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
