Reducing 9,500 Hours of Manual Work for Integrated Business Solutions Company

Overview

Our client is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. They specialize in claims management, including workers' compensation, disability, and absence management, offering services that improve productivity and reduce costs for businesses.

Reduction in processing time: 40%

Document processing: 85% faster

Manual work reduced: +9,500 hours

Client Situation (Problem/Opportunity):

Our client needed to enhance their claims management and compliance processes to handle high volumes efficiently and reduce the risk of errors and delays.

Our Solution:

• Claims Management: Automated the creation of claim denial shells and streamlined the process for handling medical bills and lawsuit claim notes​​.

• Compliance and Data Management: Provided solutions for compliance monitoring and data operations, ensuring accurate and timely processing of compliance documents and data points.

Results Achieved:

Claims Management:

• Efficiency Gains: Reduced the time to process claim denial shells by 40%, improving turnaround times and increasing customer satisfaction.

• Volume Handling: Processed multiple batches of up to 1,500 claim denials and unstructured data files at a time, managing claim denials, flagging reports for errors, and handling inbound automated and human-in-the-loop email triage processes.

Compliance Workflows:

• Document Processing: Improved speed of compliance document processing average of 85% to going from processing for documents from 60+ minutes to less than 7 minutes.

• Labor Savings: Saved staff over 9,500 hours of manual work within the initial months of the program, helping to prevent millions in potential penalties.

Data Operations:

• Accuracy: Achieved 99.5% accuracy in data operations, completing 15,000 orders in 90 days, ensuring high-quality data management and operational efficiency.