Many insurers are hindered by unmanaged content that is housed in disparate systems, which impedes collaboration and overall decisionmaking, and renders them vulnerable to non-compliance risks, higher legal discovery costs and failure to meet service level agreements (SLAs). Process controls are essential, not only to adhere to regulatory compliance mandates, but to combat claims leakage. enChoice offers a solution that help companies expedite claims processing while reducing resource requirements and overall costs:
- KwikWork 4Claims is a rapidly deployable, configurable solution that bridges the gap among IBM FileNet P8 or EMC Documentum and adjudication systems, and expedites deployment of processes that span multiple departments. It leverages sophisticated business process management (BPM) capabilities to speed the processing of claim forms, facilitate case management activities, and support automatic claims adjudication. It enables straight through processing (STP) to manage exceptions (“pended claims”).
With KwikWork 4Claims you can dramatically reduce administrative costs, improve cycle times, increase process visibility, centralize access to all relevant information, and facilitate compliance with Sarbanes-Oxley, FDA regulations, and other federal and state mandates through the automatic enforcement of information security protocols, and auditing and reporting capabilities.
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