claims process management

Gaining Visibility Into Claims Processing

The way we do things at work and in our personal lives is going through a period of rapid transformation. Things are moving so rapidly that it can feel like you need eyes in the back of your head to keep track of everything. Instead of spending money on another specialized employee, why not simply open a new pair of digital eyes.

Throughout the past year, we’ve spoken with business leaders at some of the world’s top companies at conferences. We asked them the question: What business processes at your company are causing you pain? Consistently claims process management has been in the top 3 responses. Because there are so many working parts and so many stakeholders, oversight and milestone management is cumbersome.

Now that we have a layer of information associated with almost every aspect of our physical lives, how do we apply these hybrid experience expectations to the work environment? How do we connect the dots in the claims process and consistently keep track of them?

You could reimagine the way you keep your workplace safe to start. Digitalization is the next step. Pouring digital technologies into your risk management and claims process management workflows is a solid foundation for an organization. Environmental conditions at a place of work have a direct impact on employee well being, risk exposure, and in turn insurance and workers compensation claims. Until now, revealing the relationships between work environment conditions with claims management has been a challenge. That is no longer the case. With low-code application development platforms that manage digital business processes across all devices, we can rapidly connect the dots.

Claims oversight with companion data visualizations that automatically generate data insights can deliver a 360-degree view of your operations. Not only do they help you monitor the performance of risk mitigation endeavors, data visualizations can play a critical role in better communicating environmental, health and safety (EHS) metrics to a diverse and distributed workforce. Visuals communicate to a wider audience of people of different ages, education levels, and even those who might speak in different languages.

Seeing the data through the eyes of an enterprise application can help ensure that all stakeholders are alert and responsive to critical information that can help prevent workplace injuries (and potentially save lives). Why not open a new pair of digital eyes through which you can identify and mitigate potential risks?

Optimize claims process management with digital experiences

Claims process management software can enable enterprises to process claims from a distributed workforce much faster while eliminating the need to physically fill out a bunch of paperwork. What’s more, taking a digital approach to claims management can significantly expedite the endeavor. We’ve seen this successfully executed across many industries.

For example, a project manager in the construction industry can respond to an incident much faster by utilizing a enterprise application that’s powered by a low-code claims process management platform like Pulpstream. The claims investigator who is in the field would be notified in real-time about the incident. They could be routed there automatically based on enterprise staffing logic that’s tailored to the business strategy. This could be based on location, business unit, or a custom rule assignment. They’d use a mobile device like a smartphone or a tablet to collect information about the incident for a report. They could also easily collect photographic evidence to support their observations, even if they are in an area with little or no cell service.

At the same time, the employee that was impacted during the incident could be notified via text or email that they need to file a statement about happened. They can do all this with their preferred mobile device, through the cloud. As a result, the project manager can rapidly and simultaneously deploy his colleagues to where they’re needed, while getting a 360-degree view how this incident impacts the business. The project manager can see trends about incidents to determine potential outcomes and make the best decision about how to handle this to prevent or support future claims.

Any inefficient parts of the process can be changed without calling IT, or waiting on an engineer. Within a drag and a drop, a digital incident or claims process can be optimized in minutes. New stakeholders can rapidly be included in the decision making process if needed. By digitalizing the claims process management experience, enterprises can not only respond to incidents at lighting speed, they can also save time and money during optimizations, and restore the company to normal service levels at a much faster pace. Potential risks can be eliminated by harnessing the data created by each touch point in the experience. Each touch point can be automatically imported into a data visualization.

Data visualization streamlines operations

Creating a visual representation of your data simplifies the endeavor of understanding the relationships between the data. For example, for a trucking company, using historical data to make predictions can dramatically impact the bottom line and workforce readiness.

You could easily create data visualizations that show which drivers were involved in accidents over a period of five to ten years. Comparing that with location data, could create powerful visualizations that unlock insights. Armed with this information, businesses could alert drivers about unsafe conditions. Drivers could be trained about how to safely navigate conditions at accident prone locations, which could prevent future claims from being filed. Businesses can keep track of who has taken training and determine if there is a correlation between training and accident reduction, or litigation related to a business unit or location. In turn, this could reduce risk and the potential costs of litigation for the company.

With data monitoring software, predictive analytics can calculate the likelihood of an incident occurring at a certain location. Enterprises leaders would be empowered to mitigate or avoid potential consequences.

Automated, digital data oversight can help people make better decisions about future business strategies, and overcome biases that people have. With a low-code enterprise application development, insights derived from the data can be quickly translated into customized training modules that enhance enterprise safety protocols and reduce risk exposure faster.

The technology exists to build new sets of digital eyes that see the data points and translate them into data visualizations that humans can understand. Pulpstream’s low-code, claims and incident management software solutions can do this and more. Pulpstream can help you automate claims and safety process oversight across all your lines of business, without ever writing a single line of code.

Digitize Incident and Claims Management To Work Smarter Not Harder

An area of concern for businesses today lies in implementing claims and incident management processes in the office. It may feel like things are getting out of control at times when there are multiple claims to be filed, and a lack of manpower in-house to manage them. When companies are faced with claims management problems, claims may become backed up, and the company may receive several denials from insurance companies at an alarming rate. This is an issue that can really impact a company’s revenue stream. When claims begin to stack up, and denials are coming in for a variety of reasons, the office can become a stressful and hectic place to be.

