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PAWS

Audatex’s Pet Automated Workflow System, pet insurance claim processing the smart way

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Overview

Owners care for their pets and want the best possible treatment at their time of need. When it comes to pet insurance, claims handling must be administered with care, consideration and compassion.

Speedier claims settlement results in happy customers and cared for pets

With claims settled faster and more expertly, customers receive payments quicker and enjoy a more positive claim experience.

Claims management software for pet insurers

PAWS is a web-based system for managing pet claims and payments. It reduces the amount of time and skilled resources required to process a claim by automating much of the decision activity against terms and conditions; policy excess; claim history and policy benefit limits.

Benefits at a glance

  • Full claims management functionality, which includes:
    • Ability to flag ongoing treatments.
    • Ability for third-parties to update claim details with advice given to customers.
    • Ability to flag or diarise follow up treatment and repeat prescriptions.
    • Support for referrals.
    • Fully auditable claim history.
    • Ability to provide granular MI (breakdown of costs by illness code, volumes, trends, breeds, suppliers, regions, lines of business and so on).
  • Web-based access to existing claim history.
  • Data capture for new claims or to update existing claims.
  • Single system for viewing policy and pet data, adding notes, detailing policyholder queries and processing claims. Integration with existing PHS (Policy Holder System) for claim policy details.
  • Automatic payment and letter generation.
  • Automatic calculation of complex excess deductions.
  • Built-in business logic to assists claim handler decisions and a reduced reliance on skilled handlers.
  • Fully integrated with up and downstream policy, payment and print fulfilment systems providers.
  • Updates to policy or pet information are received from the policy management system and displayed to the claim handler in real-time.
  • Full log of data changes to policy or claim information, which is easily visible to handlers.

In the interests of both the insurer and their policy holders, however, it must also be executed with vigilance and readiness to guard against inaccuracies and fraud. PAWS has been designed from the ground up to take both scenarios in to consideration. PAWS greatly improves the overall pet claim process, reducing costs and manual effort, eliminating re-keying of data, delivering valuable management information and a more proactive and agreeable customer service. Best practice processes, business rules and logic, specifically designed for the pet claims process, are intrinsic to the product and it is available to all pet insurance companies through the Vet network.

PAWS features

Cut costs

A more streamlined and efficient approach to pet claim management.

Increased business

Handle more claims with fewer resources in less time.

Save time

Rationalised data entry with no requirement for manual re-keying into multiple spreadsheets or systems.

Better financial control

Through negating duplicate payments or overpayments (expired benefits).

Reduced fraud

Early identification of fraudulent claims.

Informed decision-making

Improved management information for granular reporting and better decision-making.

Increased visibility

Faster notification and enhanced visibility of claim status.

Broaden your market

Easy on-boarding of new brands or products.

Augment corporate governance

Highlighting of cases exceeding claims handler authority limits.

Improved environmental

Reduced paper work.

Better compliance

Via fully audited processes

Related solutions

VOX

VOX (Vet Organisation Exchange) is a web-based portal allowing vets to submit pet claims online. It facilitates an increased volume of business while saving time, money and enabling appropriate pet care to be administered quickly. Customers feel reassured their pets are receiving the care they need, when they need it.

Learn more

Contact

Find us

Audatex

Solera Head Office
Capitol House, Bond Court
Leeds, LS1 5EZ

Service Desk

0333 370 3440

[email protected]

 

If you would like to find out more before signing up, contact us using the details above.

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