With financial constraints affecting the Workers’ Compensation industry, companies are pushing a lot of their effort into finding valuable ways to enhance their claims process to increase efficiency and effectiveness. With a large majority of the claim handling process focusing on administrative tasks claim managers are identifying ways to apply new practices to an antiquated process to improve results.
Understanding the ways technology can effectively address these claims management concerns is half of the solution. Addressing underutilized existing methods during the process will also help with pinpointing important tools that will assist in providing claims managers a comprehensive end-to-end claims management solution.
Three ways to enhance the claims process include:
Controlling the claims management environment
A consistent claim handling environment thru a rule-based engine ensures effective practices are enforced. Stimulated workflow processes reduce important cost drivers, and decrease administrative costs. With a rules-based engine, the claims process becomes controlled, which in turn creates a mutually beneficial outcome for claims managers and workers.
Providing a user-friendly option for both policyholders and customers to view claim information via the internet easily frees up a large amount of time adjusters taking client calls. Removing the task of redundant data entry empowers claim adjusters to focus on detecting fraudulent, exaggerated, and repeated claims.
Maintaining a safe work environment using claim data
Your claims system’s primary objective is to organize the facts and highlight key indicators that need to be improved to provide workers the safest work environment. An in-depth overview of the data collected on each claim will identify facts about your organization and the patterns will begin to surface. Giving claim managers a full view of the claim information including incidents/accidents, locations, causes, all parties involved, incident times, etc. provides an opportunity for programs of prevention to be implemented.
With detailed reporting dashboards, rules-based claims management, and a web-based user-friendly customer interaction tactic in place your company will be able to fill the gap claim adjusters and workers experience. Easy data retrieval with real-time updates keeps the customer continuously informed of the claim’s progress and offers workers a transparent claims experience.
Streamlined processes not only improve customer service but also give adjusters additional insights on claim data. A tailored workers’ compensation management process will help to save claim costs, decrease workplace injuries, and moves you one step closer to discovering fraudulent claims quickly.