We’ve Come a Long Way

Recently my colleagues and I were discussing the ‘old days’.  Several memories came back to us.  They included having only 2–3 channels on the TV, and for some of us old enough to remember color vs. black & white screens.  At the time there was no remote control, progressing to today where we have too many on the coffee table.  Now we have access to any show, any time, streaming anywhere we want.

Banking was more difficult than today.  Back then the only way to conduct business was with a human at a branch.   Then came the ATM which revolutionized self service.   Now we have on-line capabilities to pay on demand and schedule payments on a recurring basis, eliminating the requirement to involve human activities.

Letters turned to faxes, faxes turned to emails, emails are now being taken over by texts, Skype and other IM software.

We’ve come along way since those days, and technology continues to improve our lives.  The same can be done for automating your operations.  The back office of Health Plans has volumes of repetitive work to be completed in Claims and Enrollment.   In most cases today, this work is all manual.   With the increasing volume due to ACA many plans are being forced to pay significant overtime or outsource more work.  Due to this demand new people make mistakes and those easy tasks turn into more rework events.  It is time to evolve in the back office much like the TV and banking.

Robotic Process Automation (RPA) has improved the first pass rates of insurance companies in astounding numbers.  One customer saw their auto adjudication increased from 77% to 92.4% in just a few years.  They are saving millions annually by controlling labor costs.   Because robots work 24 hours they are processing more claims per day.  Large or small firms producing repetitive work can benefit from RPA by augmenting with Robots.  Imagine what that could mean in your organization.

When you think about all that technology has done for us in our personal lives, why not improve our corporate lives too?  It’s worth looking into automation, analysis and overall improvement of your organization.

OpenConnect automation

 

Recorded Webinar — Improve Claims Processing Through Workforce Analytics

Webinar hosted by AHIP and WorkiQ recorded on December 9, 2014, featuring Molina Healthcare

Using technology to empower efficient claims processing

WorkiQ measures the activities of your back office team in real-time. With this data you can be proactive in re-capturing non-productive time and increase productivity in the process.

Molina Healthcare will discuss their experience using technology to support and improve claims operations. Areas such as process improvement, employee performance score carding and employee efficiency can all be directly impacted if the right technology is implemented.

Discussion topics include:

  • Electronic time motion study
  • Measuring claims examiners based on standards
  • Comparing claims examiners to their peers
  • Comparing time spent in productive activities that drive engagement

This webinar will explore emerging best practices using big data in capturing and measuring back office productivity. Armed with accurate and real time data, this webinar will also discuss a best practices approach to systematically improve back office operations through coaching, employee engagement strategies, and improving overall team productivity to breakthrough levels.

What you will learn by attending:

  • How providing visibility through real time collection, measurement and on-going monitoring can impact productivity in claims operations
  • Reporting and dashboard strategies to effectively improve employee engagement
  • The power of an engaged workforce with an active voice in the productivity measurement approach and interpretation

Click here to see the recorded webinar.