Author: Daryl Vaz
Automating the Insurance Claims Process with AI from Automation Anywhere
We live in a time in which automation is taking many industries by storm. The insurance industry is perfectly poised to enjoy the advantages that automation brings to the table. This is particularly true when it comes to claims processing, which is laden with tedious and repetitive tasks that are subject to human speed and error.
In order to keep up with an ever-changing industry, it is vital that insurance companies adopt an automated approach to claims processing. Thanks to advancements in artificial intelligence (AI), automation is the perfect solution to handle the claims process. It allows companies to process claims more quickly and at a reduced cost.
How Automation Can Help
Automation makes use of AI in the form of bots (intelligent software) that are capable of processing large amounts of data quickly and efficiently. This is precisely what is required during claims processing. Here are the main benefits of using automation in claims processing:
Streamline Processing
Streamlining the claims process by automating tasks that are traditionally done manually means these tasks take less time and have no errors. Regardless of how the claim is submitted (email, phone, or another method), the information in the claim can be extracted, organized, and transmitted within seconds, making the entire process move more quickly.
Increase Satisfaction
Being able to increase the speed of claims processing increases customer satisfaction, which is the goal of every business. When the claims process is automated, customers will get their money more quickly and with less hassle than ever before. This leaves them happy at the same time as it lowers the cost of claims processing for the insurance company.
Triage Claims
Triaging claims to single out those that look suspicious is an important task that can be difficult to do manually. However, it is vital this is done to avoid paying out fraudulent claims that can cost you billions of dollars each year. Tangentia’s Automation Anywhere provides insurance companies with a means of reducing the number of fraudulent claims they process by automatically extracting claim data and identifying and isolating potentially fraudulent claims. These isolated claims can then be sent to a team that can put them under the microscope and take a deeper look.
Automate Analytics
The ability to automate analytics and insights regarding claims can help you make better decisions regarding your claims process as a whole, as well as each individual claim you process.
Best of all, the bots used in automating the claims process can be customized based on industry segment and the tasks you want them to perform. They can be programmed to handle any level of claims processing, whether you want them to take over the entire claims process from beginning to end, making the final decision on each claim and making the payout, or just certain parts of it, leaving the final claims decision up to the claims adjustor.
Want to learn more about Automation Anywhere and what it can do for your claims process? Reach out to our Tangentia team today. We’d love to hear from you.
Get Started Today
Tangentia is a Platinum Partner of IBM and well as partners with Automation Anywhere, UI Path, Blue Prism, Adobe, Microsoft, Salesforce, Amazon and leading enterprise software vendors. We work with customers globally with offices in Canada and India to implement their RPA strategies using an agile methodology.
Read Now
Infographic : How Automation Can Help Accelerate COVID-19 Canadian Forbearance Programs
Monthly Tangentia Byte February 2021
|
|||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||
Infographic : AI Chatbot Benefits for Education
Tangentia is recognized with the highly regarded “2020 IBM Partner of the Year” award as part of the 2020 Tech Data Canada IBM Partner Awards
Tangentia is proud to announce we are the recipient of the “2020 IBM Partner of the Year” award as part of the 2020 Tech Data Canada IBM Partner Awards. We are dedicated to working with IBM to bring the latest technological advancements to our customers and we couldn’t accomplish that without the dedication and value we receive from Tech Data, our preferred distribution partner for IBM.
The partnership award really is a testament to the value and support Tech Data brings to our team. Thanks to them, our team puts their best foot forward each and every time we work with our customers. That level of collaboration and commitment is what makes us strong and allows us to continue to deliver the value our customers have come to expect.
“Our teams have worked together very closely, and we are really excited with this honor,” says Tangentia CEO Vijay Thomas. “Rest assured, we will not rest on our laurels and will try hard to do even better this year. Special thanks to Doug and Janice for being there whenever we needed them and to the overall Tech Data team for your support over the last 15+ years.”
Get Started Today
Tangentia is a Platinum Partner of IBM and well as partners with Automation Anywhere, UI Path, Blue Prism, Adobe, Microsoft, Salesforce, Amazon and leading enterprise software vendors. We work with customers globally with offices in Canada and India to implement their RPA strategies using an agile methodology.
Read Now
Tangentia Videos – TiA Digital Worker
ArcESB Case Study
Since 2003, Tangentia has been a leading provider of digital transformation solutions to companies of all sizes, implementing wide-scale automation, B2B, and digital integration solutions. Among their solutions, Tangentia provides end-to-end EDI integration services, spanning B2B/EDI document exchange as well as backend ERP, WMS, Carrier System, and database integration.
With 15+ years of digital transformation experience under their belt, Tangentia has helped companies automate supply chains and streamline business activity to boost productivity, efficiency, accuracy, reliability, and security.
The Challenge:
Upgrade internal legacy technology to solve internal pain points, reduce complexities and provide customers with a more agile Tangentia Gateway SaaS cloud solution
For years, Tangentia has used IBM’s Sterling B2B Integrator to implement end-to-end integrations for clients, processing up to 2,000,000 EDI transactions per month. However, they discovered that Sterling B2B Integrator in some use cases restricted the breadth of the solutions they could offer to clients. Some of the limitations included:
- Limited error logging meant Tangentia required a dedicated team to exclusively monitor transactions, making it resource-intensive to operate & maintain.
