Insurance Claims

Insurance companies and claims departments are constantly looking for effective claims management processes that can keep them ahead of the competition, which can be hard during transitions in management or systems conversions. The Alpheus provides an alternative solution to a traditional insurance claims consulting firm when looking to bring efficiencies to your claims operations.

An insurance claim is a formal request by a policyholder to an insurance company for coverage or compensation for a covered loss or policy event. The insurance company validates the claim and, once approved, issues payment to the insured or an approved interested party on behalf of the insured

What is claim process?

alpheusassociates.com defines claims processing as “the fulfillment by an insurer of its obligation to receive, investigate and act on a claim filed by an insured. … Claims processing begins when a healthcare provider has submitted a claim request to the insurance company.