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James DeRosa
President
James.DeRosa@JDiData.com

Kevin Smith
National Accounts Executive
Kevin.Smith@JDiData.com

2400 E. Commercial Blvd Suite 322
Ft. Lauderdale, FL 33308
954.938.9100 (phone)
954.351.9838 (fax)
About JDi Data Corporation
                         We innovate and empower.
                         For 30 years, JDi Data Corporation has innovated
                         software development. As a proven leading technology
                         solution provider and developer, we specialize in
                         standard and customized insurance management
                         software solutions that streamline your work processes.
We pride ourselves on listening to what you say, and responding with some of
the top products available in the market. Our integrated software delivers
accuracy, claims audit solutions, and improves workforce productivity to
support insurance carriers, third party administrators, and municipal entities in
claims administration for multiple lines of insurance.

Our Mission
Our mission is to actively pursue and innovate intuitive solutions with
creativity and a passion to exceed expectations. We do that by listening to
your needs and responding with comprehensive insurance software that fits
and improves how you do business.
System Requirements
Software components:
JDi Data relies on the latest Microsoft technologies, including .NET 4.0, C#, and
ASP.NET and future revisions.
Microsoft SQL Server 2008 R2 Standard Edition (or better) including SQL Server
Reporting Services
Microsoft Office or compatible office suite
Adobe Acrobat reader and compatible file printer driver

Hardware Components:
Minimum requirements 4 GB of RAM, Microsoft Windows Server 2003 and Microsoft
SQL Server 2005, however JDi Data recommends:

Server (virtual or physical):
Dual-core, server-class CPU, 6 GB of RAM, 500 GB of redundant storage space.
Microsoft SQL Server 2008 and Microsoft Windows Server2008 R2 w/ Internet
Information Services (IIS) enabled
Internet/Intranet connectivity

Client Workstation(s)
Any device capable of running Internet Explorer (version 8 or later), Mozilla Firefox
(version 2 or later), Apple Safari, or Google Chrome. iPad and smart phone accessible
Hosted or Non Hosted Solutions
JDi Data supports both options with the same level of service. In a cloud environment,
services include maintain/upgrade/support of all functionality. In a client-hosted
environment, client would provide JDi Data virtual server access thereby limiting client
IT intervention except for hardware maintenance.

1. Software to be hosted on client-provided infrastructure
JDi Data recommends :
Microsoft Windows 2008-based infrastructure with adequate hardware redundancy
(hardware RAID, redundant power supplies, etc.).

2. Software to be hosted on cloud-based infrastructure
Cloud solutions allow us to easily grow the hosting infrastructure with minimal additional
cost, administrative overhead and downtime. As your user-base grows, cloud-based
infrastructure can easily grow with it by simply allocating additional computer resources
(disk space, memory, etc.). For added peace of mind, regular application data backups can
be scheduled.
Key Claims Manager® Features
•   Multiple lines of business in a single database     •   Microsoft SQL database provides easy access for
•   Multiple Insurers/Clients in same database, a           interfacing with companion programs like HR,
    great solution for Pools and TPA.                       accounting and compliance.
•   Policy Administration uses same database to         •   Statistical reporting capability to ISO, NCCI and
    eliminate duplication and allows tight integration.     NISS as required
•   Powerful user Access Rights, including limited      •   Letter designer and a mail merge with populated
    view only for                                           database fields.
    Brokers/Reinsurers/Producers/Agents.                •   PDF, including state forms library populated from
•   Powerful Time Log/Diary/Alarms/Claim Notes              database.
•   Captures pictures, videos, recordings               •   Check writing, accounting interface
•   User defined, client dependent reference lists          and electronic bank reconciliation
    Reserves, Payment Type, Features/Kind of Loss, •        Browser based web access
    Type and the cause of Loss, Reporting Codes,        •   Smart phone and tablet applications for mobile
    Diary and Note description types to aid adjusters       access
    while producing Reporting Consistency.              •   Client or Cloud hosting options
•   Comprehensive reporting Loss Runs,                  •   Mainstream components, Microsoft SQL,
    spreadsheets, Bordereaux, Dashboards,                   Windows and .NET using software as a service
    Triangulation, all available in common file format      (SaaS) business model to keep you up to date.
    exports.
•   Client specific ad hoc reports generated on             The following are a few screenshots that
    demand.
                                                            illustrate the dynamic interface
•   AccessADoC Document Depositary for easy
    retrieval of faxes, correspondence, invoices,           design, workflow, and layout of the Claims
    pictures, videos, recordings, notes and diaries.        Manager® system.
Claimant Tab
•   Multiple application instances to bounce
    between claims

