venue slide presentation
TRANSCRIPT
Electronic Claims ManagementStress
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Table of ContentsContents Page
Introduction 3
About us 5
What Differentiates Us 7
Why You Shouldn’t Use Us 9
Why You Should Use Us 10
Summary of Benefits 32
What Our Clients Say 33
Under the Hood 36
ROI - Return on Investment 38
Winners Circle 40
Contact 41
Hint: If you are short on time, read the pages highlighted in red.
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Are You in the Race?
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..or Are You on the Sidelines?Internet-enabled technologies are driving new efficiencies and possibilities in every business sector. Claims management is not excluded from this trend, and in fact these new technologies are an ideal fit for a 24/7 industry that largely operates with a workforce “on the road”. Widespread adoption of online claims processing is inevitable.
If long-term business viability is in your plans, you’ll need to consider the competitive impact of increased efficiency, accessibility and compatibility offered by Internet-enabled claims management.
In short, you better be there! While you sit on the sidelines, your competitors are racing to ensure they can meet their clients ever-increasing demand for real time updates.
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KLJ Computer Solutions Inc. has been providing data management solutions to a broad range of clients since 1995. Originally a custom development boutique, KLJ is now focused on web-based product development and support, and is a leader in the provision of claims solutions to the insurance vertical.When Venue as a product was first deployed, it was intended to support small to medium size claims handling firms. Each new customer received a unique version tailored to their specific business process. While customization remains a pillar of our value proposition, the release of Venue 2 provided a single code platform for customers. With this came improved deployment, maintenance and reliability of the system. The KLJ Team is confident that we are able to provide you with the best overall solution to your claims management needs. We hope that you will grant us the opportunity to prove to you that we deliver what we promise as we have proven to our existing clients over the past 15+ years.
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DIFFERENT FROM THE REST
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We realize that there are some competitors out there with claims management systems that have similar tools to what is offered within the Venue Claims Management system. Here is how we differentiate ourselves from the rest of the pack:
CANI - We live by the principle of CANI which is Continuous and Never-Ending Improvement. We continuously enhance the Venue Claims Management system and pass those enhancements on to our clients.
Superior Flexibility - Our flexible administrative tools allow our Clients to customize many elements of Venue to accommodate their unique needs without our support staff thanks to how intuitive these tools are.
Beyond User Friendly - Our comprehensive step-by-step video tutorials make learning Venue easy for all levels of tech-saviness. The videos can be accessed online 24 / 7.
Industry Savvy - Our friendly-sales manager (Marcel Arsenault) has over a decade of experience in handling multi-line claims which helps us to better understand your needs.
Sales Approach - We sell for the relationship and not the commission. If we earn a long-term relationship with you then we have done our job right.
Our Approach to Sales : (1) to help people; (2) to establish long-term relationships; (3) to have fun.
DIFFERENT FROM THE REST
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We have heard many reasons not to buy our system but The most common reasons people have declined to use the Venue Claims Management System have been:
Reason # 1: We have been in business for years and things are working great for us.Rebuttal: Enron, GM, Delta Airlines, BP, PacMan….Don’t get too comfy!!
Reason # 2: We already have an electronic claims management system and we are happy With it.
Rebuttal: Our system can make you more efficient, lower your IT Costs and increase profits.
Reason # 3: We are really busy here right now so it is not the time to consider disrupting the office by introducing new technology.
Rebuttal: Having worked as an adjuster for over a decade, I know you will always be too busy. Venue™ is easy to implement AND easy to learn. It’s
efficiencies will free up some of the time you now lack.
Reason # 4: It is too expensive.Rebuttal: You can process a claim with Venue for less then the price of things like a movie
ticket, comic book, Big Mac combo, Head & Shoulders or a car wash. None of these things make you money but a claim does.
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Reasons to Use Us
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Not Enough Time In A Day?
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TimelinessIn an occupation where so many daily activities are tied to deadlines, timeliness is everything.
Electronic claims management systems respond to this need by allowing users to configure custom diaries & e-mail alerts for deadlines associated with activities like reporting file progress to clients and regulatory bodies, generating internal progress reports and financial reports, interim billing, 1st contacts, pending expiration dates on policies, limitation periods for responding to legal documents and submitting time sensitive claim documents like a proof of loss.
KLJ Computer Solutions has addressed this issue by incorporating automation & alerts into the Venue Claims Management System which users can configure. These alerts can be sent by e-mail to multiple parties simultaneously or viewed in easy-to-follow electronic reports which can be printed and shared.
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Accuracy…It’s Important
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AccuracyWith accuracy being so crucial to claims handling organizations and their clients, electronic claims management systems must be precise.
