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THE CAIR SYSTEM

CAIR is a bespoke claims handling software system designed to deal with large columes of claims effectively, reducing costs and maximising effeciency. It is written using Microsoft dot net and sequel server technology, ensuring that it is compatible with the latest technology.

Paperless System

Cair sends and receives faxes and emails directly from the system. From there, they can be attached to the relevant file. The lack of paper files gives the ability for anyone answering a call to go straight to the claim and deal with a query immediately. The need to employ a filing clerk no longer exists as all files are on the system and do not require a seperate paper copy. All inspection requests, quotes, orders and invoices are sent from within CAIR and stored in the diary.

Milestones

The key points in the life of a claim are highlighted using milestones. These can be internal and/or external and ensure that claims are tracked through to completion. Internal milestones are used to flag overdue reports, pending and completed delivery dates and repairs due. Externally, clients can be advised when a claim is received, contact is attempted and made with a policyholder, and an appointment has been booked with an engineer. The final claim decision is also sent in the form of a milestone. The milestone is pre-populated and sends automatically when key points are reached during the claim. It attaches automatically to the file on the clients system.

FSA

CAIR ensures that FSA guidelines are met by tracking and recording every single action taken during the claim. All documents are attached and each action creates a record in the diary. All calls made or taken regarding the claim are also recorded in the diary. The system also has a complaints procedure which notifies clients if a complaint is logged by one of their policyholders and is updated to show how the complaint has been resolved within FSA guidelines and timescales.

Fraud Detection

By storing serial numbers of claimed items, CAIR can highlight multiple claims for the same item. If a duplicate serial number is logged, a flag alerting the claims handler opens on the screen to enable further investigation.

Management Information

As each action is stored for each claim, the MI that CAIR produces is extensive. The client has the ability to choose the required data and CAIR will produce a report to match. It can be as basic or as complex as the client chooses. CAIR can also be used to track the nature of claims being made, claims per postcode for a particular risk, and items most likely to be claimed for. All this information is invaluable for underwriting purposes.

Connectivity

CAIR provides the ability for clients, suppliers and policyholders to log in and view sections of the claim relevant to their needs. MI can be collected in this way, policyholders can view the progress of a claim, suppliers can collect orders and update delivery dates and engineers can submit reports online.

Validation Database

CAIR offers the ability for claim handlers to validate like for like replacements for an extensive range of household goods. Not only does it identify the original item, its year, ARP and significant features; it links you to the direct replacement. The database displays the features of the current equivelant and compares them with the original model. On selection of the current equivelent, the claim handler is given a list of suitable alternative models bymanufacturers of equal quality. The features of the equivelants are also shown in comparison with the replacement model. CAIR has enabled the claim handler to identify the insurer's liability and a number of options to settle the claim.

Overview Screen

In this screen, you can view at a glance the status of all pending and completed claims. This can be all claims held on CAIR, or claims for a specific handler. This feature prevents claims being left or forgotten. It can be very useful for clients to view the status of all their claims at a particular time.

Out Tray

This tracks all correspondence leaving the CAIR system for up to 5 working days. All fax or email send failures are highlighted so that the claim handler can resend the document.

Great Plains Integration

CAIR has been integrated with Microsoft Dynamic's GP (Great Plains) accounts package. This allows orders and invoices to be automatically exported into the financial system at the touch of a button. The reduction in suplication of work is significant. GP used in conjunction with CAIR can allow debtors and creditors to log in and view the current status of their account, pay or submit invoices, and view aged debt.

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