Claims Management Software
Automate Your Claims Management
Build insurance claims management software solutions that meet your exact business needs. Openkoda helps you get to market faster by providing a solid application foundation with essential functionality. You don’t have to start from scratch, with Openkoda you save months of development time.
Open-source Build new applications & replace legacy systems Deliver 60% faster Unlimited users Unlimited features Easily integrate & extend Reporting AI No vendor lock-in
The Right Solution For
Embedded Insurance Companies
Innovative Startups
SaaS Entrepreneurs
Insurers Seeking Innovation
Incremental Legacy System Replacement
Third-Party Administrators (TPAs)
Claims Management Companies (CMCs)
Insurtech Companies
Features of an Innovative Claim Management System
Modern insurance claim management systems automate your business processes, enhance the efficiency of insurers, accelerate decision-making, and improve overall management.
Using the Openkoda platform, you build only the features essential for your business, unlike out-of-the-box systems where you pay for unused features.
Our solid application foundation allows you to create custom functionalities faster than traditional software development, with complete flexibility to adapt at every stage of your business growth.
Here is a list of sample features you can build with Openkoda innovative technology:
- Automated Claim Processing
- AI-Powered Decision Support
- AI Reporting
- AI Fraud Detection
- Machine Learning Support
- Seamless System Integration
- Multiple Organizations Management
- Embedded Forms
- Claim Tracking and Monitoring
- Workflow Optimization
- Payment Tracking
- Audit and History Tracking
- Security Features
And many more custom features, according to your needs.
Benefits of Claims Management Software
Efficient Claims Management
View, manage, and analyze claims faster and in an automated way, streamlining the entire claims process.
Improved Decision-Making
Leverage AI and machine learning to support faster, data-driven decisions that improve accuracy and reduce errors.
Support for Complex Claims Processes
Easily handle specialized claims such as hurricane damage, marine insurance, on-demand inspections, accidents, workers’ compensation, auto and cyber liability, general liability, and medical management with streamlined, automated workflows that ensure accuracy and speed.
Embedded Insurance
Reach out to your clients combining online and offline channels, build your custom forms and embed your service into external websites and applications.
High-Speed Data Processing
Process large volumes of data quickly, so claims can be analyzed and resolved in hours or days instead of months.
Scalability and Flexibility
Easily customize and scale the system to meet the changing needs of your business, whether for small teams or large enterprises.
Superior Customer Experience
Deliver a seamless, personalized experience and world-class service with features such as in-app notifications, automated email communications, and real-time claims tracking.
Robust Fraud Prevention
AI-driven fraud detection can identify and reduce fraudulent claims, saving time and resources.
Seamless Integration and Compliance
Integrate with the systems you already use to ensure smooth operations and compliance with industry regulations and standards.
Our Process
What Happens After You Contact Us
Step 1
We start with a meeting to understand your requirements and objectives, followed by a personalized demonstration of how Openkoda can be customized to meet your needs.
Step 2
We document your specific application requirements to ensure alignment with your business goals.
Step 3
We provide a detailed scope and estimate for time, cost, and resources based on the documented requirements.
Step 4
We build a proof of concept (POC) or minimum viable product (MVP) using an agile process, refining it based on your feedback.
Step 5
We extend the POC into a full application quickly using Openkoda’s developer-friendly platform, with optional professional services.
Step 6
We deploy your application in our secure Managed Cloud with SLA support or provide the source code for on-premise installation. The solution is scalable and extendable, designed to grow with your business.
Build Your Claim Management Software Faster with Openkoda
With Openkoda, you can quickly build a custom claims management system. Reduce development time by 60% and get to market faster.
The platform provides all the essential functionality up front, so you don’t have to start from scratch. Just easily extend, integrate and customize your application without restrictions, and request new features whenever you need them.
Openkoda’s open-source technology ensures no vendor lock-in, while pre-built templates and professional services accelerate your time to market, all no hidden fee.
Own the complete code of your system, with full ability to extend and customize it, thanks to the use of a popular and non-proprietary technology stack.
Take advantage of our managed cloud services or choose the self-hosted option. Learn more on the pricing page.
Pre-Built Openkoda Features
- App Configurations: Manage email settings, roles, privileges, and HTML templates.
- Audit Screen: Track changes to data for accountability.
- System Logs: Review logs for activity insights and troubleshooting.
- System Health: Get a quick overview of system performance and status.
- Backups: Embedded database backup routines
- Import and export: Export components from current app and easily import them into another Openkoda Core instance
- Job Requests: Schedule jobs to be performed in time intervals Process jobs with event listeners
- App Configurations: Manage email settings, roles, privileges, and HTML templates.
- Audit Screen: Track changes to data for accountability.
- System Logs: Review logs for activity insights and troubleshooting.
- System Health: Get a quick overview of system performance and status.
- Backups: Embedded database backup routines
- Import and export: Export components from current app and easily import them into another Openkoda Core instance
- Job Requests: Schedule jobs to be performed in time intervals Process jobs with event listeners
- Invite users to the organization
- Set roles globally and within the organization context
- Access user profile settings
- Spoof user (available in admin mode)
- Roles and Privileges:
- Create global or organization-specific roles
- Assign privileges from a list to each role
- Job Requests: Schedule jobs to be performed in time intervals Process jobs with event listeners
- Notification: Synchronize your application with notifications channels: Email Slack Jira GitHub Trello Basecamp
- Email Sender: Customize email templates via CMS Schedule emails
- Event Listeners: Respond to application events (e.g., user creation, login, application start) with built-in Openkoda handlers (e.g., messaging, push notifications).
- Separate organization data
- Implement security rules for data access
- Customize your own dashboard
- Assign organizational roles, such as member or admin, to users.
- Multiple Multi-tenancy deployment:
- Single Database / Single Schema
- Single Database / Many Schemas
- Multiple Databases / Many Schemas
- Manage file overview
- Resize images
- Set files to public access
- CMS:
- Modify HTML templates
- Edit draft versions of resources
- Introduce new public resources
- Create database table, CRUD functionality, form, and overview with no need of re-compilation
- Reporting AI (to be available in June, now in development preview)
- Use natural language to query your Openkoda database and create reporting templates.
FAQ
A claims management system automates the process of handling insurance claims, streamlining everything from submission to decision-making. It increases efficiency, reduces errors, and enhances customer satisfaction.
Openkoda provides the tools and open-source technology you need to create a custom claims management system faster than traditional software development. Using our platform, you can integrate automation, AI, and other advanced features without starting from scratch.
Openkoda supports various insurance operations, from policy management to embedded insurance solutions. Whether you’re dealing with claims processing or need a full-fledged insurance software platform, you can build it faster and customize anytime with Openkoda.
Openkoda is an open-source platform designed to accelerate the development of custom enterprise applications. It enables businesses to develop applications faster, with complete flexibility, scalability, and no vendor lock-in. Learn all about its features.