Use case: Automated claims processing
Goal
A non-profit mutual benefit administrator offering health and financial benefits and other welfare plans to participating employers, including thousands of religious missionaries, needed to automate its healthcare claims processing to turn them around faster.
Challenges
- It was taking a long time for employees to process claims because the process was entirely manual
- Turnaround time on claim decisions was slow, frustrating members
- Employees had to manually create and send notification letters for claim status
Solutions
- Automated claims processing with an easy-to-use application that leverages RPA bots and eliminates manual work
- Integrated the application with in-house claims processing system
- Automatically generates and sends member letters outlining claim status
Results
- Enabled 6x faster claims processing (400 claims now take 20 mins vs. previous 2 hours)
- Reduced employee workload by 20% by eliminating “swivel chair” manual requirements
- Improved internal collaboration between departments