Powerful time & expense tracking management, client account details, billing rate management, and other meticulous data tracking systems must be in place and accurately process the data resulting in predictable services for clients.
Venue Claims Management supplies all of the above capabilities and more.
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Delivering on Promises
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AccountabilityInsurers look for accountability from their claims handlers in everything they do. Likewise, users of claims management systems look for accountability from their vendors in everything their claims management system does.
It was with this in mind that KLJ Computer Solutions loaded Venue with the necessary tools to ensure claims handlers are able to deliver agreed-upon services to their clients. Some of the features which allow claims handlers to uphold the highest standard of accountability to their clients include time & expense tracking, document managers, diary managers, event/action managers, account instruction managers, appointment/calendar managers, task managers, and a client billing rate manager, among many more.
As far for their own accountability, KLJ Computer Solutions has a very proactive approach to monitoring the performance of their clients' claims management application and the overall satisfaction of their clients. This approach enables them to detect problems quickly when they arise and deal with them right away so that KLJ's clients know that they are accountable to them.
1724 hrs / 7
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AccessibilityWhen it comes to accessibility, claims operations are increasingly dealing with clients seeking access to their files 7 days a week/24 hours a day. There is also an increasing demand for the ability to accommodate a mobile workforce. With online electronic claims management systems, the world can become your office. Users can access their files anywhere that they have access to the Internet and a browser. Online electronic claims management systems enable multiple users with different roles to have access to the data it stores. It is essential for any electronic claims management system to ensure that only users intended to have access to claims data has it. Many provinces, states, and countries require businesses keep their clients' data secure in accordance with applicable privacy laws. The Venue Claims Management System allows you to set up users with different roles which gives them access to specific data that they are authorized to view. The settings configured when you set a user up prevent them from seeing claim data they are not authorized to.
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Flexibility to Meet Your Needs
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FlexibilityEach claims organization is unique in its own way. This requires flexibility in an electronic claims management system.
A claims organization requires the ability to customize workflow and communications to meet their clients' needs. With Venue Claims Management, these needs are met for each and every one of your clients with configurable tools like the event/action manager, diary manager, note manager, and document manager which can be customized to respond to the needs of your client.
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Efficiency = More Done In Less Time
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EfficiencyEven though it is not at the top of this list, efficiency is paramount to any claims organization due to the constant bombardment of work coming at everyone.
In an industry where you are rarely caught up with the work you need to get done, a claims management system with the proper tools can give you an extra edge with added efficiencies.
An effective claims management system will eliminate the need for double entry of data in different areas of a file or whenever a form or letter associated with a file that you are working on must be generated. It should also centralize all aspects of the business operations such as job assignment, tracking, billing, payments, etc. All of this can be found in the Venue Claims Management System.
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Need a Better Way to Monitor Staff?
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Performance MonitoringPart of running a successful business involves performance monitoring of your most valuable resource; your staff.
Effective claims management systems will be able to keep tabs on the key performance indicators pertaining to claims handling (executing diary activities, closing files, interim billing, meeting billed hours expectations, etc.).
Performance monitoring enables you to have better control of your workforce so that you can foresee and prevent problems before your clients are affected.
The result is higher quality of service which will translate into more assignments for you. The Venue Claims Management System provides you with the tracking and reporting tools needed to provide documentary evidence for performance monitoring.
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Document Management Issues?
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Document Preparation & Management
One thing that there is no shortage of in the claims management industry is forms, letters, reports, invoices, etc.. Paper work is a necessary evil.
An electronic claims management system will automate document preparation and management by being able to merge data from a file directly into a claim related form, letter, invoice, or report, saving you the time of having to duplicate that data in the document. Effective claims management systems will also be able to store your documents electronically and conveniently in relation to their associated files. Various formats of documents will be able to be stored (photographs, text, video, PDF, spreadsheet, etc.).
With many offices aiming to become paperless in today's environmentally conscious society, being able to generate your forms and send them electronically is a step in the right direction and can be found in the right claims management system. In a perfect world, you could even save e-mails with their attachments and Microsoft Word documents (without printing them) directly to associated files with the click of a button.Venue is able to do all of this.
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Customized Business Intelligence
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Business IntelligenceWhile it is not necessary for a claims management operation to have a secret spy division, intelligence gathering is an important activity if long-term viability is in your plans.
An effective claims management systems will have the ability to track things like aggregate claims and overall operations performance information. It will be able to generate comprehensive reports with this data so that users can get a better understanding of their business, identify opportunities, and detect deficiencies which need to be addressed.
So while you do not need a spy on staff to gather this intelligence, having the Venue Claims Management System will execute this task for you very effectively.
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The Road to Profits
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ProfitabilityNow that we are at the bottom of the list, let's talk about the bottom line.
