Roxanne

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PartnerWith a little help from our friends

Our Process and technology experts are here to help

Training & Coaching

Much like a new hire, your Digital Coworker will be trained to understand your documents, systems, data, workflow, business logic and exception handling.

Your human workers will also be trained on coaching, interacting and managing your new Digital Coworker

Managed Services

Once your new Digital Coworker is up and running we can enhance its capabilities through a range of extended services – such as clearinghouse services, document scoring & QA services, reporting & management - to name a few.

Meet roxanne - Your digital claims assistant

Trained on ever-expanding insurance data, documents, processes and systems – spanning life, health and P&C Insurance – Roxanne can handle 10x the volume of work of a human claims assistant.

Key Skills Include

Read and understand data held within documents and data (from emails, forms, systems etc)
Make decisions around eligibility and claims verification
Update systems and transact data to support all stages of the Claims Process
Work with colleagues to troubleshoot anomalies and exceptions
Continually update their own process, system & data knowledge

Key Responsibilities Include:

Receive, classify and index claims documents
Manage FNOL, FROI and claims correspondence
Analyze and extract data held within documents, emails, IT systems
Work with billing and collections team to progress payments and reimbursements
Automate tasks and activities across the entire claims process

Example System Knowledge

Guidewire
Duck Creek
Majesco
Microsoft Excel, Word, Outlook
EPS

Example Document Knowledge

ACORD forms
Demand Letters
Medical Claim forms
ID Cards
Claims correspondence via email/mail

See Roxanne's Full CV Here

Benefits

Able to read, think & intuit just like people, Digital Coworkers come pre-packed with knowledge, skills & capabilities to manage work & collaborate with your human workforce.

Improve combined ratios

Reduce administration cost by automating key stages of the claims process – from FNOL to subrogation
Increase straight-through-processing rates and overall visibility of a claim end-to-end
Expand your human workforce capacity up to 90%

Reduce premium leakage

Reduce overpayment of claims
Eliminate errors and reduce handling time, improving claims processing cycle times
Adheres to full process compliance and is completely auditable – enabling greater work and cost control

Increase agility

Remove inefficient, repetitive, soul-destroying work that slows people down and drives burnout
Can be scaled up or down in line with peaks and troughs in work volumes
Is productive and value-adding from day 1 – enabling you to realize ROI faster

Request a demo

CUSTOMER SUCCESS

Our Customers see Digital Coworkers as important members of their team

“The Digital Coworkers Roots Automation provides work in conjunction with our Team to optimize our medical claims process. Our Digital Coworkers provide the simplicity and scalability necessary to deliver best-in-class productivity to our clients. Additionally, we value the insights from the Roots Automation Team about our processes, of which, we integrate into our continuous improvement plans for our business practices in order to provide industry leading solutions.”

Kevin Mahoney

President & COO, Carisk Partners

“Everything happened fast, our digital coworker ‘Roxy’ was trained and ready on time as promised! The team at Roots Automation have been a pleasure to work with! They’ve anticipated our questions and respond quickly to our asks and changes.”

Lea Lundquist

VP, Claims Administration, Protective Insurance

“We appreciate all of Roots Automation's efforts to automate a challenging initiative with 500,000+ transaction requests annually. Our internal Center of Excellence was able to get to production faster and more cost-effectively than what we originally planned.”

David Emmer

CIO, Anchin, Block & Anchin LLP

"Insurance companies have a desperate need to automate many business processes for efficiency, but current solutions are limited to rule-based tasks and aren’t insurance industry-specific, limiting their potential, Digital Coworkers lessen our stress over finding and retaining talent, and unburden our teams so they can focus on more impactful work. Roots Automation’s unique approach to automation has improved our employee retention while offering superior economics and enhanced customer experience".

Cathy Carr

VP of Insurance Support Services, Berkshire Hathaway Guard President

"I am incredibly delighted with the results from our Digital Coworker. The Digital Coworker is delivering better accuracy, speed and overall outputs - compared with other OCR solutions that we have used before. The improved results mean that we can reduce churn and improve the day-to-day lives of our claims team by liberating them from manual data entry and rework, whilst scaling volume and efficiency across the entire operation".

Kimberly Guillen

AVP Agile Center of Excellence, The Zenith Insurance Company

"Roots Automation has helped American Exchange automate and improve a lot of our internal data validation and data entry processes. This has both reduced our workload and has reduced human data entry error to almost zero. The best part is that our process with Roots Automation has allowed our agents to do what they do best, and that is talk to people and help them with their individual and Medicare health insurance decisions."