•   Enter new claim, retrieve existing claim
    using filtering of LOBs, clients, programs,
    departments

•   Audit trail documentation of entries
    allows multiple users to access single
    claims

The claim status options are open, closed,
reopened, reclosed, as well as incident and
void. All Claims Manager® drop down selection
boxes are user defined for complete control of
content. Because of this infrastructure, incident
reporting is actually part of the claim system
and may be converted to an open claim as
required.
Claim sub statuses are client hierarchy based
which means different sub statuses “schemes”
are available for different clients. Claims
Manager® uses a hierarchy field selection
system to be sure data flows down correctly.
Related claims search, important for workers
comp allows users to find additional claims
for same claimant.
Financials Tab
The Financials tab captures all
financial activities associated with
the claim. There are two financial
screenshots, one with the print
reserve worksheet opened and the
other closed. The print reserves
worksheet works like a mini loss run
and allows transaction selection
based on clicking dollar amounts.


All transactions are color coded to indicate the type of payment, and the Claims Manager® system supports
bucket reserves (one reserve for entire reserve category) or payment category reserves where individual payment
categories with in a reserve category may be reserved individually. Mix or match!
Invoices Tab
Invoices may be uploaded through the vendor portal to conform with the billing requirements, manually
entered, imported from medical bill review provider, or a workflow approach can be customized specifically
for the user.

JDi Data interfaces with bill review providers, including CompIQ, Xerox, and others. We can perform ACH
debits and credits, positive pay functions, recurring daily routines, import/export or data synchronization with
other programs.

The goal of the Claims Manager® product is to minimize clerical work, duplication of entry, and streamline
workflow. The Invoices screen accomplishes all of that. Invoicing also supports multiple dollar amounts
associated with the workflow. The requested amount is the actual invoice amount, adjusted is the assigned
amount of the invoice i.e. a medical review change to comply with state payment amounts.
Notes Tab
The Notes section of the Claims Manager® acts as a central location from where you can add notes and
comments about the status of the claim, reasons for denial or any other information pertaining to the claim.
Using the functions available in this section you can add a new claim note, edit existing claim notes, print a
claim note and delete claim notes.
Diaries Tab
Using the functions available in the Diaries section you can add a new claim diary/alarm, edit existing
diaries/alarms, and delete diaries/alarms. There are also diaries which are automatically added when a
new claim is created, these are user defined diaries.
Documents Tab
The Docs section of the Claims Manager® system is available under the Docs tab in the Claim Details
screen. This section acts as a central location where you can add and manage all the documents related to
the claim. Using these functions gives you the ability to upload documents i.e. spreadsheets, PDF’s, audio
files, movie files, pictures, and relate them to data transactions within the claim.
Access rights and authority levels to control user activity




Claims Manger® allows you or JDi Data to add, change, edit or delete codes which address all
                            drop down menus in the system.
Document Depository
With today’s technology, Google type searches, instant retrieval, and information over flow, sophisticated users
are demanding. We EXPECT to be able to find things immediately. JDi Data Corporation’s AccesADoC document
depositary tool is designed to supplement and aid in document storage.

While there are many sophisticated document depositary products available, and oftentimes already in use in
our clients’ environment, AccesADoC may interface with other products. Documents may be stored anywhere,
the challenge is to ensure Claims Manager® can find them and bring them to you immediately. This obligation
is being met in the overall configuration and integration into the client environment using the best tools
available to provide the desired result.
Workflow Procedure
Loss Run Report Example
YTD Loss Report Example
Comprehensive solutions, real time delivery.

Claims Manager® insurance claims software, powers your claims
management and boosts efficiencies in all lines of business. Claims
Manager® provides fully integrated workers compensation and also critical
claim data for Property & Casualty, including:

         •   Specialty lines
         •   Construction Defects
         •   Difference in Condition
         •   Excess Liability
         •   Public Entity
         •   Law Enforcement
         •   Employment
         •   Public Officials

The result: More productivity throughout the claims lifecycle.

