Läkemedelsförsäkringen - digitalizing claims handling process


Having a mainly analogue claims handling process, Läkemedelsförsäkringen has decided to move toward a fully digitalized process. This includes claim registration, scanning documentation, appeal handling and archiving closed claims. Aspects such as usability, reliability as well as information security has been evaluated in the process.


A great change is to replace the physical claim files with digital versions. To manage this, a scanning function is integrated with iFACTS INSMAN. All claim handlers have personal inboxes and access to a structured document handling module, ensuring full traceability and full order in the often-hefty document collection.

Reimbursement calculations can be done in a built-in function.

Appeals can be prepared and sent to the decision board within the system. iFACTS INSMAN’s portal module make it easy to invite external stakeholders to share information in a secure manner.

  • All data in one system
  • Time consuming scanning, when sharing information with external stakeholders is avoided.
  • Built-in validation to support the process.
  • Scalable solution, online work from alternative locations possible
  • Prepared for additional features, such as information sharing with external systems.

Läkemedelsförsäkringen (The Swedish Pharmaceutical Insurance) covers anyone who is treated with prescribed medication or medication purchased from a legitimate dealer in Sweden and suffer from unforeseen adverse effects of the medication.

The Swedish Pharmaceutical Insurance is financed by the shareholders of LFF Service AB, the Swedish Pharmaceutical Insurance Service, which is comprised of pharmaceutical companies, R&D companies, CROs, KD, Tamro and medical universities.


Läkemedelsförsäkringen has used iFACTS INSMAN as their claims adjustment system since 2007. Their usage covers all aspects of the claim adjustment process, including reserves, payments with built-in validation and file archiving. The long relationship has led to edge functionality such as; nightly updates of information regarding medical products and their owners, an automated cost calculation and payments handling of annuities, tax handling and full integration with the appeal board.


E-services with automated case handling at Svenska Kommun Försäkrings AB

iFACTS, in collaboration with Swedish Municipal Insurance Ltd, has launched an e-service and automated process for damage registration and supplementation for private individuals in SKFAB’s Swedish municipalities. The e-service is integrated with iFACTS’ insurance and claims management system, INSMAN.

The system makes automated decisions in cases where there is sufficient information, allowing claims handlers to focus on cases that require further investigation and ensuring that claimants receive feedback and compensation more quickly.


iFACTS & Brand Compliance will offer the BC5701 in combination with the iFACTS Software.

In 2023 Brand Compliance launched the BC5701 GDPR certification standard. iFACTS will offer the BC5701 in combination with the iFACTS Software.


“The region estimates that it can reduce time spent on information classification with up to 80%”

“The iFACTS product proposition is modular, you can start small and grow… The software simplifies the work, the region estimates that it can reduce time spent on information classification with up to 80%. Beyond this, requirements can now be much more specific to our organization.”


“Loss prevention is an important part of the insurance process. There is a need to exchange information such as risk grading, technical data and values.”                         Ola Nilsson, Vice president at Essity Risk management

 “Using our own system gives us the power over the information; we can control the data and perform analysis in a better way. We have control over the process and are able to follow the progression of work.


“Potential differences in data between systems are caught at an early stage.”

Vattenfall Insurance wants to structure and streamline their workflow between claim management in INSMAN and the accounting in an external system. Routines are reliable and standardized, improved traceability throughout the complete solution is strengthened.