1. Claims Management using a rmis system

2. Introduction/Housekeeping
Who am I?
Qualifications
Background
Experience Using a RMIS System to Administer Claims and Incidents

3. What does rmis stand for?
R – Risk
M – Management
I – Information
S – System

4. History on rmis
Prior to RMIS, insurance company loss information reporting typically organized loss around policy numbers
Focus took away from a clear, coherent and consolidated picture of a single customer’s loss experience
First PC and Unix based standalone RMIS was 1982
Began breakthrough step in insurance industry’s evolution toward consistent and focused understanding of end user needs
Best solution for an organization depends on different factors
Enhancing an existing RMIS System?
Ensuring highest level of data quality?
Focusing on leading edge technology?

5. Incident/claim management with rmis
An overview of effectively utilizing a RMIS system to report and manage claims including producing reports for Senior Management
Field Reporting of Incidents/Claims
Self-Insured Incidents/Claims
Reports
Benefits
Comparison
Questions

6. Field reporting Reporting claims/incidents from the field
Claims Staff can review or adjust claims/incidents
Field Management can track claims for their sites
Claims can be sent to the carrier(s)/TPA’(s) electronically
Medicare Section 111 reporting

7. Self-insured claims Setting the reserves
Establish what data you want captured
Claim Notes
Document Management
ing claims to trusted others
Adding/deleting locations and fields
Correctly identify exposures
Diary claims/incidents for follow-up

8. reports Reduce time delays in requesting information
Data can be transformed into information you need
Information available on a variety of devices
Data Integrity
Ad Hoc Reporting with drag and drop
Monthly, Quarterly, Annual Reporting
Burst Reporting

9. Benefits of a rmis system
Aid in eliminating unnecessary steps from risk-management processes
Increasing communication across departments
Reviewing processes and behaviors that cause loss
Data integrity
All your data in one place
Timeliness
Seeing risk-management performance and improved accountability
Able to monitor TCOR

10. summary Companies without a RMIS Companies with a RMIS Paper deluge
Option to go paperless
Human Error
Less Human Error
Hours upon hours of manual entries and comparing numbers
Automation
Logistics issues
One stop shop for all your data needs

11. Questions/answers Joe Laforet Sr., AIC Business Development Executive
INFORM Applications, Inc.
Suite 100
888 Veterans Highway
Hauppauge, NY 11788
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