Solutions Overview
As competitive forces in the insurance industry continue to place downward pressure on profits, insurers are examining every aspect of their operation to ensure it is maximizing the value of the firm. In particular, mergers and acquisitions have left organizations with disparate back office processes and systems that don’t always work well together. All the while, keeping pace with regulatory constraints insurance organizations continue to look for innovative ways to differentiate themselves and to enhance the customer experience. No where is this more prevalent than in AB/BI claims where additional challenges associated with experience retention and lack of medical expertise within claims teams has continued to impact performance, speed and quality.
InHealth Claims Intelligence Solutions provide insurers with a new way of managing claims. Focused on helping insurers quickly deliver consistent, high quality and cost effective service to customers, InHealth streamlines claims-related business processes and applies expert knowledge to improve the performance of claims teams.
The backbone of InHealth’s solution is its’ unique decision support software leveraging:
- a rules-based decision engine that recommends outcomes on a per form basis;
- workflow that streamlines business processes, boosting productivity and reducing processing costs;
- an in-depth knowledge base that improves decision-making and management reporting.
- access to professional services providing the highest standard of review services supporting complex cases
InHealth’s solution is built on industry standard Microsoft architecture ensuring quick implementation and integration with existing claims operating systems.
InHealth’s team of experts complements and fuels this unmatched technology by providing a holistic approach to case management, where additional support is required.
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