nexgile-finvest-vault
The Nexgile-FINVEST Vault is a comprehensive digital platform designed specifically for multiemployer trust fund administration. This integrated ecosystem serves the complex needs of union-sponsored benefit programs, connecting four essential stakeholder groups through a unified, secure online experience.
Enterprise solution scope
Platform Overview
Digital Workers
Defined business processes supported by coordinated AI agents
AI-Powered Claims Auto-Adjudication System
## The Challenge Healthcare claims processing in multiemployer plans involves complex eligibility rules, fraud detection, medical necessity validation, and multi-tier pricing—requiring extensive manual review that creates processing delays, inconsistent decisions, and increased administrative costs.
AI Agents
AI Agentic Eligibility Optimization System
## The Challenge Union members working across multiple employers face unpredictable eligibility due to seasonal work patterns, varying hour accumulation rates, and complex hour-bank expiration rules—leading to unexpected coverage lapses that leave families without health insurance.
AI Agents
AI Agentic Delinquency Prevention System
## The Challenge Employer contribution delinquencies threaten fund solvency, participant coverage, and fiduciary compliance. Traditional reactive collection processes engage too late, when payment problems have become crises requiring legal action and resulting in write-offs.
AI Agents
Platform at a Glance
Review documented capabilities, operational stakeholders and business objectives
Enterprise Capabilities
31 core functions
Track eligibility status across health, dental, vision, and pension plans
Monitor hour bank accumulating from different employers
Submit and track claims
Access digital ID cards
Find in-network healthcare providers
+ 26 more
Operational Stakeholders
4 stakeholder groups
Union Members (Participants) - Workers across multiple contributing employers
Healthcare Providers - Medical professionals and facilities
Contributing Employers - Union contractors
Fund Trustees - Board members overseeing fund operations
Solution Highlights
8 key differentiators
Comprehensive digital platform designed specifically for multiemployer trust fund administration
Integrated ecosystem serving the complex needs of union-sponsored benefit programs
Unified, secure online experience connecting four essential stakeholder groups
24/7 access to complete benefits picture for union members
Streamlined interface that reduces administrative burden and accelerates reimbursement
+ 3 more
Business Objectives
7 key benefits
24/7 access to complete benefits picture
Reduces administrative burden for healthcare providers
Accelerates reimbursement for healthcare providers
Simplifies complex multi-fund reporting requirements of multiemployer plans
Enables data-driven decisions about fund sustainability
+ 2 more