Item: Ventiv Claims
Rating: 9
Author: Gabriel Rodriguez

Implementation Rating

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.

Use Cases and Deployment Scope

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.

Pros and Cons

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.

Return on Investment

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.

Configuration

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.

Training Types Used

Online Training
In-Person Training

Online Training

I have had the opportunity to conduct online training, specifically with Ventiv University. I found it very user friendly and informative.

Key Insights

Do you think Ventiv Claims delivers good value for the price?

Yes

Are you happy with Ventiv Claims's feature set?

Yes

Did Ventiv Claims live up to sales and marketing promises?

Yes

Did implementation of Ventiv Claims go as expected?

Yes

Would you buy Ventiv Claims again?

Yes

Alternatives Considered

I have not evaluated any other Claims Application in over 12 years.

Other Software Used

Laserfiche

Likelihood to Recommend

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.

Business Processes Supported

Timely Provision of Workers' compensation benefits to covered injured employees
Mandatory State Reporting
CMS Reporting
Loss Runs

Innovative Uses

Interfaced with our Imaging application, Laserfiche, to import electronic bills for payment

Future Planned Uses

Interface with outside vendors to receive and process invoices electronically.

Likelihood to Renew

Overall, Ventiv is meeting my programs needs.

Products Replaced

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.

Key Differentiators

Integration with Other Systems
Ease of Use

I felt Ventiv's functionality met my program needs.

Evaluation Lessons Learned

I probably would include my Network Engineer more in the evaluation the claims application to ensure complete compatibility with our infrastructure.

Support Rating

At times, their are some cases that are not resolved timely.

Ventiv Claims Customer Support Pros and Cons

Pros	Cons
Good followup Knowledgeable team Problems get solved Kept well informed Support understands my problem Quick Initial Response	Escalation required

Happy and Thankful Client

Overall Satisfaction with Ventiv Claims