Once a company is faced with such claims management issues, there’s a chance that employee morale will in turn suffer, as staff become overwhelmed by all of the paperwork involved with traditional methods of conducting incident management and claims. The good news is that there is a solution. Since we are in living in a digital age, these processes can also be digitized. Paperwork is very old school, and not a necessity these days. With the touch of a few buttons on a mobile device or computer, one can download a way to streamline these processes, and manage all event reports, investigative reports, witness statements—all the stuff that can bury employees in paperwork—and communicate data in real-time, utilizing intelligent, automated reports that allow for tracking data & trends. This can free up several hours of employee time so that staff can work smarter, not harder.

It’s quite common for business requirements for compliance, claims, risk, etc. to change on a dime, and it can be tough to respond quickly; keeping up with the ever-changing business landscape. This is where low-code application development comes in handy. When the IT department is backed up, and payroll cannot support a larger staff, there is no better way to implement said changes into a company’s claim and incident management workflow. A user-friendly interface that anyone can learn in a day or two is key. There is no need to call IT, as any employee with a smartphone or computer can implement changes to stay ahead.

Once staff have the power to integrate their legacy system with new digital processes they create, the company will save a great deal of time, resources, and money. Streamlined processes save a company money by reducing the amount of payroll hours that need to be spent doing things with paper and pens, and waiting for employees to share information with a variety of departments. If employees can submit data online and store it in the cloud in real-time, each and every department will be able to access said info immediately. Not only will costs be cut, but risk will be reduced, as there will be less room for error. Now employees can focus on the most important aspects of their jobs without having to become stressed out and worried about claims and incident management, or waiting for the IT department to implement any changes.

Is there such a solution in existence today? Absolutely! Pulpstream offers such a solution.The Pulpstream app is also available in an offline mode, so that employees may conduct business when they are not able to connect to the Internet. This app is available on Android, iOS, MS Surface and web.

Why Managing Workers Comp Claims In The Cloud Is a Great Thing

Workers’ compensation claims management can be a time and resource-intensive activity for both employees and HR departments. This is because managing workers’ compensation demands multiple processes like risk management, risk mitigation, and various HR claims management protocols to ensure that injured employees receive benefits.

This also means effectively complying with employment laws that provide protection under collective bargaining agreements like the Family and Medical Leave Act and the Americans with Disabilities Act.

While the traditional HR approach to workers’ compensations can quickly get convoluted, claims management software can help efficiently streamline and better manage workflows to reduce processing times and related costs.

Key benefits of digitizing workers’ compensation management processes

By engaging in low-code, cloud-native application development, enterprises can achieve a lot more by customizing the app to in-house processes. As the application will be customized to meet the specific needs of the organization, it can be key to eliminating any confusion surrounding workers’ compensation claims.

As the whole process can be efficiently managed on a centralized platform with adequate access to all stakeholders, HR departments can benefit by significantly reducing the time and money it costs to process a claim.

This type of cross-platform, mobile application can also play a critical role in preventing injuries. This is because key insights can be rapidly derived from the data collected from IoT devices, wearable technology, and incident histories.

This data can be visualized automatically and quickly communicated to employees along with recommendations on how they can protect themselves. This can even come in the form of training videos and activities embedded within the app.

Additionally, the workers compensation app can also be used as a tool to deliver telemedicine by directing the injured employee to their preferred medical provider. Claims can also be better managed by providing customized alerts. For example, a notification can be delivered via the app when a prescription is ready.

This approach can also eliminate the confusion that surrounds workers’ compensation. The traditional method involved injuries being reported to different parts of the enterprise. What’s more, employees were often unsure about what to report and who to report it to.

This approach also resulted in a lot of inconsistencies when employees filled out the forms. For example, when it came to answering questions about where an accident occurred, some workers may write answers that range from the company’s address to the hospital where they were admitted.

As a result, these mistakes can quickly add to processing times and increase the workload of HR departments trying to push the paperwork through. However, all this can be avoided by taking advantage of automated forms that connect employee data along with witness statements.

Furthermore, once the incident has been reported, it can be immediately accessed by the safety officer, supervisor, HR, and third-party claims administrators. As everything will be organized and accessible on a unified dashboard, future proofing operations for changes in the workforce, technology, or corporate policy will be a seamless experience.

Cloud-native vs. on-premise deployment

As businesses embrace digital transformation, the cloud-native or on-premise deployment of server infrastructure debate usually comes up. A few years ago, the primary concern was security, but this is no longer an issue as cloud vendors have strict security standards to keep sensitive data secure.

When it comes to workers’ compensation, there are some functionality issues that companies will have to consider. While most of the features are generally available on both cloud-native and on-premise solutions, there are some notable differences.

Cloud-native is a better approach for claims management as it provides enhanced mobile accessibility. On-premise deployments often demand third-party clients to enable communication between on-premise software and mobile devices.

As a result, costs can quickly add up while incorporation and effective infrastructure management can get complicated. As more enterprises embrace a bring-your-own-device (BYOD) initiative to accommodate a rapidly evolving workforce, mobility will be key going forward.

Cloud-native claims and incident management software like Pulpstream seamlessly integrates and simplifies enterprise claims management processes. As Pulpstream takes a low-code approach to cloud-native application development, HR departments will be empowered to customize their workers’ compensation process app to meet their predefined requirements.

This is because anyone within the company can engage in app development by taking advantage of Pulpstream’s drag-and-drop development model, without writing a single line of code. Furthermore, workers compensation apps can be built within hours or days, not months, and can be adapted seamlessly as organizational processes evolve.

As a result, when considering the long-term implications of deploying an enterprise workers compensation app, a cloud-native approach can go a long way to help reduce the time and costs associated with processing claims for HR departments across industries.