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 two solutions that help companies expedite claims processing while reducing resource requirements and overall costs:
- Enterprise Links is an entry-level, turnkey enterprise content management (ECM) system built upon the IBM ECM platform that was designed especially for mid-market insurance organizations. The solution leverages the best practices of larger insurance companies without the complexity of a totally customized solution, and empowers companies to handle more volume with existing resources while eliminate unnecessary cycles and risk. Learn more Download brochure
- KwikWork Business Process Framework (BPF) 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) while providing a single user interface to manage exceptions (“pended claims”).
With KwikWork BPF 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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