Terra’s Workers’ Compensation Claims Management system is a comprehensive platform designed to streamline and optimize every aspect of the claims process. The system offers a full suite of tools and features, including advanced document management, communication tracking, and robust reporting and analytics. Terra’s platform supports electronic payments, paper check integrations, and provides extensive customization options to meet the specific needs of insurers.
Claim Intake and Notification
Streamlined Claim Intake Process
Terra’s system offers an intuitive interface for capturing all necessary claim information, supporting multiple submission channels such as online forms, email, and phone. This flexibility ensures that claimants can easily report incidents, and the system accurately records details like injury specifics, incident location, and claimant information.
Triage and Assignment
Terra’s platform assists and enables management to effectively manage and monitor adjuster claim loads. The system provides tools to help prioritize and assign claims based on various factors, including severity, complexity, and adjuster availability. This enables managers to balance workloads, optimize resource allocation, and ensure that each claim is handled by the most qualified personnel, enhancing efficiency and response times.
Claims Processing and Workflow Management
Automated Workflow Management
Terra’s claims processing module includes automation tools that streamline key tasks such as data entry, document generation, and communication. These workflows are customizable to meet the specific needs of the insurer, ensuring consistent and efficient claim handling. Automated processes include managing emails, diaries, and text messages, ensuring timely and accurate communication throughout the claims lifecycle.
Integrated Document Management and Indexing
Terra features a comprehensive document management system that supports electronic storage, retrieval, and indexing of all claim-related documents. This includes initial claim forms, medical records, correspondence, and settlement agreements. The system facilitates quick access to necessary documents, supporting efficient workflow and compliance with regulatory requirements.
Communication Tracking and Management
The platform provides tools for tracking and managing all forms of communication with claimants and stakeholders, including notes, diaries, documents, emails, faxes, letters, and text messages. This centralized tracking ensures that all interactions are documented and accessible, enhancing transparency and accountability in the claims process.
Medical and Case Management
Medical Provider Integration
Terra’s medical management module integrates seamlessly with medical providers, streamlining the acquisition and management of medical records and billing information. This includes support for electronic medical billing and coordination of care, ensuring accurate and timely treatment for claimants.
Case Management and Rehabilitation
The case management features support comprehensive care coordination for injured workers, including rehabilitation and return-to-work programs. Case managers can track progress, manage treatment plans, and communicate with medical providers, improving outcomes and reducing claim duration and costs.
Pharmacy Benefits Management (PBM)
Terra’s PBM integration manages prescription drug benefits, including authorization, monitoring, and compliance with formularies. This helps control costs and mitigate risks associated with medication management.
Settlement and Resolution
Settlement Negotiation Tools
Terra’s settlement module supports efficient management of settlement negotiations, calculating amounts based on various factors and documenting the negotiation process. This ensures transparency and consistency in claim resolution.
Litigation Management
The system provides comprehensive litigation management features, tracking court dates, managing legal documentation, and coordinating with legal counsel, facilitating effective handling of legal proceedings.
Reporting and Analytics
Real-Time Reporting and Analytics
Terra offers robust reporting capabilities, including native reporting features and integration with PowerBI for advanced analytics. The system provides real-time dashboards for adjusters, supervisors, and executives, offering insights into claims data, financial performance, and compliance metrics. This facilitates data-driven decision-making and continuous improvement.
Adjuster, Supervisor, and Management Dashboards
Terra provides specialized dashboards tailored for different roles within the organization. Adjuster dashboards offer detailed views of active claims, workload metrics, and communication logs. Supervisor dashboards provide oversight tools to manage adjuster performance, monitor claim progression, and ensure adherence to company policies. Management dashboards deliver high-level insights into overall claims performance, financial impacts, and key performance indicators (KPIs), enabling strategic planning and resource allocation.
Integration and Connectivity
Open API and System Integration
Terra’s open API architecture facilitates seamless integration with other systems, including policy administration, customer relationship management (CRM), and financial systems. This ensures smooth data flow and operational efficiency.
Electronic Payment and Paper Check Integrations
Terra supports both electronic payments and traditional paper check processes, providing flexibility in handling financial transactions. This integration ensures timely payments and enhances financial management.
Customization and User Experience
Client-Level Customization
Terra allows for extensive client-level customization, enabling insurers to tailor the system to their specific business needs. This includes customizing workflows, reporting templates, and communication tools.
Intuitive User Interface
The system’s user interface is designed for ease of use, featuring customizable dashboards and navigation options for adjusters, supervisors, and executives. This enhances productivity and user satisfaction.
Comprehensive Support and Training
Terra offers comprehensive support and training, including onboarding programs, on-site training, and ongoing technical assistance. This ensures users can fully leverage the system’s capabilities.
Continuous Improvement and Innovation
Terra is committed to continuous innovation, regularly updating its platform with the latest technologies and best practices. User feedback is integral to enhancing the system’s features and functionalities.
Regulatory Reporting
Electronic FROI, SROI, and Other Regulatory Forms
Terra’s system supports the processing and submission of electronic First Report of Injury (FROI), Subsequent Report of Injury (SROI), and other regulatory forms required by state and federal agencies. This capability ensures compliance with regulatory requirements and helps streamline the reporting process, reducing administrative burdens and minimizing the risk of errors.
Why Terra Claims Management is your best solution?
Terra’s Workers’ Compensation Claims Management system offers a comprehensive solution for managing the entire claims lifecycle. With features including electronic payments, paper check integrations, advanced document management, communication tracking, and robust reporting and analytics, Terra enhances efficiency and transparency. The system’s integration capabilities, customization options, and user-friendly interface make it an ideal choice for insurers looking to optimize their claims processes and improve customer satisfaction. Terra’s commitment to continuous innovation ensures that it remains a cutting-edge solution in the insurance industry, capable of adapting to evolving needs and regulations.
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