Claims and Administration Automation
Comprehensive services to expedite claim intake and reporting, accelerate data extraction and pre-processing of claims, pre-authorizations, medical bills, enrollments, and related documents
The leading edge of claims processing automation
With the rising cost of claims and the complexity of claims management, claims operations are under constant pressure to lower operating costs, eliminate siloed functions and reduce the volume of duplicative data across their claims processes.
For 30+ years, we’ve worked with health plans, commercial insurers and third-party administrators to streamline their enrollments, claims intake, bill review, policy management and underwriting processes through intelligent automation.
Getting claims management right starts with good data
We provide end-to-end services for the intake, capture, classification, extraction and dissemination of mission-critical paper or electronic documents and data for insurance claims management — accelerating key processes while reducing processing costs. We customize our data extraction and review efforts to align with each client’s unique requirements and ensure seamless integration with your claims administration and medical bill review platforms.
Casualty Claims Services
Conduent’s Capture+ and Claims+ digital mailroom, document imaging and electronic capture and workflow services ensure fast and accurate delivery of data into Strataware® bill review and other critical claims processing workstreams.
Healthcare Claims Services
End-to-end services spanning the intake, data extraction and processing of claims. Powered by intelligent process automation using AI and ML to reduce costs and improve member experiences.
Membership Enrollment Services
Streamline application processing, speed new member acceptance, and enhance underwriting consistency while reducing costs
Customize workflows driven by document recognition that exceeds 99% accuracy
Utilize a shared service model that accommodates changing mail patterns
Enhance security with 24/7 facilities and fully mirrored data centers with fail-over capabilities