Platform
Gain Life's Claims Communication Platform
Experience the power of AI combined with behavioral economics to provide automated, real time claim monitoring and support for claimants, policyholders, and claims professionals; and go live in just weeks with a tailor-made claims experience, all without adding yet another system. Our platform delivers real results across workers' comp, P&C lines (e.g., general liability, auto, property, etc.), disability, safety, loss control, and leaves of absence.
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Save time, money, and frustration
Identify risks in real-time
Collect key insights at the start of a claim and harness AI to automatically monitor claims in real time, check-in, and alert staff when an issue requires their attention.
Message in any medium
Text right from your email inbox or claims system, and send encrypted messages to protect sensitive information. Claimants and policyholders receive your message in their preferred medium (i.e., text, email, or in-app) and language.
Speak their language
Serve the needs of non-English speakers with an app, messages, and documents in their preferred language.
Simplify one’s understanding the process with content written at an 8th grade reading level.
Relate to claimants and policyholders with timely, relevant, and supportive guidance.
Simplify document completion and collection
Automatically (or manually) complete, send, and receive e-signed documents in minutes, not days.
Auto-fill documents for claimants and policyholders with information from your CMS, RMIS, or payroll system.
Automate collection of FROI/FNOL information and documentation.
Solve issues as they arise
Deliver targeted, evidence-based, interventions driven by automated monitoring of an individual’s claim.
Set expectations with dynamically generated, fully configurable, process guidance, and jurisdictionally-specific FAQs as applicable.
Provide instant access to compensation information.
Facilitate medical management
Guide individuals to the appropriate providers per policyholder and jurisdictional guidelines.
Give instant access to pharmacy benefit information- e.g., PCN, Bin #, etc.
Send automated appointment reminders, and collect patient visit summaries in real-time, while providing appointment guides to help ensure the best possible care.
Unlike any other system
- Customizable branding, workflows, and content for your org. and those you serve
- All data collected is automatically sent to a claims system via email, fax, SFTP, or API
- Full audit trail available for download or auto-sent to claim system at claim closure
- Seamless experience on any device with no app download required
- Limited cellular data required to use the app means no data plan is too small
Ready to improve your claim outcomes?
Join the growing number of carriers, employers, and TPAs using Gain Life's claims communication platform to save claim costs, improve efficiency, and provide a better claims experience for all parties.
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