Skip to main content
TrustRadius
Ventiv Claims

Ventiv Claims

Overview

What is Ventiv Claims?

Ventiv Claims Administration software is designed to handle claims with speed and precision.

Read more
Recent Reviews

Ventiv is awesome!

9 out of 10
March 26, 2024
Incentivized
Ventiv claims helps us to track and process the claims we receive daily. This seamless application provides us with the ease of use. Their …
Continue reading

Ventiv Claims

7 out of 10
March 26, 2024
We use Ventiv Claims for our Claims Application using Claims Enterprise. It assist with streamlining processing claims, claims reporting, …
Continue reading

Ventiv Claims Review

9 out of 10
September 05, 2023
Incentivized
Claims Management for workers compensation, injured workers on the job. We input all new claims and manage the old ones. We use the system …
Continue reading

Happy Customer.

8 out of 10
March 27, 2023
Incentivized
It helps organize everything, on a day to day and process checks and documents that I no longer have to manually do. It provides amazing …
Continue reading
Read all reviews

Awards

Products that are considered exceptional by their customers based on a variety of criteria win TrustRadius awards. Learn more about the types of TrustRadius awards to make the best purchase decision. More about TrustRadius Awards

Reviewer Pros & Cons

View all pros & cons
Return to navigation

Pricing

View all pricing
N/A
Unavailable

What is Ventiv Claims?

Ventiv Claims Administration software is designed to handle claims with speed and precision.

Entry-level set up fee?

  • Setup fee required

Offerings

  • Free Trial
  • Free/Freemium Version
  • Premium Consulting/Integration Services

Would you like us to let the vendor know that you want pricing?

20 people also want pricing

Alternatives Pricing

What is ChiroTouch?

ChiroTouch is cloud chiropractic software offering an integrated EHR software built for chiropractors, top to bottom. ChiroTouch is an integrated system for payment processing and insurance claims management.

Return to navigation

Product Details

What is Ventiv Claims?

Ventiv Claims is a claims administration system that is comprised of one or more Claims Management modules and a variety of supporting modules, including Absence Management, Enterprise Legal Management, Workers’ Compensation, Policy Management, Billing Management, Claims Intelligence, Corrective Action Plans, and Incident Reporting. The system was designed as a claims management system from the perspective of claims examiners. Designed to make it easy to manage claims, it includes functionality like diaries, business rules, workflow management, notepads, and financial management. Ventiv Claims enables users to define custom workflows tailored to each client’s specific business process, to make claim, document, and policy administration more efficient.

Ventiv Claims offers an “out of the box” solution to clients. At the same time, the Ventiv Claims architectural design was developed with the fundamental requirement of flexibility to adapt to meet the changing business requirements of clients. The system modules, fields, interfaces, and reports are user configurable so that Ventiv Claims can be adjusted to meet most organizational processes without custom programming.

Ventiv Claims Features

  • Supported: Predictive Analytics: Claim Severity Scoring and Case Reserve Prediction
  • Supported: Workflow Automation and Custom Business Rules
  • Supported: Fully Integrated Compliance Support for CMS, IAIABC, EAMS, and Jurisdictional Reporting
  • Supported: Content Management and Distribution, ISO, Document Management

Ventiv Claims Screenshots

Screenshot of Claim Frequency by Age/Claim Severity by Age
Graphical Representation of Claims Frequency and Severity by AgeScreenshot of Unreviewed Documents by Examiner
Graphical Representation of documents that have not been reviewed by file handlerScreenshot of ODG Comparison – Total Cost
Graphical representation claim cost benchmarked against ODG GuidelinesScreenshot of Vendor Payment 
Graphical representation of payments made over time, payments by transaction, and total amount paid for specified time frameScreenshot of Policy Participation
Graphical Representation of reinsurance layers for a specific policyScreenshot of Claims by Month
Graphical Representation of claims entered by month that includes a filter for claim year and status

Ventiv Claims Videos

Ventiv Claims Competitors

Ventiv Claims Technical Details

Deployment TypesOn-premise, Software as a Service (SaaS), Cloud, or Web-Based
Operating SystemsWindows, Linux, Mac
Mobile ApplicationApple iOS, Android, Windows Phone, Blackberry, Mobile Web
Supported CountriesVentiv Claims primarily serves clients in North America.
Supported LanguagesEnglish

Frequently Asked Questions

Ventiv Claims Administration software is designed to handle claims with speed and precision.

Riskonnect IRM, Duck Creek Claims, and Majesco Claims are common alternatives for Ventiv Claims.

