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BlueWave Claims - What is It?

BlueWave Claims is a Java-based web application that combines traditional claims administration with business process management. Our solution guides both internal and external users throughout the full lifecycle of a claim - from first notice of loss to settlement and recovery. BlueWave Claims efficiently captures, tracks, and manages loss data and expedites claim resolution.

BlueWave Claims empowers claims professionals by minimizing the time they spend on non-value added tasks, instead allowing them to focus on the critical decisions required to efficiently and effectively manage claims. Our application also makes it possible to change your automated workflows and business rules without undermining the investment you have made in your claims software.

BlueWave Claims provides an intuitive, browser-based user interface that presents the key claims information that adjusters need without the excess navigation that plagues other systems. Adjusters logging in to the system first see their Home Page, which provides a complete snapshot of their daily activities, critical alerts, open workload and recent claims so they can effectively manage their schedule and priorities.

 

PipelineClaims HomePage
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Adjuster's Home Page

  • Outstanding diaries, alerts and notices
  • Integrated activity calendar
  • List of all open claims
  • Links to recently viewed claims
  • Direct access to action items, contacts, reports, financials, claim setup, search and administration

Claim Activity Screens

  • Claim summary
  • Claim detail
  • Activities and Notes
  • Related parties
  • Financials
  • Correspondence
  • Litigation
  • Claim flags
  • Links to external systems

From their Home Page, an adjuster is only one click away from diaries, alerts, contacts, reports, financials, new claim setup, search and administrative functions. And once a specific claim has been opened for viewing or modification, BlueWave Claims provides an adjuster with centralized access to all of the key claim data and functions they need to manage the claim through its settlement and closure.

PipelineClaims HomePage

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Financials Page
  • Financial Summary section displays accumulated claim totals for reserves, paid-to-date, recoverables, recoveries, and incurred amounts for each loss and expense category
  • Dynamic drill-down capability from any total amount in the Summary section to its composite transactions displayed in the Details section
  • Supports the following financial transactions: set reserves, close reserves, issue payments, record debit, credit, and history adjustments, set recoverables, and record recoveries
  • Automated policy limit checking
  • Automated user authority limit validation
  • Client-configurable reserve and sub-reserve categories

The Financials screen exemplifies the powerful combination of a Business Process Management (BPM) engine with customizable business rules. BlueWave Claims uses automated workflows along with client-defined business rules to control the results of each financial transaction entered into the system. Every financial transaction must pass a number of strict business edits before it can be accepted and booked; otherwise, it is put into a “held” state for review and approval by a manager. BlueWave Claims can automate any financial and audit controls that a carrier has established, effectively reducing claim leakage and potential human errors.

BlueWave Claims Key Functionality

  • First Notice of Loss (FNOL) entry
  • Automated coverage validation
  • Reserves and recovery management
  • Financial transaction management
  • Automated policy limit checking
  • Automated user authority limit validation
  • One-time and recurring diaries
  • Notices and alerts with automated escalation
  • System- and user-created notes
  • Standard and ad hoc report generation
  • Correspondence generation
  • Individual and business contact management
  • Vendor management
  • Catastrophe management
  • Litigation management
  • User administration and configuration control panel
  • Integration with other core applications – including policy administration, document management and financial systems

Download a BlueWave Claims solution overview here!