Achieving Measurable Gains by Automating Claims Processing [ Source: Kofax ]
December 2011- For nearly all lines of personal and commercial insurance, reducing the cost of claims processing is key to profitability. Reducing cycle time, the elapsed time from opening a claim to its settlement, is key to customer satisfaction. Moving to a fully automated process is a goal for claims processing of nearly all insurance executives. Companies are at various levels of automation and often do not have an appropriate strategy to achieve higher levels of automation. <...

Forrester Research: Member Experience for Health Plans [ Source: EMC Document Sciences ]
September 2008- Health plans can’t afford to deliver subpar member experiences any longer. With a growing individual market, increased cost shifting, and a rising focus on disease and wellness management, strong member experience practices are the price of entry, and exceptional experiences are critical for differentiation. To rise above today’s poor performance, health plan customer experience professionals must master the disciplines of strategic healthcare communication: Pave the way for lifestyle support by getting the basics ...

Combating Insurance Claims Fraud: How to recognize and reduce opportunistic and organized claims fraud [ Source: SAS ]
September 2009- Many insurers still believe that it is too expensive to detect fraud, and they simply accept a certain amount of fraud loss as a standard cost of doing business. With the increased focus on customer satisfaction, insurers also are understandably reluctant to stall claims processing to investigate a hunch – or worse, to mistakenly target a legitimate claim and an honest policyholder for investigation. However, insurers that have invested in automated fraud prevention systems have been ...

SMARTSIU Solution: An Intelligent Claims Validation Systems(ICVS) Product [ Source: Infinilytics ]
May 2013- We recently worked with a regional multi-line Property and Casualty Insurance Carrier who was struggling to leverage their internal data to detect unusual patterns, potential frauds and anomalies within their claims. They estimated it was costing the company roughly $10M in additional paid losses each year due to litigated claims, employer/employee linked fraud rings, unchecked MPNs, smaller but more frequent claims involving body shop, claimant, attorney and adjuster fraud ring including unnecessary payments to ...

Be Aggressive: How Insurance Executives Can Fight Back Against Increasing Costs, Risk and Fraud by Analyzing All of Their Data [ Source: Trillium Software ]
March 2013- Despite investments in the latest claims management systems, data warehouses and analytical tools, you are overlooking valuable information hidden away in free form text fields such as claims adjuster notes and documents in electronic formats such as PDFs.

This white paper demonstrates how insurance companies can access and analyze the 50%+ of your claims data that is just out of reach.

• Reduce annual claims and LAE costs by millions of dollars<...

Is Your Claims Management System Falling Short of Expectations? [ Source: Trillium Software ]
February 2013- After investing millions of dollars and countless hours over multiple years to implement, is your claims management system providing the information and analytical capabilities that you need?

By analyzing adjuster notes and content in electronic documents - the 50%+ of information that is often overlooked by a claims management system - you can gain unprecedented insight into your claims operations.

Read this paper and learn how to leverage this information to reduce ...

Kemper Leverages Thunderhead for Forms and Customer Communications Management [ Source: Thunderhead ]
August 2012- Kemper's P&C units are deploying a centralized shared service for claims correspondence and policy assembly using the Thunderhead CCM solution. The project aims to improve the user experience, ensure forms compliance, cut forms maintenance costs and deliver multichannel customer communication.

Property and Casualty's Secret Weapon: Mobile Workforce Management [ Source: ClickSoftware ]
March 2012- Automating mobile workforce management can allow insurers to increase efficiency and improve service levels. When business is tough, that's a great advantage. With customer demands for better service increasing, many insurance providers can find themselves squeezed.

By automating mobile workforce management, companies can achieve a 10 to 20 percent increase in efficiency, freeing money to improve margins while increasing service levels.


This white paper will discuss:
• Customer appointment scheduling
• Automated ...