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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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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

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

(1-25 of 25)
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Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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
March 26, 2024

Ventiv Claims

Score 7 out of 10
Vetted Review
Verified User
  • 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
Score 7 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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
September 05, 2023

Ventiv Claims Review

Score 9 out of 10
Vetted Review
Verified User
Incentivized
  • 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
Score 7 out of 10
Vetted Review
Verified User
Incentivized
  • 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
Score 9 out of 10
Vetted Review
Verified User
Incentivized
  • 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
Gabriel Rodriguez | TrustRadius Reviewer
Score 9 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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)
Score 10 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 10 out of 10
Vetted Review
Verified User
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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
Score 6 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
September 27, 2021

Healthcare Company Review

Score 7 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
  • 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.
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