CoreSuite for Workers' Compensation

A full-featured, cloud-enabled, digital solution for large public and private insurers that includes PolicyPro and ClaimsPro components.

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Powerful, Easy to Deploy Solution

CoreSuite for Workers’ Compensation is a powerful, cloud-native solution that is easy to deploy and maintain, with a highly configurable rules engine to meet ongoing industry challenges. Providing dynamic, digital engagement with omni-channel experiences, CoreSuite reduces time to market, offering enhanced customer value and customized products for sustainable, high-performing insurance operations.
  • Flexible, Configurable, and Fully Automated
  • Complete Lifecycle Policy Administration
  • Advanced Claim Administration

Flexible, Configurable, and Fully Automated

As a comprehensive suite for larger entities like state and provincial funds, private insurers, and third-party administrators, the CoreSuite system is feature-rich and includes a broad range of customization options. With digital capabilities across policy, billing, and claims, the modules can be deployed individually or as an integrated solution. Our end-to-end solutions are delivered in browser-based technology with deep workers’ compensation insurance functionality and methodology that allows for easy upgrades. Add-on solutions and the ability to deploy all or selected components of the enterprise solution provide the utmost in versatility.

Complete Lifecycle Policy Administration

A multi-state, mulit-program solution supports quoting, rating, issuance, endorsement, billing, audit, and loss prevention.

  • Maximize underwriting results, as rules-driven, straight-through processing enables workflow definition for better risk analysis and higher profitability
  • Flexibile and scalable for quick adaptation to the changing workers' compensation market
  • A global view of the customer across all quotes and policies offers underwriters and agents the tools to thoroughly aggregate and analyze the customer profile, resulting in better service and higher retention
  • Increase productivity and reduce cycle times, from automated underwriting to compliance reporting (WCPOLS and WCSTAT)

Advanced Claim Administration

Sophisticated automation seamlessly handles unexpected changes that may arise throughout the claim cycle, from FROI to final benefit resolution and closure. Advanced processing expedite the loss reporting and assignment process and offers significant savings in loss adjustment expenses.

  • A 360-degree view offers a centralized way to view and analyze the incident, claim and claimant information for quick resolution and increased customer satisfaction
  • Industry leading financials provide flexibility and control of claim reserves and payments. Comprehensive, real-time payment processing supports automatic payments, split payments, offsets and deductions, refunds, transfers and 1099 processing
  • Streamlined compliance reporting improves the efficiency and accuracy of your review process, reducing risk of potential fines (DCI, CMS, FROI, SROI)
  • Containment of medical costs through outcome-based case management that focuses on the injured employee's health and productivity

Transformational Products

Sapiens provides a comprehensive set of solutions to fully automate the insurance landscape.

Sapiens Platform for Workers' Compensation

A comprehensive, cloud-native, future-proof digital, AI-driven platform for growing your insurance business and staying ahead of the game

PolicyPro for Workers' Compensation

Quickly adapt to changes in market with the ability to easily modify an existing product or program

ClaimsPro for Workers' Compensation

End-to-end, automated claims lifecycle support for workers’ compensation with intuitive configuration tools

DataSuite

Empowering insurers with data-driven insights for smarter decisions, personalizing customer experiences, and driving a competitive advantage

Industry Recognition

Celent Claims Systems Vendor
ClaimsPro for Workers' Compensation
Functionality Standout "boasts a recently updated user interface, offering an attractive and functional workspace that significantly enhances the adjuster experience."