Our newest product, policy administrator completes the suite of products
and is fully integrated with claims.

http://www.jdidata.com

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JDi Data Claims Manager Overview

  • 1. James DeRosa President James.DeRosa@JDiData.com Kevin Smith National Accounts Executive Kevin.Smith@JDiData.com 2400 E. Commercial Blvd Suite 322 Ft. Lauderdale, FL 33308 954.938.9100 (phone) 954.351.9838 (fax)
  • 2. About JDi Data Corporation We innovate and empower. For 30 years, JDi Data Corporation has innovated software development. As a proven leading technology solution provider and developer, we specialize in standard and customized insurance management software solutions that streamline your work processes. We pride ourselves on listening to what you say, and responding with some of the top products available in the market. Our integrated software delivers accuracy, claims audit solutions, and improves workforce productivity to support insurance carriers, third party administrators, and municipal entities in claims administration for multiple lines of insurance. Our Mission Our mission is to actively pursue and innovate intuitive solutions with creativity and a passion to exceed expectations. We do that by listening to your needs and responding with comprehensive insurance software that fits and improves how you do business.
  • 3. System Requirements Software components: JDi Data relies on the latest Microsoft technologies, including .NET 4.0, C#, and ASP.NET and future revisions. Microsoft SQL Server 2008 R2 Standard Edition (or better) including SQL Server Reporting Services Microsoft Office or compatible office suite Adobe Acrobat reader and compatible file printer driver Hardware Components: Minimum requirements 4 GB of RAM, Microsoft Windows Server 2003 and Microsoft SQL Server 2005, however JDi Data recommends: Server (virtual or physical): Dual-core, server-class CPU, 6 GB of RAM, 500 GB of redundant storage space. Microsoft SQL Server 2008 and Microsoft Windows Server2008 R2 w/ Internet Information Services (IIS) enabled Internet/Intranet connectivity Client Workstation(s) Any device capable of running Internet Explorer (version 8 or later), Mozilla Firefox (version 2 or later), Apple Safari, or Google Chrome. iPad and smart phone accessible
  • 4. Hosted or Non Hosted Solutions JDi Data supports both options with the same level of service. In a cloud environment, services include maintain/upgrade/support of all functionality. In a client-hosted environment, client would provide JDi Data virtual server access thereby limiting client IT intervention except for hardware maintenance. 1. Software to be hosted on client-provided infrastructure JDi Data recommends : Microsoft Windows 2008-based infrastructure with adequate hardware redundancy (hardware RAID, redundant power supplies, etc.). 2. Software to be hosted on cloud-based infrastructure Cloud solutions allow us to easily grow the hosting infrastructure with minimal additional cost, administrative overhead and downtime. As your user-base grows, cloud-based infrastructure can easily grow with it by simply allocating additional computer resources (disk space, memory, etc.). For added peace of mind, regular application data backups can be scheduled.
  • 5. Key Claims Manager® Features • Multiple lines of business in a single database • Microsoft SQL database provides easy access for • Multiple Insurers/Clients in same database, a interfacing with companion programs like HR, great solution for Pools and TPA. accounting and compliance. • Policy Administration uses same database to • Statistical reporting capability to ISO, NCCI and eliminate duplication and allows tight integration. NISS as required • Powerful user Access Rights, including limited • Letter designer and a mail merge with populated view only for database fields. Brokers/Reinsurers/Producers/Agents. • PDF, including state forms library populated from • Powerful Time Log/Diary/Alarms/Claim Notes database. • Captures pictures, videos, recordings • Check writing, accounting interface • User defined, client dependent reference lists and electronic bank reconciliation Reserves, Payment Type, Features/Kind of Loss, • Browser based web access Type and the cause of Loss, Reporting Codes, • Smart phone and tablet applications for mobile Diary and Note description types to aid adjusters access while producing Reporting Consistency. • Client or Cloud hosting options • Comprehensive reporting Loss Runs, • Mainstream components, Microsoft SQL, spreadsheets, Bordereaux, Dashboards, Windows and .NET using software as a service Triangulation, all available in common file format (SaaS) business model to keep you up to date. exports. • Client specific ad hoc reports generated on The following are a few screenshots that demand. illustrate the dynamic interface • AccessADoC Document Depositary for easy retrieval of faxes, correspondence, invoices, design, workflow, and layout of the Claims pictures, videos, recordings, notes and diaries. Manager® system.
