Case Management is a 24 x 7 job in the Insurance sector. So is Care Giving in the Healthcare domain. Coupled with shift operations, with a marked handover between different stakeholders in different groups, it becomes an extremely tedious process when there are thousands of concurrently active cases to be managed. Manual record keeping is a laborious process with chances of error and slips are a higher probability. A digitally enabled platform evens out the challenges and frees up the stakeholders from administrative and data entry operations to focus on their core jobs.
What is Digitally-enabled Case Management?
Digitally-enabled Case Management is a technology platform powered by Intelligent Document Processing, Robotic Process Automation, Workflows, Rules, Analytics, and Cloud, which allows planning, process, implement, and monitor the services delivered to insureds, in-patients, out-patients, or care-home residents. Majorly used in the Insurance and Healthcare domains, a digitally-enabled Case Management platform simplifies the work of the case owners; that is the relationship managers and doctors. It allows the stakeholders to simultaneously handle a number of cases, at the same time. It enables them to prevent revenue leakage and at the same time doling benefits to the institutional customers. It also enables them to handle regulatory compliances and face queries, as and when they arise throughout the case lifecycle.
What are the 6 technologies that facilitate Digital Insurance Case Management?
The 6 technologies that build the Digital Insurance Case Management platform are “
1. Intelligent Document Processing: The intelligent document processing technology extracts structured, unstructured, and semi-structured data from paper documents, PDFs, scanned documents, etc.
2. Robotic Process Automation: RPA or Robotic Process Automation transfers the extracted data from the different supporting documents to the business systems and synchronizes it with other multiple systems.
3. Workflow engine: It routes the data through multiple approval buckets of the different stakeholders as well as raises alerts and reminders for pending tasks.
4. Rules: The rules allow to accommodate the compliance regulations, pre-defined business logic, rebates, and exclusions as an if-else syntax within the workflow.
5. Analytics: The analytics technology enables e-discovery and facilitates the identification of patterns as well as trends in the current and historical data thus supporting decision making.
6. Cloud: The Cloud technology facilitates anytime anywhere access to authorized stakeholders and centralized operations of cases as well as hosting of mobility solutions.
Advantages of Digital Insurance Case Management
Insurance and Healthcare institutions reap immense benefits through Digital Insurance Case Management “
# Reduced operational expenditure: It alleviates the manual administrative tasks allowing the stakeholders in the value chain to focus on their core jobs
# Multi-team coordination: It allows to collaborate within the different groups in 24 x 7 shifts.
# Alerts management: It allows to manage alerts about the pending tasks so that the next in the shift can service the customers and the patients, in the Insurance and Healthcare domains, respectively.
# Enhanced productivity & efficiency: It improves the process management, such that the workloads and emergencies are effectively handled.
Simply put
Digital Case Management in the Insurance and Healthcare domains alleviates the administrative challenges and data entry hassles while managing thousands of cases at the same time. The digital platform, which is built with the six technologies consisting of Intelligent Document Processing, Robotic Process Automation, Workflows, Rules, Cloud technology solutions, and Analytics, empowers the institutions to manage the increasing workload with the same number of human resources. It allows the stakeholders to free up time for focusing on their core jobs.
