Claims Referral Management
Accelerating Claims Processing Through Automated Task Referrals and Real-Time Tracking
Description
Introduction:
Delays in insurance occur due to inefficient communication among stakeholders. The Referral Management module streamlines task referrals, ensures clear instructions, and tracks turnaround times, driving faster settlements and improved collaboration.
Overview:
The Claims Referral Management module streamlines insurance claims processing by streamlining task referrals and enhancing stakeholder collaboration. It integrates seamless task assignment, precise case access control, and real-time TAT/SLA monitoring with smart reminders. By boosting accountability and efficiency, it significantly reduces delays, unlocking faster claim settlements in today's dynamic insurance environment.
Benefits:
Enhance collaboration with seamless communication and clear task expectations between assessors and stakeholders. Improve timeliness by tracking TAT and SLA, with automated reminders ensuring prompt task completion and quicker claim settlements. Boost productivity by reducing delays through upfront case details, streamlining workflows. Ensure accountability and transparency with real-time task tracking, providing visibility and swiftly addressing delays.
Resources
Features
The Claims Referral Management module optimizes workflows by enabling task assignment with clear instructions and accessible case details. Assessors monitor Turnaround Times (TATs) and Service Level Agreements (SLAs) in real-time, ensuring timely task completion. With built-in Automated Reminders and alerts, delays are minimized, and both assessors and stakeholders stay on track for effective decision-making.
Feature and Capabilities:
Referral Task Assignment: Enables assessors to assign tasks with detailed instructions to appropriate stakeholders.
Stakeholder-Specific Case Access: Ensures that referred stakeholders can access the necessary portions of the case for efficient task completion.
TAT and SLA Monitoring Dashboard: Tracks real-time timelines and SLA compliance, allowing oversight of referral tasks.
Automated Reminders and Alerts: Sends notifications to stakeholders about upcoming deadlines or pending actions, maintaining workflow momentum.
Referral Tracking Dashboard: Displays real-time status of all referrals and task progress.
Task Prioritization: Assists in assigning priority levels to ensure urgent cases are handled first.
Document Sharing: Facilitates sharing of necessary documents with stakeholders to minimize back-and-forth communication.
Key Information
Platform Modules:
Neutrinos Case Automation Workbench: Empowering teams with an intelligent, automated workspace for efficient case management and decision support, integrated within the ecosystem.
Version: 24.03
Neutrinos Workflow Orchestration: Orchestrating workflows to unify tasks, systems, and teams for optimal process efficiency.
Version: 24.01
Neutrinos Business Rules Engine: Empower your processes with intelligent, real-time decision automation at scale. Accelerate decision-making and policy enforcement with intuitive rule automation.
Version: 24.07
Neutrinos Dev-Ops and System Management: Gain full visibility into your applications and systems to quickly spot issues, optimize performance, and keep everything running smoothly.
Version: 24.02
Additional References
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Classification
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