Reviewers rate Implementation Rating highest, with a score of 9.4.

The most common users of Ventiv Claims are from Enterprises (1,001+ employees).

Ventiv Claims Customer Size Distribution

Consumers0%
Small Businesses (1-50 employees)10%
Mid-Size Companies (51-500 employees)40%
Enterprises (more than 500 employees)50%
Return to navigation

Comparisons

View all alternatives
Return to navigation

Reviews and Ratings

(32)

Attribute Ratings

Reviews

(1-25 of 25)
Companies can't remove reviews or game the system. Here's why
Score 8 out of 10
Vetted Review
Verified User
Incentivized
We use IRM and Digital to automate and track exposure information. To ease administration the Digital forms tool is deployable to individuals who don't necessarily need to be full users of the IRM system which eases the administrative burden among other positive aspects.

We have also used RiskConsole/IRM to track asbestos claim dollar across multiple policy years.
  • easy user interface
  • good reporting
  • able to spread dollars across multiple policies
  • better linking to multiple policies
  • It can house claims from multiple 3rd party vendors all in one database
  • Our company owns the claim data, we don't need to rely on paying access fees to discontinued TPAs
Our main use surrounded the tracking of historic toxic tort claims that spanned multiple policy years. One of our carriers internally has the same capabilities but limits access to their systems to only a very high summary basis. By housing claims within the IRM system we can track those claims and spread losses across multiple policy years to validate the lead carrier spreading of losses.
Score 9 out of 10
Vetted Review
Verified User
Incentivized
We just iVos to manage our workers' comp claims. It is for claims intake, management, statutory filings.
  • Customer centric
  • Adapt product to fit customers' business needs
  • able to reach help
  • little glitches in products that make the product not perfect
  • minor defects that were not caught during development and requires hotfixes
Ventiv Claims has been able to meet customers' needs in their range of products and constantly undergoing development and changes we need.
March 26, 2024

Claims CE review

Score 9 out of 10
Vetted Review
Verified User
Incentivized
Full claims suite that includes compliance processing, correspondence and document management. This allows us to cut out several vendors to manage document processing and compliance.
  • Correspondence
  • Compliance
  • Email
  • Scheduled payments
  • Agnostic document import
  • Reporting ease
Scheduling work comp payments is very clunky and opens us up for a lot of errors.
March 26, 2024

User Review

Brandon Heckler | TrustRadius Reviewer
Score 9 out of 10
Vetted Review
Verified User
Incentivized
We use this product for claims management and processing with easy of use. The functionality of the system allows us to track each claims status and know when we need more information or when it’s time for us to proceed with certain actions. The main screen allows for searching through multiple different ways in the case that information we need isn’t being given to us by our members.
  • Search functions
  • Claim tracking
  • Expanded search functions
  • File type allowance in claims
The notation functions within the system works well for us in the event that someone else needs to access the files to obtain information, there is an absence, or for auditing purposes to track what each employee is doing and when.
March 26, 2024

Ventiv is awesome!

Score 9 out of 10
Vetted Review
Verified User
Incentivized
Ventiv claims helps us to track and process the claims we receive daily. This seamless application provides us with the ease of use. Their customer support has been outstanding as they always make themselves available and follow through on answering all of our questions. When issues arise they are on top of assisting us with getting it resolved.
  • Customer Support
  • Ease of Use
  • There isn't much I can say to this today.
Ventiv Claims has seamlessly assisted us in processing and tracking our claims. The system is very user-friendly and fits our need in the financial industry. From the reporting to searching claims this system is easy to use. This product I'm sure has the ability help other industries in their claims tracking.
March 26, 2024

