Solutions /Claims & Incident Management

Claims & Incident Management

Fragmented workflows and limited visibility slow every step of the claims process, driving up costs and leaving risk teams without the insight to act.

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What Ebix Risk Delivers

Built around two core disciplines.

RiskEnvision's depth comes from combining claims management and risk analytics in a single connected system, not bolted together as separate tools.

Centralized Claims Administration

Manage incidents, first reports, reserves, diaries, and payments from a single workflow. No more toggling between disconnected systems or rekeying data.

Faster FNOL & Triage

Structured intake and routing gets the right claim to the right adjuster immediately.

Reserve & Payment Tracking

Real-time reserve accuracy with full audit trail and payment milestone visibility.

TPA & Third-Party Integration

Connect TPA data, legal, and medical management into one unified claims record.

Regulatory Reporting

Built-in compliance outputs including EDI filings, statutory reports, and state forms handled automatically.

How it works

From incident to resolution.

A structured, connected workflow from first report through final close.

1
Incident Captured

FNOL submitted via WebEnvision or direct intake, structured, routed, and time-stamped.

2
Claim Created

RiskEnvision opens the claim record with coverage context, prior history, and reserve guidance.

3
Workflow & Collaboration

Adjusters, TPAs, and legal work within one platform. No email chains, no data gaps.

4
Resolution & Reporting

Close the claim, trigger payments, and generate compliance outputs automatically.

Products in this solution

Built on the Ebix Risk platform.

Core administration is powered by RiskEnvision. WebEnvision extends intake to field teams. Organizations not administering claims directly can leverage RiskEnvision Lite, a scalable option designed for visibility without full TPA-level complexity.

RiskEnvision

Claims administration core

WebEnvision

Field intake & FNOL reporting

RiskEnvision Lite

Scalable option for non-administering orgs

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FAQ

Common questions about Claims & Incident Management.

Claims and incident management is the end-to-end process of capturing workplace incidents, opening and administering claims, tracking reserves and payments, and closing files with compliant reporting. Ebix Risk connects FNOL intake, claims workflow, TPA data, and analytics in one solution built on the RiskEnvision platform.

Risk managers, claims teams, and safety leaders at self-insured or partially self-insured organizations that need centralized claims administration, faster FNOL and triage, and visibility from first report through resolution—without toggling between disconnected systems.

Fragmented workflows and limited visibility slow every step of the claims process, driving up costs and leaving risk teams without the insight to act. This solution replaces rekeying and disconnected tools with a single workflow for incidents, reserves, diaries, payments, and regulatory outputs.

Incidents are captured through structured FNOL (including WebEnvision or direct intake), routed to create a claim in RiskEnvision with coverage context, managed through collaborative workflow with adjusters and TPAs in one platform, then closed with payments and automated compliance reporting.

Core administration is powered by RiskEnvision. WebEnvision extends structured field intake and FNOL reporting. Organizations not administering claims directly can use RiskEnvision Lite for claims and incident visibility without full TPA-level administration complexity.

Yes. TPA claims data, legal, and medical management can connect into a unified claims record so teams are not reconciling multiple portals, email chains, or manual exports to understand claim status and financials.

See which solution fits your risk program.

Talk to an Ebix Risk specialist to map your current workflows and identify where a connected platform reduces friction and improves visibility.

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