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Document classification and indexing are important steps in setting up a claim, responding to an FNOL or FROI and ongoing claims handling.
Document types vary from structured forms (e.g. ACORD, UB-04, CMS-1500 etc) to completely unstructured documents (e.g. demand letters, policy documents, general correspondence etc).
Many claims’ teams are still wrestling with manually processing these documents, impacting efficiency and effectiveness of claims management as a whole.
Challenges include
Document volume combined with variability often results in highly skilled claims professionals spending over 30% of their time receiving and manually reviewing documents.
Classification and indexing is often handled in the adjusters’ spare time which can lead to process inefficiencies.
Seasonal events, such as CAT season, often result in large volume spikes that exceed the existing team’s capacity, requiring organizations to turn to temp labor.
Transform document processing with Digital Coworkers
See how we reimagine document classification and indexing for claims teams
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Receive
Correspondence that is emailed will go direct to a Digital Coworker for scanning and analysis. Correspondence that is mailed, will go to a central mail room to be scanned by a lean scan team.
Traditionally, the imaging team or adjuster receives the document package, identifies key information and manually enters the data into the claims/policy system. Further, document and data validation is performed by the internal team or an external vendor/partner
In this future state, the Digital Coworker now receives the document package, and uses InsurGPTTM to identify key information (such as policy number, claim name and number, document type etc) and enters the data into the claims/policy system.
The central imaging team are now responsible for data validation, accuracy and completeness, and working with the Digital Coworker around exceptions due to bad scans or missing data.
The indexing team/adjuster uses the Roots Cockpit to communicate with and assist the Digital Coworker. The user reviews each item that requires human assistance (typically, less than 10% of workflow) and the overall document throughput and performance in real-time.
The adjuster can now either process a claim using accurate, complete information or pass to a Digital Coworker to complete a process (e.g. setup FNOL correspondence),
Digital Coworkers come pre-packed with skills, knowledge and capabilities to effectively manage your document classification and indexing needs.
Improved straight-through processing for FNOL, FROI and ongoing claims handling
Provide the organization with a scaling workforce to address future staffing and capacity requirements.
Remove manual effort and provide capacity back to highly skilled (higher earning) employees, to spend more time on claims handling, adjudication and customer engagement
Ensure documents are received and acted on 365 days a year
Improved quality and accuracy of data processing
Significantly improved document turnaround times (minutes, if not seconds)
Reduce reliance on third parties to manage documents on your behalf
Identify documents, systems and processes that can be standardized
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."
Andrew Hetzler
Chief Executive Officer, American Exchange
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Webinar: Practical Application of Generative AI in Insurance
Register for our on-demand webinar, where we will deep dive into use cases, success stories and real-world application of Generative AI across Claims, Underwriting and Insurance Operations.
Increasing speed & accuracy of Claims Document Processing for a large Insurance Conglomerate
Our Customer chose to adopt a Digital Coworker due to its ability to ingest and make sense of a significant amount of data held within structured and unstructured claims documents.