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Ventiv Claims

Ventiv Claims

Overview

What is Ventiv Claims?

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

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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 …
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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, …
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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 …
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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 …
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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

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Pricing

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Ventiv Claims

Ventiv Claims

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

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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

Ventiv Claims Downloadables

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%
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Comparisons

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Reviews and Ratings

(32)

Attribute Ratings

Reviews

(1-12 of 12)
Companies can't remove reviews or game the system. Here's why
March 28, 2024

Review of Ventiv's IRM/Digital and Claims Module

Verified User
Administrator in Customer Service
Machinery Company, 5001-10,000 employees
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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
Likelihood to Recommend
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.
March 26, 2024

Great user-centric suite of products

Verified User
Analyst in Legal
Utilities Company, 10,001+ employees
Score 9 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
We just iVos to manage our workers' comp claims. It is for claims intake, management, statutory filings.
Pros and Cons
  • 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
Likelihood to Recommend
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

PS
Paola Stauffer
EVP, Claims
Utah Business Insurance Company (Insurance, 11-50 employees)
Score 9 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • Correspondence
  • Compliance
  • Email
  • Scheduled payments
  • Agnostic document import
  • Reporting ease
Likelihood to Recommend
Scheduling work comp payments is very clunky and opens us up for a lot of errors.
March 26, 2024

Ventiv Claims

Verified User
Administrator in Information Technology
Insurance Company, 1001-5000 employees
Score 7 out of 10
Vetted Review
Verified User
Use Cases and Deployment Scope
We use Ventiv Claims for our Claims Application using Claims Enterprise. It assist with streamlining processing claims, claims reporting, and claim payments.
Pros and Cons
  • 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
Likelihood to Recommend
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.
March 19, 2024

Thoughts About My Claims System

Verified User
Director in Human Resources
Government Administration Company, 10,001+ employees
Score 7 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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.
Likelihood to Recommend
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.
March 27, 2023

Happy Customer.

Verified User
Technician in Finance and Accounting
Financial Services Company, 1-10 employees
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • Automate documents.
  • Organizing claims.
  • Search function.
  • UI could be a little bit simpler.
  • Dark mode.
  • Faster processing.
Likelihood to Recommend
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.
November 17, 2021

Ventiv Claims (iVOS) (Claims Enterprise) (CE): My Rollercoaster Experience

DV
David Vargas
Business Director
AdminSure Inc. (Computer Software, 51-200 employees)
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
We are a California Third Party Administrator for Workers' Compensation and General Liability claims. The application is used across our whole organization.
Pros and Cons
  • 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
Likelihood to Recommend
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.
October 28, 2021

It's been a long road, but the Ventiv has improved significantly over the past five years.

JM
John Meier
CEO
Employer Resources Northwest (Insurance, 51-200 employees)
Score 6 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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.
Likelihood to Recommend
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.
October 12, 2021

University Risk Management

TS
Teena Shepperson
Director, Finance & Administration
University of Colorado (Higher Education, 10,001+ employees)
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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.
Likelihood to Recommend
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

JS
Joy Spillman
Business Systems Analyst Intermediate
Novant Health, Inc. (Hospital & Health Care, 10,001+ employees)
Score 7 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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.
Likelihood to Recommend
It is a very useful program for claims management.

September 13, 2021

Ventiv Claims review: One-stop shop

MC
Monique Chaldu
Business Analyst
Riverside County (Insurance, 10,001+ employees)
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
Ventiv Claims is used to administer workers' compensation, general liability, and medical malpractice claims for the entire organization.
Pros and Cons
  • 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.
Likelihood to Recommend
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.
August 20, 2021

Ventiv Claims System review

TM
Tina Morris
Claims Director
Louisiana Homebuilders SIF (Insurance, 11-50 employees)
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Use Cases and Deployment Scope
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.
Pros and Cons
  • 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.
Likelihood to Recommend
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.
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