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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

(1-1 of 1)
Companies can't remove reviews or game the system. Here's why
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.
  • Has allowed for timely provision of benefits to our injured employees.
  • Allows for completion of all state mandated reporting.
  • Business Rules are very help in structuring and setting into place good claims practices.
A lot of planning, backup procedures and patience. We planned and held many meetings prior to implementation which were necessary to ensure the migration of our data was successful. We did see some bumps along the way, but the Ventiv support staff did a great job keeping us on track.
The work flow configuration tools have tremendously improved our claims management processes in the area of mail importation and timely assignment to examiner staff. It has also proved to be very help in the processing of medical and non-medical bills with and without nightly interface with my bill review company.
  • Online Training
  • In-Person Training
I have had the opportunity to conduct online training, specifically with Ventiv University. I found it very user friendly and informative.
I have not evaluated any other Claims Application in over 12 years.
  • Timely Provision of Workers' compensation benefits to covered injured employees
  • Mandatory State Reporting
  • CMS Reporting
  • Loss Runs
  • Interfaced with our Imaging application, Laserfiche, to import electronic bills for payment
  • Interface with outside vendors to receive and process invoices electronically.
Overall, Ventiv is meeting my programs needs.
Yes
Riskmaster. It was very cumbersome and not user friendly. It also did not allow for us to automate certain business process and state reporting.
  • Integration with Other Systems
  • Ease of Use
I felt Ventiv's functionality met my program needs.
I probably would include my Network Engineer more in the evaluation the claims application to ensure complete compatibility with our infrastructure.
At times, their are some cases that are not resolved timely.
I am not sure what "premium support" is. I do pay a significant annual support fee to assist with various issues.
Yes
There have been times when the resolution is not timely.
I would have to say in the creation and assistance with a newly customized report, needed for the CA State Annual report, the AR-2 report.
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