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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

(1-24 of 24)
Companies can't remove reviews or game the system. Here's why
March 26, 2024

User Review

Brandon Heckler | TrustRadius Reviewer
Score 9 out of 10
Vetted Review
Verified User
Incentivized
Compared to paper files, the ease of access to file documents and notes related too are seamless. Each file is able to be designated as a certain type and scope which in turn allows for easier capability of finding certain documents.
March 26, 2024

Ventiv is awesome!

Score 9 out of 10
Vetted Review
Verified User
Incentivized
Ventiv has definitely improved our organizations claims management process by through its seamless tracking and processing. I would highly recommend this product to other organizations for ease of use and great customer support. This product we love and use everyday. They will help you every step of the way to make sure the process is smooth.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Yes, we have the capability to customize fields and use business rules to trigger certain events. They keep us informed and compliant with changes within the system. Built-in functions for reserving, correspondence & payments are easy to use and easy to track. Bill review process is much better within the system.
September 05, 2023

Ventiv Claims Review

Score 9 out of 10
Vetted Review
Verified User
Incentivized
We dont use too many automated workflows within Ventiv Claims , so I am not sure how has Ventiv Claims improved our organization’s claims management process other than a few restrictions, requirements and errors that the system produces for us. For example, entering payments that have already been paid: the system will allow you to enter the payment, but a flag will prevent the payment from professing. Stops duplicate payments from being made.
Score 10 out of 10
Vetted Review
Verified User
Incentivized
I set the "Diary" tab so it is the first thing I see when I open Ventiv Claims and I absolutely love the "Workflow" tab. Workflow allows me to see claims that have come in that need to be worked, and having the Diary right there has really helped me work through claims at my own pace and easily see what needs to be addressed.
Gabriel Rodriguez | TrustRadius Reviewer
Score 9 out of 10
Vetted Review
Verified User
Incentivized
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.
Score 10 out of 10
Vetted Review
Verified User
Incentivized
iVOS has helped streamline and automate different aspects of our claims handling process freeing us to focus our time and effort in managing the claims. Quality issues have significantly lessened and the Compliance team has been a tremendous key in helping us navigate the ever-changing regulatory environment of the workers' compensation world, especially when it comes to CMS!!
Score 10 out of 10
Vetted Review
Verified User
Ventiv products have made claims management easier for our clients based on the user friendliness of the software along with all of the options that come along with it. If you need information, by using the reporting functions provided, it is easy to pull just about any information you seek in minutes.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims is highly configurable, though it does require continuous support. There is an ease of use in comparison to similar applications; however, there are some automations that could be available to better handle client needs. Dynamic business rules can be built to assist in certain automation, but often require assistance from Ventiv to create and implement.
Score 6 out of 10
Vetted Review
Verified User
Incentivized
We've used Ventiv Claims for 15 years, I barely remember what the workflow was prior. Being able to handle claims and policy information out of the same system was pretty groundbreaking back in 2006 when we purchased the system. While I don't think it's groundbreaking anymore, the ability to build processes into the current Ventiv infrastructure is special.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
We only use the workflow configuration for incoming Digital claims, which works great. Things are going really well after we upgraded to the latest version (5.xxx), we are now able to use a better web-browser, things are now flowing better. There are quite a few new features that the users like - and when they're happy, I'm happy.
September 27, 2021

Healthcare Company Review

Score 7 out of 10
Vetted Review
Verified User
Incentivized
Being able to report out our finances and truly trust the data, business rules set up that allows for complete tracking of a claim from beginning to end with email alerts, audit capability of fields ad tabs, email alert notification of new incidents, everything is all electronic now so you don't have to go searching through a paper file to find anything related to a claim.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Business rules and workflows have saved us significant time and allow staff to be more consistent with the information they put into the environment. The correspondence feature makes it easy for staff to produce letters to claimants and vendors with consistency. The document image features have allowed us to be paperless since 2009, and it easily allowed staff to administer claims when the pandemic hit.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
Ventiv Claims has been a key component of our "continuous improvement" vision. As our claims organization has expanded and become more complex, Ventiv Claims has been able to meet our growth challenges with effective solutions, enabling us to maintain a competitive advantage over other claims administration options, and helping us to establish ourselves as a premier claims organization.
Score 8 out of 10
Vetted Review
Verified User
Incentivized
I feel we have the freedom to 'fine tune" the system with many options that each user can change to their liking. I think the learning curve on it is very easy. <br><br>The reporter function is basic and provides the necessary reports needed to provide information to our excess carriers, auditors, actuaries, etc. They now have a new Ad Hoc Reporter which we are anxious to access.
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