Ventiv Claims

Score 7 out of 10
Vetted Review
Verified User
We use Ventiv Claims for our Claims Application using Claims Enterprise. It assist with streamlining processing claims, claims reporting, and claim payments.
  • Customer Service Manager
  • Application Easy to Use
  • Helpdesk troubleshooting assistance turnaround time
  • More reporting options for distribution
  • Layout for reporting
  • Easy to use creation for reporting
Ventiv provides great customer service and assistance from our Customer Service Manager. Easy to use helpdesk ticket submission. Need improvement on turn around time for assistance with troubleshooting and response.
Score 7 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims is our Claims Management System for all of our workers' compensation programs both internal and external. The entire program uses Ventiv Claims System. Ventiv Claims allows us to manage our workers' compensation claims effectively and efficiently. Ventiv Claims allowed us to combine 3 systems into one platform for claims management. We contine to use CE for all of our claims administration.
  • Ease of use.
  • Compliance with state regulations.
  • Integration with other systems.
  • Training and user support.
  • More functionality within the modules.
  • Cut and paste options from screens.
  • Total view of all injured workers claims.
Ventiv Claims is a great solution for any Workers' Compensation and General Liability program. I do not have any scenarios for less than appropriate use. I think the system upgrade process could run smoother. Also product support in a timely fashion is lacking at times.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
In the Risk Management Services Department, we administer benefits for a pool of self-funded municipal entities. Workers Comp, Property/Casualty, and Underwriting all work with Ventiv. Ventiv is our claims management system, reporting system, and policy/underwriting system.
  • Updating system for state/federal compliance.
  • Always looking for ways to make the experience better.
  • Imbed link to Ventiv University topic in Ivos online help instructions.
  • With some calls/or Zoom meetings, we need an interpreter or some way to assist in better understanding when talking to the Help Desk.
  • advising Users about the functionality that would serve us better
  • Document image and User mail could use more enhancements to get the information from outside source into Claims Enterprise. The business rules for adding documents and claims mail need to bring in the description or subject to notepad
The claims system works well and we vetted several before choosing it.
September 05, 2023

Ventiv Claims Review

Score 9 out of 10
Vetted Review
Verified User
Incentivized
Claims Management for workers compensation, injured workers on the job. We input all new claims and manage the old ones. We use the system to run numerous reports, pay invoices and issue/manage payments, bank reconciliation, record notes, send correspondences to claimants, insureds and other legal or medical, and we send compliance reports to the state departmentas well as CMS.
  • The support ticketing system
  • The automation that is available
  • Compliance updates
  • An issues reporting forum to see issues other companies may experience, troubleshooting and resolution steps taken to resolve
The customization available in Ventiv Claims is awesome. Being able to have custom reports and fields makes our small company feel "bigger". However certain features, for example, SSO and document scanning, make us realize how small we are because the implementation and annual fees are a too expensive to justify spending for the amount of users we have and revenue we generate.
April 03, 2023

Ventiv Review

Score 7 out of 10
Vetted Review
Verified User
Incentivized
We use Ventiv Claims for managing and adjusting all of the City's auto and general liability claims. At one time, it was used to handle workers' compensation claims, but we no longer use that function because we brought on a third party administrator.
  • Stores data.
  • Easy access.
  • Good format
  • Way to detailed for what we use it for.
  • Reporting is cumbersome.
It is a good platform to use if you handle all of your claims in-house and have a high frequency in claims.
Score 7 out of 10
Vetted Review
Verified User
Incentivized
We use Claims Enterprise for GC General claims through CE application & IRM Digital
  • It monitors and processes GC General claims through a step by step process
  • It has valid reports that gives detailed infomation
  • Improvement in Digital IRM product
  • Adhoc reporting
It monitors and processes GC General claims through a step by step process
Score 9 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claim Enterprise system is used to Administer WC claims reported by employees of the LADWP
  • Maintains Claim Activity
  • Maintains Payment Details
  • Stores document images relevant to the claim
  • Documents/assists with creating correspondence
  • OCR of documents scanned into the claim
  • User support
  • Drag and drop
  • Descriptive error messages that users can understand and resolve
Ventiv Claims Enterprise provides an excellent path for multiple users to pick-up and understand what has transpired on the claim and the current claim status.
Score 10 out of 10
Vetted Review
Verified User
Incentivized
We use Ventiv Claims for workers' compensation, vehicle and general liability claims. I specialize in the workers' compensation section, and Ventiv Claims has been instrumental in streamlining our reporting and claims management procedures. The digital forms are easy for our employees in the field to use, and the information accurately translates into claims creation.
  • Reporting
  • Ease of use
  • Accuracy of data collection
  • Excellent support for questions or system upgrades
  • OSHA 300 reporting
  • Easier way to report MVAs with multiple employees involved
  • Additional reporting fields would be great
Ventiv Claims works beautifully for workers' compensation. It is easy to use for both field employees and Risk Management. The claim nearly creates itself by allowing the digital "Injury Reporting Form" the employee fills out when they report an injury to populate the claim itself. I have the employee's own description of the incident, which helps determine compensability. In addition, the support we receive from the Ventiv Claims team is second to none. We have a dedicated account manager who ensures our success and is always willing to step in and help whenever we have a question or want something to perform differently.
March 27, 2023

Happy Customer.