- The lack of a REST API limited Tangentia’s integration flexibility and management efficiency.
- Limited workflow capabilities forced Tangentia to develop custom C# and Python scripts to handle EDI processes.
- Complex user interface making it time-consuming to set up new maps/connections and troubleshoot EDI issues
Tangentia decided to search for a solution that matched the processing power and scalability of Sterling while also addressing their existing pain points and providing more expansive opportunities for integrating with 3rd-party applications. Most importantly, their desired solution needed a tool that could accelerate the process of migrating away from Sterling to keep the transition overhead low.
The Solution:
ArcESB and the Maps Import Wizard
As a global digital transformation solutions provider with a widespread clientele amongst hundreds of companies, Tangentia required a sophisticated solution with the following features:
- Robust managed file transfer capabilities with Drummond-Certified AS2, SFTP Server, and other file transfer protocol support
- Automatic EDI translation for ANSI X12 and EDIFACT files
- Reliable ERP, CRM, and RDBMS connectivity from within the user interface
- API functionality to issue REST and SOAP requests
- Detailed logging & error identification processes
- Scalability to handle high-volume transactions
- Intuitive EDI mapping features and time-saving UI
- Reliable and responsive support
In ArcESB, Tangentia found a solution that exceeded their expectations for an enterprise integration platform. Not only did ArcESB meet their requirements, but it also alleviated many of the pain points that had limited their management efficiency:
“ArcESB supports web services that allow us to directly interact with databases which used to be our major limitation with IBM Sterling” said Rushabh Dharwadkar, B2B Technical Lead, Tangentia. “Another ArcESB feature that we highly value is its extensive error logging. We used to dedicate a team of seven people just for error monitoring and monitoring transactions previously.”
Seeking to avoid a costly transition period, Tangentia leveraged the ArcESB Maps Import Wizard to begin their quick and automatic migration process:
“We were able to reduce the number of maps we use throughout our projects by more than 50%. That was extremely beneficial, as it translated to fewer errors, and even easier error identification, which was a considerable sticking point for us on our old platform.”
The Results:
11 Migrations in 4 Months
At the time of writing, Tangentia has implemented ArcESB for 11 of their clients over a duration of four months — easily outpacing their expected timelines.
“Typically, our IBM Sterling implementations take four to five months, which is a major challenge for a lot of our customers who need to be EDI compliant as soon as possible. With ArcESB, we were able to migrate all 11 existing projects in just about four months, and new clients take less than two months to onboard,” Dharwadkar said.
ArcESB has also boosted Tangentia’s bottom line by automating error monitoring, allowing their engineers to focus on value-added digital transformation projects.
Perhaps most importantly, ArcESB has enabled Tangentia to offer end-to-end EDI integrations on a unified platform — while cutting EDI costs for their customers and passing on the savings. ArcESB’s affordable unlimited EDI license enabled unlimited EDI processing at a fraction of the cost.
Moving Forward: A Growing Partnership between Tangentia and ArcESB
Tangentia Gateway SaaS Portal powered by ArcESB
Tangentia and ArcESB both look to embrace the momentum and substantially set up more clients on their latest ArcESB powered Tangentia Gateway. The push towards streamlining their EDI management enhances Tangentia's ability to continue providing market-leading digital transformation solutions. Nonesuch offerings are more exciting than the new improved Generation 3 Tangentia Gateway SaaS Cloud EDI offering
“Tangentia Gateway in its latest Gen 3 release allows business users at their organization as well as their vendors and their customers to easily interact with their EDI documents without the need for specialized EDI skills. We’re now processing more than 2,000,000 files per month and continue to scale as we add customers globally” says Karen Briones, Customers Success Manager at Tangentia”
ArcESB stand-alone EDI solution configured, managed, and hosted by Tangentia
Tangentia not only uses ArcESB in their Tangentia Gateway SaaS Cloud offering but offers to resell, consulting, migration, and managed services offering for ArcESB to customers that manage their own EDI infrastructure internally.
One of Canada’s favorite ice cream manufacturers recently moved their EDI to ArcESB solution which was migrated and managed entirely by the Tangentia EDI team. The Tangentia EDI consulting team can migrate your existing EDI maps and connections from any legacy platform to ArcESB, and can be entirely managed or hosted by Tangentia.
If you’re looking for an affordable, scalable, and easy to implement EDI solution, contact Tangentia and experience the difference that a customer-focused Canadian-based team can provide. Contact:
North America
Karen Briones
EDI Customer Success Manager at Tangentia North America
kbriones@tangentia.com
Global
Rajhans Gupta
Enterprise Account Manager at Tangentia India
rgupta@tangentia.com
Get Started Today
Tangentia is a Platinum Partner of IBM and well as partners with Automation Anywhere, UI Path, Blue Prism, Adobe, Microsoft, Salesforce, Amazon and leading enterprise software vendors. We work with customers globally with offices in Canada and India to implement their RPA strategies using an agile methodology.
Read Now