Streamlining Medical Data for Faster Claims
On October 2023, FINEOS Corporation, a leader in core systems for life, accident, health, and employee benefits insurance, announced a partnership with Opifiny Corp., a cloud-based platform that digitises medical information collection. This strategic collaboration aims to enhance claims and absence management workflows in North America.
Expanding the FINEOS Partner Hub ecosystem, the partnership supports more connected claims and absence workflows. Insurers, employers, healthcare providers, and claimants will benefit from faster medical information flow and improved decision-making accuracy.
Medical information collected through Opifiny will flow directly into FINEOS claims and absence processes, reducing manual handling and delays, including those associated with attending physician statements and patient charts. As a result, claim cycle times are shorter, data accuracy improves, and decision-making becomes more consistent, providing measurable operational benefits for insurers and a faster, more transparent experience for their customers at critical moments.
Michael Kelly, CEO of FINEOS, stated, “Partnering with Opifiny strengthens our ability to deliver practical, measurable outcomes for insurers and the people they serve. By connecting APS data directly into FINEOS AdminSuite, we are helping clients reduce claim cycle time, improve data quality, and streamline claims and absence management processes.”
Benefits for Insurers and Providers
The collaboration is designed to lessen the administrative burden on healthcare providers while improving operational efficiency. Insurers in North America will benefit from faster decision-making and a more connected experience for claimants. Healthcare providers will find a reduced administrative burden, freeing them to focus on patient care.
Gabriel Tick, CEO of Opifiny, remarked, “Insurers need faster access to better data, but healthcare providers also need a better alternative to manual processes. Together with FINEOS, we will help carriers accelerate decisions while significantly reducing administrative burdens for healthcare providers.”
In North America, demand for integrated solutions that enhance operational performance and customer experience in life, accident, health, and employee benefits is growing. The partnership aligns with the FINEOS vision of making protection from illness, injury, and loss accessible to everyone.
For North American carriers, the collaboration delivers value in three key areas: improved clinical outcomes, faster claim resolutions, and reduced administrative tasks. This integration supports FINEOS’ growth and innovation in the insurance sector.
The partnership promises a more transparent experience for customers at critical moments, while healthcare providers benefit from a reduced administrative burden. Faster, reliable decisions and improved communication during times of need are the expected outcomes.