Score 8 out of 10
Vetted Review
Verified User
Incentivized
It helps organize everything, on a day to day and process checks and documents that I no longer have to manually do. It provides amazing features and ease of access. I find the overall experience good and I would highly recommend this to other companies as well as anyone in the business such as workers comp or data entry.
  • Automate documents.
  • Organizing claims.
  • Search function.
  • UI could be a little bit simpler.
  • Dark mode.
  • Faster processing.
I would say it's easy to navigate but I wouldn't rely on it for every report, since sometimes it doesn't process the document correctly.
Gabriel Rodriguez | TrustRadius Reviewer
Score 9 out of 10
Vetted Review
Verified User
Incentivized
Ventiv is the claims application for my Workers' Compensation Joint Powers Authority. We insurer 90 plus school districts and over 43,000 covered employees. In the event one of these covered employees are injured on the job, we administer there workers compensation benefits via Claims Enterprise or IVOS. IVOS is also the claims application for our Liability JPA which has over 140 member school districts.
  • Distribution of benefits.
  • Correspondence.
  • Loss history.
  • Loss run reports.
  • State reporting.
  • CMS Reporting
  • Navigation within claims screens can be difficult at times.
  • Report Writing can be a bit more user friendly.
  • Security Administration could be a bit more user friendly.
I feel Ventiv truly understands my industry, CA Workers Compensation. They have a very good compliance department that helps me keep on top of all state requirements. The application itself is pretty user friendly for my examiner staff. The layout is nice as well as the coloring scheme of the screens.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims is used to maintain and administer both Workers' Compensation and Public Liability claims. Ventiv Claims assist with the ability to have a one stop shop that maintains all claim/claimant information. The application has also helped to move us away from paper and file folder based claims maintenance to a more paperless environment. We are not fully paperless yet, but the system does give up the ability to do so. The application also streamlines many claim maintenance procedures simplifying workflow processes.
  • Scanning importing of claim documentation
  • Maintain all claim information
  • Simplify the import of claim information
  • Simplify the payment process of claims
  • Simplify page security process
  • Ability to move fields on tabs to desired locations on tab
  • Ability for claim mail to be claimant driven rather than claim driven (mail import)
Ventiv Claims is very suited for the basic and some complex processes of both our Workers' Compensation and Public Liability claims handling workflows; claims handling, creating pre-populated correspondence, importing document images, making payments, maintaining notes and diaries. Ventiv Claims is also great for handling the submissions of CMS information.

We tried to use Ventiv Claims to maintain our OSHA information but were unable to build that piece into our workflow.
Score 10 out of 10
Vetted Review
Verified User
Incentivized
It is being used in our Risk Department for managing our insurance claims for both the general liability and workers' compensation claims from origination to closure.
  • The Ventiv team is always ready to assist in solving complex issues in a very timely manner.
  • The entire Ventiv staff is friendly, knowledgeable, and always ready to help via phone, email, web ex. Our Customer Success Manager, Doug H. is the best! And Cindy H., Machella G., Josette D., Duane J. ...just to name a few.
  • Love the fact that aspects of our daily tasks are streamlined and can be completed in one central location from claims management, to reporting, policy renewals, and payment processing.
  • Fewer system issues.
I feel that the Ventiv Claims System was designed more for managing workers' compensation claims, and less suited for general liability. Although, it can be used for managing liability claims.
Score 10 out of 10
Vetted Review
Verified User
Ventiv provides the software that many clients use to manage insurance claims. The software is very user-friendly and the support is quick and helpful at all times. The software offers many options to make claims management easier for the adjusters and also upper management. Information is easy to pull when needed using various report options and other things of that nature.
  • Customer support is excellent.
  • Software is extremely user friendly.
  • Ventiv seems to remain up to date with the trends of the claims management industry.
  • Sometimes, the turn-around on IT work is slow due to the work being "farmed out" it seems.
Working in IT, I have worked alongside Ventiv for nearly 3 years now on an extensive upgrade project. Though the project has been tough at times, Ventiv has done nothing but be helpful while trying to implement this new upgrade. They are always quick to respond to any issues that we may have and are very friendly throughout the process. Their customer service is excellent.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
We are a California Third Party Administrator for Workers' Compensation and General Liability claims. The application is used across our whole organization.
  • Name recognition
  • Customization
  • Ease of use for front end user
  • Document handling
  • Load case management transfer
  • Slow loading times for tabs
  • Automation to assign diaries to claim assistant instead of examiner or supervisor
  • Pagination and allowing for view of more than 500 records on a tab
  • PDF converter in application requires specific formatting of the Word document
  • Need for work arounds for existing issues
  • Application built more for an Insurance carrier than a TPA
Due to AdminSure's decision to self-implement, Ventiv Claims requires constant support. Highly recommend that Ventiv handle onboarding/implementation of the application. Do not attempt to do this on your own.
Score 6 out of 10
Vetted Review
Verified User
Incentivized
It is used as our primary business application across the company. It largely manages all of our client-facing activities. The business problem it addresses is it was (at the time of purchase, and possibly now) the only product that allowed us to manage virtually all of our client-facing activities due to its flexibility in configuration.
  • Allows us to be self-hosted.
  • Configurability.
  • The Sales Teams (account VPs) demonstrate far more urgency in action than the product Development/Support team.
  • New features are announced far before they are available, and, when they become available, it takes about a year before the features operate as expected; they also occasionally break other features.
  • The reporting out of Ventiv Claims is difficult to support. For many functions, we move to a different platform.
It is well suited for a company that needs significant customization, the problem is the customization is extremely expensive and the development of the customization is sub-optimal.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
We currently use Claims Enterprise in our Risk Management department, where we have 15 employees who use it on a daily basis. CE allows our employees to adjudicate claims effectively and efficiently. There are many features that we don't use, but the system fits our needs very well. We recently implemented Digital which can be used outside of our department to submit claims. Implementing Digital has been a good experience, allowing us to cut down on claim entry into CE. There are small issues, but overall it has been a good experience.
  • Ability to review detailed claim information in a concise manner.
  • The schedule job works really well.
  • Able to retrieve claim information using the reporter tool.
  • The enhancement to the security feature is wonderful.
  • Most of my issues are with Digital. Users are able to select Submit more than once, they are able to type in fields that have a dropdown - which causes the claim to reject.
  • I would like for Correspondence setup to be a little more user friendly.
  • Easier way to download data from the reference table and the ability to filter on active records - as some tables can be quite voluminous.
Ventiv Claims Enterprise & Digital suits our needs. Since we are a small operation, there is not a lot more that we need. CE handles it very well.
September 27, 2021

