Complex Claims Simplified
Overcome Claims Handling Challenges with Prime Solutions' Claims Management Software
Complex claims rarely follow a fixed critical path. High-value cases, long-duration scenarios and special exception processing often require that claims be handled by knowledge workers already constrained by cumbersome systems and procedures. The confusion of working across multiple systems, the need for timely processing, a plethora of manual steps and the pressure to reduce costs must all be navigated while still providing competitive service quality. These are just some of the factors working against an optimal claims process.
Prime's Claims Management solutions provide comprehensive capabilities, improving operational processes for complex claims in Healthcare, Life and Disability Insurance, Workers’ Compensation Insurance, Property & Causalty (P&C) Insurance and in Cross-Industry operations.
We leverage the Appian platform's industry-leading capabilities, which include Business Process Management, Artificial Intelligence, Robotic Process Automation, and Low-Code Development. Our custom applications transform claims operations across the enterprise, without the high cost and risk of a complete system replacement.
Prime Solutions' drives revenue growth and profitability through…
- Competitive differentiation. Smarter, faster and more consistent claims handling attracts and retains customers.
- Greater agility. Knowledge workers can focus on the high-value work that customers appreciate, rather than juggling dozens of low-value manual tasks.
- Minimizing claims costs. Imbedded rules, ease of use and training, supported collaboration and better work assignment help to prevent over-payments.
- Improved Service. Reduced cycle times, rapid access to all claim-related information and increased “first call” resolution rates result in improved customer retention and referral.
Our solutions produce lower operational costs through…
- Automation. Eliminating hundreds of manual activities in only 6-8 weeks, one sprint at a time.
- Flexibility. The Appian platform is scalable and configurable, requiring little-to-no coding in order to adjust and refine your solution.
- Consistency. Organizational requirements are met with better control of the work process.
- Efficiency. Structured and ad-hoc workflows are optimized through integrated user interfaces, delivering new enterprise-class capabilities to your knowledge workers
Prime's Claims Management Solution meets regulatory and Service Level Agreement (SLA) Demands through…
- Planning and Management. Establish the task-plan and performance metrics for each claim and then manage to successful completion.
- Reporting. Deliver industry-leading performance through real-time dashboards, specialized reports and access to the complete claim file and history.
- Access. Access to information, documentation and history provides improved focus on compliance metrics.
- Process Optimization. Manage your performance automatically and achieve operational outcomes beyond the demands of your customers and regulators.
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