Insurance Claims Processing

 

  • The Challenge: Coordinating management of claims forms and documents with the claims process and system
  • Crown Solution: Integrated claims systems, automated business rules
  • Business Benefits: Streamlined processes, reduced claims cycle time, reduced costs


The Challenge

Historically, coordinating the management of claims forms and documents with the claims process and system has been resource-intensive, costly, and error-prone. Disparate systems and siloed information make managing systems and accessing information inefficient and expensive. Your claims system of record may seem inflexible, without the advanced business rules and processes needed to fully integrate your claims operations. Maybe it’s time to look into new ways to enhance the efficiency of your claims processing capability, by automating management of forms and documents, and integrating them into a unified claims process.


Crown Solution

Crown Partners is a leader in content management services and solutions for the insurance industry. Crown experts are equipped to employ the right technology specific to your environment. Integrated Insurance Claims Processing from Crown Partners delivers best practices in claims processing and management, including:

  • Capture – Claims details and supporting forms and documents
  • Store and Manage – Claims forms and documents via integration of content management and claims management systems
  • Deliver – Real-time, accurate, and complete claims information to claims operations personnel

Crown professionals employ the right set of enterprise content management technologies in providing and integrating Insurance Claims Processing solutions, including workflow and business process management, library services, document scanning, rules tables for workflow, integration to external systems, and more. With the right technology and processes in place, a Crown solution enables you to:

  • Integrate your content management system with your claims system of record via standard application programming interfaces
  • Deliver a workflow that uses core document management capability to call and utilize a business rules engine or rules tables for claims processing logic not encompassed within the claims processing system of record
  • If needed for paper forms and documents, integrate to a third-party OCR/ICR capture system for improved input processing and an efficient stream of claims information into the system


Business Benefits

With an Insurance Claims Processing solution from Crown, you can achieve a new level of efficiency and cost-effectiveness, including:

  • Reduced claims processing costs due the consolidation of departments and reduction of resources spent on hardcopy mail processing and filing
  • Significant reduction in claims cycle times
  • Improved processes and new efficiencies resulting from rules-based workflow

To get the greatest benefits of the solution, Crown offers a complete range of complementary services to support you in operation, administration, and maintenance.

Download Solution Profile Here

Need more information? Contact us at info@crownpartners.com .

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