Healthcare Company Review

Score 7 out of 10
Vetted Review
Verified User
Incentivized
We are using Ventiv Claims/Claims Enterprise, for our Self-Insured, Self-Administered Workers' Compensation Program for our 40,000 employees. Ventiv Claims is used for all aspects of our Workers' Compensation claims management from incident intake, to reserves, to payments, all documentation, all notes, lost time and restricted duty tracking, state forms, departmental form letters, electronic reporting to the state for FROIs, etc. We also use the Adhoc/Jasper Reporter to report our data and create dashboards.
  • Business rules and choices of business rules that you can use.
  • Organization/hierarchy maintenance.
  • Managing reserves and payments.
  • Ability to customize.
  • Little bugs/glitches that require a story, patch, or upgrade to fix.
  • Initial security setup was A LOT to set up on all the fields and the different security groups.
It is a very useful program for claims management.

Score 8 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims is used to administer workers' compensation, general liability, and medical malpractice claims for the entire organization.
  • They provide integrated solutions for workers' compensation compliance.
  • They provide a flexible application.
  • They support their clients with knowledgeable resources.
  • More consistent upgrade environments with less regressions.
  • Better documentation and training for advance features in the system.
It is well suited to manage claims and all the aspects of claims and compliance. The environment does need support from a strong analyst with some technical knowledge and reporting experience.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
[Ventiv Claims is] used as our Claims Administration system for our self-administered organization, addressing all aspects of our internal claims process domestically. Other Risk Management departments access the information, including Finance and Loss Prevention.
  • Very flexible system, which can be customized to meet customer needs.
  • Continually upgrading/innovating their product each year.
  • Need stability in customer support personnel.
  • Upgrades/improvements too expensive.
  • Better testing of upgrades needed.
Ventiv Claims is suited to large or small organizations due to its product flexibility, although the cost may be prohibitive to smaller organizations. The best use is for a claims administration product.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims is mainly used by my Claims Dept. to process and pay worker's comp claims. Others within our company utilize the claims information as needed.
  • The claims system, IVOS/Claims Enterprise, is user friendly.
  • The Ventiv Claims technical support team is very knowledgeable and helpful.
  • They are nationwide and affiliated with many other companies, making new project implementations more efficient.
  • Upgrades can be difficult, as at times things you've fixed could now be wrong again.
  • Tech support sometimes hard for them to relate to "claims people" who have little if any Systems experience making some of the conversations difficult when there are problems.
I am only familiar with worker's compensation claims, and I believe their system does everything I need, and a lot more functions are there that we don't use yet. I believe it is well suited for small or large companies.
Return to navigation