  • 6. Claimant Tab • Multiple application instances to bounce between claims • Enter new claim, retrieve existing claim using filtering of LOBs, clients, programs, departments • Audit trail documentation of entries allows multiple users to access single claims The claim status options are open, closed, reopened, reclosed, as well as incident and void. All Claims Manager® drop down selection boxes are user defined for complete control of content. Because of this infrastructure, incident reporting is actually part of the claim system and may be converted to an open claim as required. Claim sub statuses are client hierarchy based which means different sub statuses “schemes” are available for different clients. Claims Manager® uses a hierarchy field selection system to be sure data flows down correctly. Related claims search, important for workers comp allows users to find additional claims for same claimant.
  • 7. Financials Tab The Financials tab captures all financial activities associated with the claim. There are two financial screenshots, one with the print reserve worksheet opened and the other closed. The print reserves worksheet works like a mini loss run and allows transaction selection based on clicking dollar amounts. All transactions are color coded to indicate the type of payment, and the Claims Manager® system supports bucket reserves (one reserve for entire reserve category) or payment category reserves where individual payment categories with in a reserve category may be reserved individually. Mix or match!
  • 8. Invoices Tab Invoices may be uploaded through the vendor portal to conform with the billing requirements, manually entered, imported from medical bill review provider, or a workflow approach can be customized specifically for the user. JDi Data interfaces with bill review providers, including CompIQ, Xerox, and others. We can perform ACH debits and credits, positive pay functions, recurring daily routines, import/export or data synchronization with other programs. The goal of the Claims Manager® product is to minimize clerical work, duplication of entry, and streamline workflow. The Invoices screen accomplishes all of that. Invoicing also supports multiple dollar amounts associated with the workflow. The requested amount is the actual invoice amount, adjusted is the assigned amount of the invoice i.e. a medical review change to comply with state payment amounts.
  • 9. Notes Tab The Notes section of the Claims Manager® acts as a central location from where you can add notes and comments about the status of the claim, reasons for denial or any other information pertaining to the claim. Using the functions available in this section you can add a new claim note, edit existing claim notes, print a claim note and delete claim notes.
  • 10. Diaries Tab Using the functions available in the Diaries section you can add a new claim diary/alarm, edit existing diaries/alarms, and delete diaries/alarms. There are also diaries which are automatically added when a new claim is created, these are user defined diaries.
  • 11. Documents Tab The Docs section of the Claims Manager® system is available under the Docs tab in the Claim Details screen. This section acts as a central location where you can add and manage all the documents related to the claim. Using these functions gives you the ability to upload documents i.e. spreadsheets, PDF’s, audio files, movie files, pictures, and relate them to data transactions within the claim.
  • 12. Access rights and authority levels to control user activity Claims Manger® allows you or JDi Data to add, change, edit or delete codes which address all drop down menus in the system.
  • 13. Document Depository With today’s technology, Google type searches, instant retrieval, and information over flow, sophisticated users are demanding. We EXPECT to be able to find things immediately. JDi Data Corporation’s AccesADoC document depositary tool is designed to supplement and aid in document storage. While there are many sophisticated document depositary products available, and oftentimes already in use in our clients’ environment, AccesADoC may interface with other products. Documents may be stored anywhere, the challenge is to ensure Claims Manager® can find them and bring them to you immediately. This obligation is being met in the overall configuration and integration into the client environment using the best tools available to provide the desired result.
  • 15. Loss Run Report Example
  • 16. YTD Loss Report Example
  • 17. Comprehensive solutions, real time delivery. Claims Manager® insurance claims software, powers your claims management and boosts efficiencies in all lines of business. Claims Manager® provides fully integrated workers compensation and also critical claim data for Property & Casualty, including: • Specialty lines • Construction Defects • Difference in Condition • Excess Liability • Public Entity • Law Enforcement • Employment • Public Officials The result: More productivity throughout the claims lifecycle. Our newest product, policy administrator completes the suite of products and is fully integrated with claims. http://www.jdidata.com