Monthly Archives: April 2018

Evaluating a RMIS: What questions should you be asking vendors?

Question mark sign

Your internal assessments suggest that it’s time to move forward with the purchase of a new RMIS. In our recent post, “Tips for Selecting the Right RMIS“, we looked at potential next steps that range from considering the inclusion of other departments in the selection process to researching vendors to suggestions on what to look for in a new system.  As you move into the next phase of the buying process, to ensure you get the most out of your investment, there are many questions to ask vendors when evaluating their RMIS offerings.

Consider grouping the questions into five categories:

  • Flexibility
  • Scalability
  • Security
  • Usability
  • Service Model

Use the goals and priorities of your organization to weight the importance of sections or individual questions. Remember that getting clear answers to all your questions is critical to the success of a new system.

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Supercharging your claims handling

gears and light bulb

TPAs continue to face increasing pressure to find more innovative ways to drive efficiency and do more with less. An article in Lexology states, “Automated claim processing is the future for insurance carriers, third-party administrators (TPA’s) and large employers, to improve efficiency and reduce the resources required to process claims.” Determining a strategy for automating claims handling can be challenging.

A recent post examined the ways top performers approached automation. One key benchmark study of differentiators recommended: “Employ claims decision support tools – such as workflow automation, advanced analytics, and predictive modeling – and use them more frequently throughout the claim lifecycle.” In fact, top performers are 4X more likely to use automation throughout the cycle than all others.

To achieve the results similar to those of top producers, a comprehensive approach to improvements through technology must be employed.

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