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Claims Adjudication
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Claims Adjudication
 
 

Claims Adjudication

Claims Adjudication is committed to provide the best claims management service. Claims Adjudication provides its clients with personalized service, timely and accurate claims administration and a full range of related support functions. Our tailored claims administration includes Medical, Prescription, Dental, Vision and Disability.

From managing transactional back office services to perform high-end services for the insurance, finance & accounting, banking, mortgage and healthcare industries, Claims Adjudication meets a wide range of client needs.

Claims Adjudication takes a comprehensive, well-structured, and expertly managed approach to every outsourced process we handle. Our professionals communicate clearly with all parties involved and continuously monitor and manage all of the issues that can affect the cost of a program. Through our experience in many different industries and in all aspects of business process outsourcing, we have developed an exemplary set of best practices for the day-to-day conduct of our business. They guide not only how we work with our clients, but also with all others involved. The result is cohesive, consistent service delivery from the first step in a process through ongoing management of a program.

Competitive forces and the loss of investment income in recent years have pushed insurers to focus on their operations to become more profitable. Insurance carriers and risk managers at self-insured companies are actively searching for ways to increase productivity and reduce costs. The struggle to internally handle the management of claims has drained many firms of the needed intellectual capital to drive their vision in their core competency. Many executives believe that quality of claims management is suffering, specifically as it concerns the next generation. These facts translate into a growing interest — by insurance carriers and risk managers — in business process outsourcing to manage claims and reduce claims losses so that they can devote their resources to their core lines of business.

Business Process Outsourcing allows firms to boost productivity, improve customer services, and most importantly, devote their resources to pursue the company's primary vision. These factors have elevated outsourcing to much more than a cost-cutting tactic. BPO is now a strategic initiative that is driving the direction of the enterprise and the global economy.

Insurance carriers and self-insured firms are pushing to outsource non-core functions like claims, to reduce losses and to focus more on their core competencies. Due to the current malpractice crisis, workers' compensation costs, the insurance needs of emerging markets, and the increased liabilities and risks around the world, a strong focus on core business functions, such as underwriting, is essential.


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