Workers' Compensation Software | Workers' Compensation Claims Management System

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The Alyce Claims Management System

Alyce is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently.

Below are the System Features, System Requirements, and Customer Comments. Please contact us if you have any questions.

System Features:

Multi-tiered infrastructure meets your clients' reporting requirements, based on corporate entities and locations.
Duplicate claim alerts
Detailed on-page instructions
CMS MMSEA Section 111 Support

Export and Import Query file and Claim file formats
Support for Sect. 111 data collections

Check printing and payment controls
- Automated scheduled and repeating payments
- Immediately reissue voided and stopped checks
- User level financial security set by coverage and transaction type
- Transfer payments between claims
- Check printing uses preprinted or blank-check stock
- Coverage level deductibles
Diaries and Notes
- Yellow sticky notes
- Automatic diaries based on events, time and/or financials
- Diary alerts
- Urgent diaries
State Regulatory Forms
- Auto-prefill and on-form editing of state forms
- Email completed forms*
Letters
- Automatic generation of form letters to claimants, lawyers or other claim parties
- Prefills letter with custom claim data
- Template editor
Return To Work segment tracking (for WC)
Litigation case tracking
Imaging
- Attach images, sounds and movies to a claim
- Export images into a single file for IME's
- Integrates with MS Outlook to attach emails and other types of documents
- Allows for remote/off-site users
Reports with paperless distribution
- Month-end Reports
  - Executive overview reports
  - Loss runs
  - Adjuster activity reports
  - Comprehensive financial history
  - Automatic report generation
  - Export via PDF and other formats
- Instant Claim-level Reports
  - Financial summary or details with reserve history
  - Diaries
  - Notes
  - Claim status reports
  - One-Page claim report
- Bulk Report Generation
  - Generate tens, hundreds or thousands of reports from the click of a button
  - Distrubition system publishes the reports to webservers or email lists
Lines of Business
- Workers' Compensation
- Auto Liability
- Auto Property
- General Liability
Medical Bill Review and Repricing
- Instantly reduce medical bills on the claim file
- Comprehensive Rules engine follows state fee schedule rates and rules and PPO rates
- Simple Interface allows quick data entry
- Easy EOB report generation collated with check run or on demand
- Integrated QA process
- Configuration of bill and line charges, including state fees to attach directly into claim financials
- Ingenix fee schedule data
Web Claim - Internet Claim Entry
- Easy claim / incident reporting over the web in a secure environment
- Authorization module for claim acceptance or denial
- Automatic state form generation
- Automatically generate diaries
Data Warehouse / Data Mart
- Detailed data structures allow for point-in-time reporting, including Loss Triangle generation
- Web reporting distribution system with HTML and PDF report generation
- Monthly, quarterly and annual reporting available
- System reports give inception-to-date and monthly totals to balance reports
- Bulk generation of HTML and PDF reports
- User security and data integrity is inherited from production claim system

* requires Adobe Acrobat Standard 7 or higher for emailing completed forms.

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System Requirements:

Alyce client/workstation machines require Microsoft Internet Explorer 6 or 7 (on Windows 2000, XP, or Vista).
The optional Imaging module integrates with MS Outlook XP or Outlook 2003 (Outlook 2007 is being analyzed).
The optional Forms module requires Adobe Reader 7 or higher (or a PDF browser that handles XFDF) on the workstations. Adobe Professional 7 or higher is needed to create custom forms. Adobe Standard 7 is required for emailing completed forms.
Workstation processor should meet Microsoft's minimum configuration for IE and the OS.
For conventional installations (non-hosted) server configurations are dependant on the number of users, their workloads and optional modules installed. A rule of thumb for every 25 users is 1 Xeon dual core processor with 4Gb of RAM and 5Gb of disk space.

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Customer Comments:

"Having researched and demoed many types of claims software over the past 10 years I am extremely pleased with our decision to go with Alyce. I was very impressed with Ted’s ability to get our account with 12 years of loss history converted and running smoothly within weeks. Brightwork, Inc. excels because of Ted’s involvement as he handles all aspects of the sale from the beginning and understands the evolving needs of a third party administrator. We rely with confidence on Ted as he has truly become a part of our team."

- Robert Granata
President
Highland Claim Services

"The fact that Alyce is browser based has saved me hours! Our previous claims management system was a Windows-based application that constantly used up system resources and forced users to restart their computers. It also required me to install the application every time we replaced or reformatted a computer. Running within Internet Explorer, Alyce requires NO installation on client machines. Beautiful!"

- Kyle Fish
Vice President/IT Manager
The PRM Companies

"Having handled claims for over 29 years, I have been exposed to many claims management systems; I found Alyce to be the most user friendly system I have ever used. The ease of the system relating to forms, payments and diary management is only one aspect of the experience. Ted is always available and has a real understanding of claims management and all the required reporting mandated by each state. I really believe he is the key to the success of Alyce. I know I would not have been able to do it without him."

- Joanne Daley
Claims Manager
Robert J. Ryan TPA Services

"We found we only needed very limited training, because Alyce is very user-friendly and self-explanatory."

- Kellieann Austin
Claims Supervisor
Cool Risk Management Services

"Before we went to Alyce, I easily spent a couple of hours a day fixing little things. I spend no time at all now with Alyce and the extra time that I have now is put to streamlining our reports."

- Joe Pellegrino
Systems Specialist
Cool Risk Management Services

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