InsClaims

Q3: Where does #insurance claims content typically come from? In what formats? #ECM

from third parties

multiple sources and types of content media

email, spreadsheets, you name it...

#Insurance claims content can come from a variety of sources (in both structured and unstructured formats), including third parties.

mobile devices

Dealing with so much content in so many formats must be difficult to manage!

for example in work comp (US) an examiner must deal with everything from large medical documents, legal, rehab, managed care, treatment plans and a vast amount of state regulated forms via paper, fax (still) email, digital, video etc

imagine a 200 page document! and have to read every page first to find key information

=not just better search capabilities but what about content anayltics!

Q8: What are some measures that ought be taken to streamline insurance #claims workflow and reduce costs? #ECM

reduce cycle times

Flexible workflow solutions-coupled with document processes

#Insurance companies should reevaluate their #claims processes and see if there are inefficiencies that are hindering fast claims resolution. They should also take a look at their technology and see if it is providing a streamlined solution.

allow the customers more self directed ways to be involved in the process

Automate the simple claims and allow adjusters to focus on the complex and high cost claims

that is the best idea Vincent!

Q7: What factors hinder a business' ability to control the processes and content within #insurance claims systems?

claims systems are complex and require IT to make changes

unexpected delays

The claims department wants to practice continuous process improvement...this means they need some independence from internal IT

small changes to a claims system are not simple

lack of skills

can you imagine if a claims department could make simple changes and reduce their processing time?

Complexity of the claims system preventing businesses to leverage the full potential of the #claims system

#Insurance companies struggle with outdated systems that make it difficult to add data, keep all of the relevant data together, and make that content easily accessible to everyone who needs it.

changing a process using configuration should be the goal...a Business Analyst could do it. Customization is complex and requires IT.

When it comes to questions on managing content around your claims management system you can reach me: wsellenraad@pyramidsolutions.com or www.pyramidsolutions...

The IBM Big Data & Analytics Hub has an entire section on insurance that is updated regularly. Bookmark it: http://www.ibmbigdat.... My personal favorites right now: http://www.ibmbigdat... and http://www.ibmbigdat... and http://www.ibmbigdat...

Attend next week's free webinar: "Five common myths about managing content within your claims management systems" http://ibm.co/1IgzCp...

Excellent!

A yes, the webinar! it will be very informative, seriously worth your time...

I'm looking forward to it! #Insurance #webinar

It will address managing content will all claims administration systems including #Guidewire

The webinar is brought to you by #Insurance Networking News. Get all your answers on #InsClaims answered then http://ibm.co/21yzDR...

Q6: How does instant access to #insurance claims content enhance employee productivity? #ECM

Complete more work in less time and build customer loyalty

better outcomes

faster response = faster resolution = happy customers and happy case workers

but we need to consider auto work flow, business rules so adjusters can take the right action

Thats right Diane...happy claims adjusters reduce turnover

@dianegrefer Great point!

Adjusters look at content first and then decide how to complete work. The adjuster determines how to process work, not an automated workflow!

Instant access to #insurance claims content means that employees spend less time digging for the right information, which allows them to resolve #claims faster. This is a great way to save the business time and money.

Employees would be freed from routine tasks to focus on knowledge intensive tasks that add more value to business

Q5: How crucial is it for an #insurance company to act upon incoming insurance #claims content immediately? Why?

imperative

delay can result in penalties, higher costs

faster underwriting resulting in satisfied customers

example work comp-many states impose penalties for delayed action or payments

taking too much time to pay can turn a simple claim into a complex claim and increased costs

such as increased litigation

YES! litigation will create even more content

Faster claims resolution leads to a better customer experience, and a lower likelihood of customer churn. Read this IBM Big Data & Analytics Hub blog for further information: http://www.ibmbigdat...