Claims Administration

• Claims-Process Automation: A Service-Oriented Architecture (SOA) workflow solution.
  
  State-of-the-art solution streamlined disability-claims management process with rule-based, timely and automated allocation of activities to appropriate resources. Additional features allowed tracking and reporting productivity. Seamless administration of over 1,000,000+ claim-and non-claim tasks per day contributed to improved productivity of the claims professionals.
• Disability Claims System. For a large life insurer, we developed a Web-based claim-entry system that helps reduce dependence on call center operations and lowers operational and administrative expenses. The system helps improve customer satisfaction and increases incremental and new business opportunities.
  
  Benefits of the system include: Reduced servicing costs (30% of claims-status inquiry transactions are via the Web); reduced claim-processing costs; fewer inquiries to the call centers (reduced by 15%); reduced administrative burden; and reduced manual intervention.
• Group Life Claim-Processing System. Our team developed a complete core claim-processing system for a large life insurer, using a leading third-party platform. The system disbursed $3 billion last year and to date has processed 120,000 claims . Its key features include claim setup, validation, interest calculation, and claims payment