Outsourced Function -
Claims Management

Claims Management Case Study of a US Based Insurer

The client is a well-established insurance company. Their main products are related to health insurance. The client company has also recently taken ownership of other smaller insurance companies dealing in commercial, vehicle, and general liability insurance.

insurance claims management

The Challenges

As the company became a significant player in its niche market, its staff experienced a wave of increasing workload, which caused the below-mentioned challenges.

  • Working on various data sets
  • Excessive workload
  • Monitoring each employee’s efficiency and contribution
  • Process bottlenecks and related issues

Cogneesol surpassed our expectations by clearing our claims backlog within a couple of weeks. We will surely give them more jobs; excellent service.

The Solution

We provided a solution to help the client achieve long-term benefits, for which we;

Ensured that the outsourced jobs are managed by qualified experts who could comprehend the client’s all requirements and efficiently fulfill their needs. We deployed our skilled professionals having vast experience in the client’s insurance products.

Trained and assigned a dedicated team to assist the client manage their back-office functions, primarily claims management. Another motive here was also to help the client’s staff focus on crucial processes.

Also studied the client’s operational workflow to detect and bridge the gaps. Based on the study results, we helped the client make specific, strategic improvements in processes.

The Impactful Outcomes

We provided complete support with process transformation (moving from traditional to digital insurance systems and software) and management, helping the client considerably improve claims management.

With our highly-energetic and focused insurance support staff, the client experienced a hike of 30% in efficiency.

Consequently, their workload reduced in a matter of a couple of weeks. Besides, our carefully-devised process helped the client resolve almost all operational issues and streamline the entire workflow chain, bringing optimum results. This enabled the client’s staff to get more time to focus on revenue-generating functions.

Client Testimonials

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.

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