TPA Insurance and Corporate Credit Business case study | Featsystems

TPA Insurance and Corporate Credit Business

Industry - Leading Insurance Company
Implementation Time - Within 3 WEEKS *

Key Challenges

The process was ineffective due to many manual steps and sub-activities that require human judgment.

Some of the key challenges were:

  • The process was moderately complex required checks and validation from multiple departments
  • Time intensive job with expertise needs for execution depending on scenarios
  • High individual dependence and various departments in presence contribute to delays in the process
  • The possibility of human error was high in processing

Our Solution

Our team took an RPA approach and design the solution that needs end-to-end process automation.

  • Bot extracts patients that have been insured who receive cashless care
  • Bot generates receivable ledger entries in SAP which triggers auto-mail to respective TPA
  • Bot checks mail & website for receivable payment, if payment is received then bot adjust the ledger entry in SAP as per business norms
  • Bot sends the customer e-mail and creates the payment file for the bank

Automation Benefits

The deployed solution streamlines the operation and enhances the end-to-end TPA Insurance and Corporate Credit Business process. Here are some benefits after automation were visible.

  • Ensure continuity of operation during influx transaction
  • Keep a high customer satisfaction ratio
  • Reduction of effort: 70 to 100%
  • Staff were redeployed to perform valuable operations
  • Financial and compliance risk minimized
  • Reduce hospital backlogs
  • Efficiency improved

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