Optimize Insurance Back Office Operations with OpenSpan

A change is underway in the insurance industry as key workflows that were historically paper-based, such as insurance membership application processing, migrate to a more automated, process-oriented approach. In insurance back office operations — claims processing, membership, billing, medical management, underwriting, insurance data processing — process automation innovations can have a tremendous impact on the bottom line, driving out millions of dollars in waste and lost productivity. As the insurance industry evolves, payers sometimes find it difficult to update their processes and core systems fast enough to keep pace. Until now.

OpenSpan technology helps you rapidly integrate core applications and automate workflows across systems to:

  • Streamline virtually any process
  • Increase worker productivity
  • Improve data accuracy
  • Ensure compliance

OpenSpan provides value to Insurance back office operations in a number of ways:

  • Simplify Insurance Claims Adjustments
  • Streamline Processing of Insurance Membership Applications
  • Monitor and Track Claims Examiner Processes
  • Improve Insurance Authorization Efficiencies
  • Improve Efficiencies for Insurance Membership Updates
  • Decrease Insurance Membership Backlogs

USE CASE: Simplify Insurance Claims Adjustments

Modifying a claim that has already been paid is one of the most commonly performed tasks. Claims adjustments are tedious and time-consuming, regardless of whether it's caused by a provider change, a system error or new regulations. With OpenSpan Desktop Automation technology, it's easy to integrate key systems, simplify the user interface to streamline processes for claims adjusters, or completely automate the claims adjustment process. Even small business process improvements can have a big impact on throughput, accuracy and compliance.

USE CASE: Streamline Processing of Insurance Membership Applications

Streamlining tasks for membership processors helps them handle more membership applications with fewer mistakes. With OpenSpan Desktop Analytics, you can map existing membership processes, identify steps that result in frequent errors or delays, and then use OpenSpan Desktop Automation to automate manual, error-prone tasks. For example, consolidate data entry fields into a new composite application toolbar so that processors only have to enter data in one place to save time and ensure data quality. No more dual entry, no more copy and paste.

USE CASE: Monitor & Track Claims Examiner Processes

Business process improvement begins with understanding how workforce performs daily tasks. OpenSpan's Desktop Analytics allows payers to spot and correct process deviations or non-compliant activities as well as isolate areas where additional user training might be needed.

USE CASE: Streamline Processing of Insurance Membership Applications

Streamlining tasks for membership processors helps them handle more membership applications with fewer mistakes. With OpenSpan Desktop Analytics, you can map existing membership processes, identify steps that result in frequent errors or delays, and then use OpenSpan Desktop Automation to automate manual, error-prone tasks. For example, consolidate data entry fields into a new composite application toolbar so that processors only have to enter data in one place to save time and ensure data quality. No more dual entry, no more copy and paste.

USE CASE: Improve Efficiencies for Insurance Membership Updates

Eliminate, simplify, automate – it is a mantra for process improvement, and one that is easy to follow when using OpenSpan to improve membership updates. Use OpenSpan Desktop Analytics to discover existing processes and uncover redundant or unnecessary steps that can be eliminated. Use OpenSpan Desktop Automation to consolidate screens, embed onscreen user help, pre-populate fields with data from other systems or even develop a new application toolbar to simplify processses. With process improvements such as these, you can increase your team's capacity to quickly handle more membership updates with fewer errors.

USE CASE: Decrease Membership Backlogs

With OpenSpan Desktop Automation, you can implement powerful process improvements that make claims processors up to 25 percent more efficient, enabling you to minimize your claims backlog, eliminate most claims rework, reduce late payment penalties, increase quality, and significantly cut administrative expenses.

Similar process improvements can make membership specialists more efficient, enabling them to process membership applications faster so you can collect revenues earlier, answer fewer phone calls about membership status and drive down overall expenses, for a significant positive impact on the bottom line.

Learn About:

Using OpenSpan in Insurance Customer Service

Healthcare Claims Automation

OpenSpan can improve the productivity and performance of end-users to reduce your administrative expenses. To learn more, please review the resources above, or Contact Us.

 

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