| Claims Processing and Payments |
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| The claims organization and settlement function is one that holds significant potential for BPO and call center players. These processes are well-suited for being supported offshore and the potential for cost savings is significant.
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Our Services
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In the insurance arena, our BPO capabilities span across new business acquisition, policy administration, policy underwriting, claims management and customer service. In the area of claims processing, we provide services for the entire claims lifecycle including intimation, management, settlement, recovery in Property & Casualty (P&C), Marine, Motor, Life, and Healthcare.
We deliver our claims processing services using our proprietary claims handling platform which automates the entire lifecycle of the claim and reduces the processing cycle time while improving the accuracy of claims processes significantly.
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Insurance - P&C and Life
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Some of the services offered to our insurance clients include:
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| Functions |
Services (Voice / Back office) |
| Claims Intimation |
| First notice of loss |
| Coverage verification |
| Follow up calls for missing information |
| Assign adjusters for fast track claims |
| Claims reserve set up |
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| Claims Management |
| Appoint, monitor, manage TPAs |
| Organize acknowledgement and documents to claimants |
| Answer inquiries |
| Asset retention |
| Generate reports |
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| Claims Recovery |
| Validation and accounting |
| Payments |
| Reconcile reserves, payments |
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Healthcare
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Our back office claims processing services for the healthcare industry cater to Third Party Administrators (TPAs), HMOs, insurance companies, self-funded employers, preferred provider organizations, associations, managed care organizations and unions. Our BPO offering help clients reduce operational costs, improve efficiency and quality to reach escalated production targets.
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| Our services include:
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| Claims data entry |
| Plan building |
| Auto-adjudication |
| Rules-based exception processing |
| Real-time SLA dashboards |
| Customer support/call center resolution |
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