A leading NGO specializing in CACFP records management, contract assistance, administrative review guidance, and business development and marketing.
Scope of Work
Enrollment and CACPF Claims Management
The client had an expensive and laborious process to inspect claims - 1 hour 25 minutes on average– that led to elongated claims settlement for a same-day turnaround. They were looking for automatic claims estimation reporting while minimizing risks.
Cogneesol’s Optimization Solution
The data for claims at the client’s end needed to be sorted in the required structure to understand the related classification of unacceptable items vs. good food and non-food items.
On account of our extensive domain expertise and years of experience in related fields, our team of experts mapped a smarter to-be process of the client against the ‘as-is,’ and in collaboration with the client’s SMEs, created an intelligent automation tool that could differentiate between structured and unstructured claims data. This algorithm could then automatically classify items under different categories such as ‘Food,’ ‘Non-Food,’ and ‘Unacceptable’ items. It provided metrics to the client to assist in appropriate claims decisions, enabling faster and accurate decision making.
It has been an excellent association with Cogneesol – they have changed the face of our claims process. We are much more efficient now and work on smart parameters.
Re-engineered the CACPF management of an NGO eliminating Lag, building 95% accuracy, and reducing Risks.
95%+ accuracy in damage classification, leading to the elimination of manual effort, duplication, and time spent segregating collective basket of items. Further, it eased out the process of assessing the validity of claims, identified risk factors, and automated claims estimation.
It is always a pleasure to learn that the work we do has positively impacted our clients and that they are happy to share their experiences.
Our customer satisfaction score has gone up many notches from the time Cogneesol took over our claims management process. They have streamlined the activities making them simpler and quicker. A standard operating procedure was put in place so that service levels, accuracy and timelines could be met. These together have quickened the disbursal process, generating a great deal of goodwill.
Cogneesol transformed our claims process by making it intuitive and extremely customer centric. Our claims submission process is simpler now, with customers easily filling in forms. Further, the claims payment process has been shortened and simplified, thereby enabling quicker disbursal of the claims. Thank You, team Cogneesol, for these valuable structural changes!
It is always important to work with domain experts for critical functions. Our claims management function is one such critical department. We have Cogneesol handling the entire department for us for many years now. The technical expertise they bring to the operations has been ensuring the smooth functioning of every process and their complete compliance.
Cogneesol brought in huge savings by streamlining our policy management function and driving productivity. We are now using the example set in other functions as well. As a leaner and lighter organization, we have become nimble-footed and now have the freedom to expand our business and product lines. Cogneesol, Thank You!
Policy management process would devour our quality time. We needed a good service provider who not only understood the insurance domain but also had the resources to help a growing business. Cogneesol turned out to be the perfect partner – they handle our end-to-end policy operations, give us performance reports every month end and have given us the bandwidth to take on strategy matters.
The team that has been handling our policy management services are experts at U.S insurance regulations and statutory requirements. Their DD and transition timelines are short. This helped us in quick onboarding and swift application of transformative solutions in required areas. The team brought us increased productivity within a very short period.