At the end of the day, in order for an electronic claims management system to add value to your organization, it must provide you with cost savings through efficiencies in administration, technology overhead, reduced capital expenditures, and higher revenue potential.
If you talk To Venue Claims Management System clients like Greg Merrithew of Arctic West, he will tell you that the Venue Claims Management System has increased his operation's efficiency by about 25%. KLJ Computer Solutions is certain that it can bring this type of efficiency and therefore increased profitability to all of its clients.
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Leading You to New Heights
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Summary of BenefitsTo sum up, Venue™ claims management offers claims handling firms a competitive advantage by enhancing current business practices through streamlining tasks and using automation. Venue restructures processes in a way which effectively reduce man-hours and also saves network resources by eliminating data redundancy. The efficiencies and automation of workflow makes Venue very cost-effective. Users of Venue can interact and check the status of a claim, a diary, invoice, or task from any given part of the value chain and they can do it from anywhere there is a browser and internet connection.
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A Few Words From Our Clients
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I feel that the features in Venue which help streamline claims counting in our office are the time and expense tracking and ease of billing. For the record, we had a paper system prior to Venue and would estimate that this system has cut our administration time in producing billings by 50%. Our favourite Venue feature, from a management perspective, is the ability to track employees monthly billings. The most used and beneficial features of Venue to our claims organization is the time and expense tracking. The Venue video tutorials are straightforward to learn how to use. Also if and when we have a question following review of the tutorials, we found Mr. Arseneault to be quite helpful and timely in responding to our inquiries. Following our view of the video tutorials, we were able to start using the system that day.
Trevor Cortese, C.I.P.TC Insurance Adjusters Ltd.
A Few Words From Our Clients
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It is easy to state that the benefits we are receiving from the use of Venue in terms of functionality is worth the money that we are investing into it. The clerical hours can now be spent on claims administrations versus manual tracking of time and billing. Upon our initial review of the Venue system it did not exactly suit our needs however, once we had spent time tweaking the system it is currently customized to our firm’s needs. Generally if we have an inquiry, we receive a response from the Venue staff within 1 business day, sometimes within hours.
Mr. Arsenault, specifically was a large reason why TC Insurance uses Venue claims system to date. Initially, we were concerned about the operating costs of the system versus the benefits that it would provide, however looking back after using the system after approximately 2 years, we would have done this sooner.
Trevor Cortese, C.I.P.TC Insurance Adjusters Ltd.
A Few Words From Our Clients
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Under The Hood
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Under The HoodVenue is a wholly web-based claims management solution which handles end-to-end processing of claims from inception to close. It is written in .NET
Venue is hosted by a third-party specialist datacenter.
Venue's Web servers are Microsoft servers.
Operating systems are compatible with Windows Server 2003 & 2008.
Venue's database servers are SQL servers.
Database server components are compatible with SQL 2005 & 2008.
Venue's Client workstations are optimized for Windows XP and above, Internet Explorer version 6 upwards and above, Office 2003 and above
Venue's security uses the same level in encryption as the banks (128 bit) along with state-of-the-art firewalls & anti-intrusion methods.
Venue has a client administered role-based security subsystem which is configurable by admin users to permit/restrict what other users are able to access.
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Return on Investment
ROI Based on 500 Claims
InvestmentAdjuster GainsAdmin Gains
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Return on InvestmentVenue Efficiency Calculator (Yellow fields are variable)
Activity Description # Times per Claim # Min Saved per Activity Total Min Saved Per ClaimSearching and typing captions in letters 5 3 15Searching and typing captions in reports 3 3 9Searching for the file for handling 20 0.5 10Searching and typing captions in forms 3 4 12Mounting & captioning a photorecord 1 4 4
14.5 50
The average Claims per Year in office: 500 The average Claims per Year in office: 500
Total Hours Saved Per year (Approx): 417 Total Hours Saved Per year (Approx): 417
% of above hours by ADMIN Staff 50 % % of above hours by ADJUST Staff 50 %
Hourly Rate Paid to ADMIN staff 10.00$ Hourly Rate Paid to ADJUST staff 45.00$
Added efficiency per year on ADMIN staff 2,083.33$ Added efficiency per year on ADJUST staff 9,375.00$
ROI = Gains-Invest ₌ 8,958.33$ ₌ 358%Invest 2,500.00$
* Example ROI based on 500 claims at special rate of $5.00 per claim
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Welcome to the Winners Circle
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Contact UsYou are one step away from joining other claims handling operations who have decided to join our winning team.
To learn more about how we can help your claims operation, you can contact :
Marcel ArsenaultSales & Marketing
KLJ Computer Solutions Inc.PO Box 2040
Fall River, Nova ScotiaB2T 1K6
(902) 482-2425(888)455-5669 X-1