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FINEOS Claims

Faster, Smarter, Better Claims Outcomes.

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Overview

The FINEOS Platform includes a purpose-built, end-to-end claims solution for L&A carriers. It is designed to deliver best-in-class claims workflow, adjudication, and customer service. The system supports group, voluntary, and individual insurance on a single platform, enabling faster, smarter, and better claims outcomes.

✨ Key Features

  • End-to-end claims management
  • Support for Group and Individual L&A
  • Automated adjudication and payment processing
  • Integrated disability and absence management (IDAM)
  • Customer-centric case management
  • Analytics and reporting
  • Cloud-native SaaS platform

🎯 Key Differentiators

  • Deep domain expertise in Life, Accident & Health
  • Market leader in employee benefits and disability claims
  • Integrated platform for policy, billing, claims, and absence (FINEOS Platform)

Unique Value: Provides a specialized, end-to-end core platform for LA&H insurers that improves operational efficiency and customer service for complex benefits claims.

🎯 Use Cases (4)

Life insurance claims Disability and absence management Accident and Health claims Specialty and voluntary benefits

✅ Best For

  • Core claims system for leading L&A insurance carriers globally.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Property & Casualty insurance.
  • Small businesses outside the insurance carrier market.

🏆 Alternatives

ClaimVantage (part of Majesco) EIS Group Oracle Insurance

Offers deeper, more specialized functionality for disability, absence, and other LA&H claims compared to generic P&C or all-in-one claims systems.

💻 Platforms

Web (SaaS)

🔌 Integrations

FINEOS Platform components (Policy, Billing, Absence) Third-party systems via API

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (All tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ GDPR ✓ ISO 27001 ✓ SSO ✓ SOC 1 ✓ SOC 2 ✓ ISO 27001 ✓ HIPAA

💰 Pricing

Contact for pricing
Visit FINEOS Claims Website →