Insurance Claims Process Management

One of the biggest challenges insurance companies face is the backlog of claims that never seems to reduce to a manageable amount. While these items are addressed in due time, they are often processed later than optimal, causing workflow issues and customer agitation.

Thousands of people file claims every day. And while insurance companies are eager to process claims as quickly as possible to collect or issue funds as warranted, the multi-faceted claims process itself is time consuming and demanding. Claims go through numerous rounds of review, fact checking, verification forms, and proverbial red tape required before they can move forward or be closed out. When working with high volumes, these delays only increase exponentially.

Companies are faced with either attempting to scale to meet demand and reduce backlogs or allow claims to sit in the wake of unmanageable volume. Scaling can be costly; onboarding and training new hires or bringing in temporary help can slow processes, require extra resources, and impact payroll substantially. Not scaling can mean costly delays in processing that lead to a negative customer experience, bad feedback and, eventually, loss of customers and a drop in profits.

Assivo understands the nuances of insurance claim process management and has ready-to-go solutions that scale to meet client demand.

Backlogs can often be attributed to lack of resources to review and move claims to the next stage in the cycle. They can also be the result of disorganized or disparate systems that store data needed for efficient claim review. Assivo’s data-driven workforce can design a cloud-based automation system for clients to speed up the process of approving or denying claims, identifying fraud, and streamlining the documentation process using smart technology. Our tools are generally customizable based on your needs as well as the ever-evolving Federal and State laws and documentation requirements. Moreover, our fully managed team can be scaled down or scaled up and down, depending on your needs.  

The result?

Clients address the backlog of claims with accuracy that allows them to process more business and increase customer satisfaction.