The 11 Secrets of Business Rules Success
[ Source: FICO ]
January 2010-
Managing business rules gives insurers control over high-volume operational decisions in areas from underwriting to product configuration to claims management, and gives you the agility you need in a dynamic marketplace. Based on decades of experience developing decision management applications, FICO has developed 11 steps to help you make the most of business rules. These include:
• Picking the right applications. Business rules are a powerful tool for building smarter decisions into your applications, but ...
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 ...
AmFed Gains 16-month ROI with ImageNow Automated Workflow Technology
[ Source: Perceptive Software ]
January 2006-
As AmFed, the fastest growing provider of insurance in Mississippi, expanded, it was inundated by 2.4 million documents. AmFed chose ImageNow to better manage processes in the utilization management, claims, accounts payable and underwriting departments. Since deployment, ImageNow has delivered $2.5 million cost savings, and a 16-month payback on investment.
Seamless integration between ImageNow and AmFed’s multiple insurance and business applications gives AmFed employees instant, single-click access to any detail in insureds’ files, enabling them to ...
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 ...