a web based service that’s easy to use and ultimately less costly. It enables more claims to be settled faster.