Technology: A Key to Better Service
By Rahsaan E. Stampes, Director, National Technical Compliance – Statutory, Product Compliance, Sedgwick
Technology and innovation are critical to building and maintaining an efficient and compliant claims practice. The automation of simple eligibility determinations, communications, and integrated processes can be a game changer for the health and longevity of a successful program. When properly utilized, technology can increase the efficiency and compliance of many programs.
For example, when an eligibility decision (or a step in the process) is based on a limited number of data points such as hours worked, years of service, or earnings, systems can be programmed to automate determinations. This automation can reduce human error.1
In addition, automation can be leveraged to populate various forms of communications with similar data claim information. This reduces inconsistency in documentation generated by different reviewers and leads to more standardized communication overall. As a result, approvals, reminder notices, and callback requests delivered via letter, email, and text messaging can be streamlined and consistent.
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