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Re-Inventing the Insurance Claims Management Process


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The number one goal for claim adjusters and risk professionals has been to reduce operational costs and increase overall efficiency. Streamlining the claims management process now includes adopting modern technology to create a more flexible, and scalable claims operation. Paying attention to your business intelligence and analytics capabilities will be an important aspect in creating an effective claims processing system.

Operate with more efficiency
Insurers are now diving deeper into claims fraud through a closer look into trend analytics and being able to identify a pattern. Having a limited visual across each claim opens the door for claim fraud and reduces your prevention efforts. Diagnosing fraudulent claims early in the claim processing life cycle is a great cost-saving technique. Effectively reducing indemnity costs includes utilizing sophisticated BI tools, automated processes, and upgraded business practices.

Complete follow through in one solution
Legacy claim systems no longer can compete with 21st century business practices. Modernizing your current claim systems is where you will receive the most value to improve your claims staff productivity. Claims data generates the majority of information integrated into enterprise reports. Analyze your IT systems to see if your existing business practices have become antiquated.

Enhanced user experience
Consumers are now expecting an “on-demand” experience due to the modernizing of the internet and smartphones. A fully assembled user experience is important to meeting customer expectations. Stepping out of the box to make a customized claims process enhances the functionality and flexibility for your customer.

The return on investment for claim systems updates is dramatically high. Effective analytics can forecast patterns and trends, to give claim adjuster critical insights faster. Automating every step in the claims process helps to reduce human error, and increase response time to claim submissions.

As companies look to either upgrade or rip & replace their current claims system there are several factors to weigh out:

• Will your new system be prepared to be modified for future regulatory shifts? Today’s, well-designed, SaaS solution based claims management software options should equip claims adjuster with an upgrade option to grow with the industry.
• Have all business processes been evaluated for updating or automating? Streamline and automating each process will help in optimizing your transformation initiatives.

Due to the critical role of insurance claims management, any effort to update or customize the claims workflow will require considerable preparation, commitment, and knowledge. In return, the claims transformation process promotes growth, workflow productivity, and a streamlined claims operation.

JDi Data Corporation has provided insurance claims software since 1992. Our product suite includes workers comp software and claims management systems for property and casualty, medical malpractice, and specialty lines to be administered by insurers, risk managers, and third party administrators. JDi Data has built a reputation in quality claims management software with special emphasis on complex litigation.


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