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MFX ClaimsAssure,Claims Processing System

MFX ClaimsAssure is a highly intuitive claims processing system able to assemble,

display and help adjudicate claims quickly. Best of all, its modular nature allows you

to upgrade part of a system or all of it depending upon your needs and the type

of claim involved Casualty, Workers Comp or Property.

The Problem

Resolving a claim has traditionally required a number of intensely complex steps. The

need to assemble, prioritize and submit properly the diverse information needed to

settle has frequently lead to productivity bottlenecks, claim backlogs and sometimes

mistakes. The result has been longer time frames to settlement, high processing

costs and staff turnover.

The MFX ClaimsAssure Solution

ClaimsAssure is a web-based claim handling system developed and rened by

insurance claims adjusters and administrators to speed insurance claims processing,

minimize mistakes and guide staff through multiple steps required. The result is ahighly exible, seamless on-line claim processing software that mirrors the work

process. More importantly, ClaimsAssure frees the adjuster to spend more time

adjudicating claims and less time completing paper forms. Form and paperwork

intensive claims such as Workers Comp are signicantly streamlined with this on-

line claim processing software.

Fax-in plus other innovative features expedite workow from rst notice

ClaimsAssure allows you to receive First Notice of Loss (as well as other claim

documents) as a fax that can be easily sorted to key destinations and further

identied through an option menu for automatic coverage verication and

assignment. Emails, images and other le attachments are managed for effortlessretrieval by this claim management software.

U.S. Home Ofce

412 Mount KembleMorristown, NJ 07960

2010 MFX. All Rights Reserved

www.mfxfairfax.com Canadian Ofce

2 Morneau Sobeco Centre895 Don Mills Road, 3rd FloorToronto, Ontario M3C 1W3(416) 385.4800

(866) 639.6399

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MFX ClaimsAssure,Claims Processing System,cont.

Easily learned, intuitive navigation accelerates claims processing and eliminates the

need to dig through screens to access information

As the claim le enters the workow, several unique features provide additional support.

A Financial Impact window displays total reserves and payments, with a link to provide

the claim les detailed nancial information. Special handling instructions are also clearly

visible through the use of a ag display. Pop-up menus for each claim offer immediate

links to all documents that belong to that claim le.

Diary and File Notes track daily activities and update automatically

Completion of designated tasks triggers automatic diary updates. File Notes also

manages faxes, word documents and mailings to attorneys and other vendors. Color

coded diary entries highlight critical tasks. The Correspondence module is equipped with

standard letters plus editing to tailor the letter to the specics of the claim, claim ofce

and jurisdiction.

Workers Compensation modulecustomized by statespeeds processing and

improves accuracy for these paper intensive claims

This module supports state mandated forms providing system-generated and adjuster

enterable attributes. Data population of these forms is automatically handled in this

claims processing system. Detailed claim information and error handling are system

generated with minimal manual entry. Attributes like these, combined with ClaimsAssures

other capabilities, make this a powerful property casualty claim processing system forlarge multi-state property casualty insurance companies.

Improve accuracy of nancial and accounting reporting

Tracking claim payments is critical for both claim systems and bottom line results. A

Reserve Analysis Worksheet automatically updates and shows current reserve status by

disability type for Workers Comp claims and by payment type and line of business for

Property Casualty claims. Medical bill processing offers an instant history of Explanation

of Benets. An automatic bill processing capability groups payments by vendor for bulk

processing, beneting multiple lines of business.

Accelerate insurance claims processing while managing costs

As a well-tested, web-based system, MFX ClaimsAssure gives you a full claim processing

capability that requires little more than a computer with Internet access to use. Training

is minimal and set-up is simple. This, coupled with ClaimsAssures exibility and intuitive

usage, makes it ideal for those who need to move at the speed of opportunity.

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MFX ClaimsAssure,Claims Processing System,cont.

Tech Basics and SupportEach MFX product has its own specic security system based on Internet protocols to

secure information and transactions against unauthorized access. MFX ClaimsAssure also

logs all access to claims, assigns access rights, monitors usage and adheres to recent

privacy laws. A 24/7 help desk and a knowledgeable Account Executive further support

your users.

In the unlikely event that the MFX processing facility is impaired, our disaster recovery

plan targets having all clients back in process within 48-hours. Daily backup and recovery

is provided with your claim management software, along with a weekly full-system

backup with all tapes sent offsite to MFXs storage facility.

Customization

Although MFX ClaimsAssure is a complete plug and play product, MFX offers

specialized customization services in order to white label ClaimsAssure to your

companys requirements, whether it be for a casualty, property or workers comp claim

system. Conversion services enable complete claim le information available on-line on a

going forward basis.

About MFX

MFX is a leading global technology application development and outsource services

organization established to support the insurance industry with complete lifecycle

processing technology solutions.

Our hosted ASP platforms and associated infrastructure services allow clients to

concentrate on their core Insurance business while levering MFXs technology solutions

and experienced insurance professionals to manage the complexities associated with

running and maintaining enterprise Insurance software.

MFX is a wholly owned subsidiary of Fairfax Financial Holdings Limited.

For more information on this and other MFX products and services, contact us at 866-

639-6399 or visit us at www.mfxfairfax.com.

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