Insurance

Insurance is traditionally a highly regulated and paper intensive industry.

PresenceBPM can help Insurance Companies:

• Enable collaboration across and beyond the enterprise. Automatic work routing and notifications across groups, outside agents, and customers reduces the time, errors and complexity of executing processes.

• Enable Straight-Through Processing. Business rules in processes can help automate the routing and processing of tasks — often reducing the amount of human intervention needed by over 80%.

• Gain real-time visibility and control over processes. Managers can view real-time process performance and proactively manage bottlenecks.

• Extend the value and life of core systems. Leverage existing applications by reading and posting transactions while introducing more efficient Web-based forms and interfaces.

• Ensure that the process that is documented — is the process that is executed. Process models that actually run the process provide consistency, adherence and audit trails to ensure compliance with regulations like SOX, HIPAA, etc.

• Respond to change faster. Revise processes to respond to organization or regulatory changes — in days, if necessary.

Target Express Automated Claims Processing

The Challenge: To streamline and control the claims management process, integrate disparate systems and alert on critical data.

The Solutions: Introduce PresenceBPM to extend the functionality of existing systems and integrate data sources. Provide a web based claims management solution for customers, automate claims processes, workflow and document management.

The Benefits:

• 50% reduction in claims cycle time.
• Guaranteed compliance
• Reduced costs.
• Improved customer service and retention.

Download the full Case Study in PDF format here