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According to the 2019 Workers’ Compensation Benchmark Study, “technology and managing data from multiple systems remain major factors for improving the claims process and outcomes.” In fact, a continued industry focus remains to be improving claims management, with 94% of respondents saying that system workflow claims automation was effective in managing claims within best practices.

Employing Workforce Automation with Origami Risk

The PropertyCasualty360 article, Keys to improving the claims adjusting process, outlines some key areas where an adjuster’s touch is needed — investigation, negotiation, recovery, coverage, evaluation — specifically, items that cannot be automated and require an adjuster’s undivided attention and expertise. The author goes on to state:

“...Let adjusters focus on the basic blocking and tackling of the claims process. Don’t throw unnecessary tasks their way. Leverage this age of digitization to make adjusters more efficient, effective and happy. This approach might even have a positive benefit on staffing models while lowering turnover.”

With Origami Risk, this approach to workflow automation can be seamless. For example, when a case-related email with attachments is forwarded to a dedicated Origami address, the system verifies access rights to the proper claim based on the sender’s mail address. It then uploads the email message, along with all attachments, directly to the claim record.

Reducing the amount of time spent on repetitive clerical and administrative tasks doesn't end with the ability to automate file attachments. In Origami Risk, numerous workflow claims automation options are available, including:

  • Custom notifications - Eliminate "one-off" composition of emails through the use of email templates and custom notifications triggered by events
  • Mail Merge Word Docs - Generate custom letters that are pre-filled with specified claim details, then make any changes necessary before sending
  • Regulatory Reporting - Automatically populate and transmit forms to regulatory agencies to ensure compliance
  • Approvals and payments – Generate checks with automated routing for escalation and approval. Interface with third-party systems to exchange up-to-date claim financial details.

Using Automation to Shift from Reactive to Proactive

The same easy-to-configure, event-based claims automation that can help your adjusters reclaim the half of their day lost to non-core, administrative activities can also be used to alert stakeholders the need for intervention and to keep customers informed. Supervisors or claim quality auditors can be notified as soon as cases trigger any condition that indicates potential issues—for example, under-reserved claims or reserve stair-stepping. Account managers can have custom reports automatically generated and emailed to stakeholders as soon as a customer reaches thresholds on self-insured retention or per-claim deductibles. By removing the daily noise, each level of management can focus on the areas where they will have the most immediate impact. Zeroing in on issues at the moment they bubble up shifts the focus from reactive to proactive.

Impact Throughout the Claim Cycle

Origami Risk allows you to automate all levels of the claim cycle. From notifications and document management at the adjuster level, to trend notifications and automated PowerPoint template creation for account managers and the executive team, to automated report generation and distribution for clients, your organization can streamline specific processes at each stage.

Moving to Best-in-Class

Claims automation plays a clear role in building a best-in-class claims operation, which helps TPAs grow their business. With Origami Risk, harnessing the power of automation is simple. Free adjusters from administrative work and let them focus on closing claims, break down information silos, and help zero in on the most critical cases at the time when intervention can have the most impact on positive outcomes. Best-in-class organizations rely on automation to drive cost reductions through early intervention, reductions in administrative overhead, and faster claim closure.

Learn more about how Origami Risk serves TPAs or talk to a dedicated specialist about how Origami can power your organization.