Claim Administrator

• What Should We Do?

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What is TPA Back Office Outsourcing

Insurance claims administrators outsourcing also call TPA Back Office Outsourcing, which enables TPAs to provide more efficient and responsive services for regional insurance entitie. The claims administrator plays a critical role in the insurance process. As a claims administrator, you need to proceed with a number of audits and data integrity checks to determine the eligibility and value of a claim. Clients are expecting claims to be settled quickly and satisfactorily, as it will determine your future relationship.

It takes time and is a tedious job which costs staff and money. To be more competitive, your organization needs to focus more on new customers and make quick responses to all clients. That’s why more and more claims administrators in the insurance industry are turning towards outsourcing. Cover Operation is a leading insurance processing company which helps insurers successfully retain their current clients and attract new ones.

At Cover Operation, we understand the significance of efficient claims processing, so we provide quick response and highly efficient services within a short turnaround time. We can help claim administrators streamline their processes. Choosing our company will accelerate your processing speed while saving business expenses for you.

• How Much Can You Save?

• *Pricing includes all expense. No one time onboarding expense needed.

• How Do We Work?

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We will take time to understand our client’s business, access requirement and operational situation. Work together with client’s key staff to analyze and create customized solutions.

UNDERSTAND YOUR BUSINESS

START NEW TASK TESTING

Cover Operation service delivery manager will make recommendations, so that our client can choose the most appropriate task to transfer. After get task procedures, our experienced professionals will learn and test.

We work closely with clients to make sure the tasks are handled efficiently and accurately. Make sure no steps are missing, answer questions and address concerns from our clients.

FEEDBACK ON THE EXISTING PROCESS

TRAINING

Conduct team cross-training where professionals share their processing experience and give hands-on training so that other teammates could master client’s processes, systems and workflow in a short time. Experienced staff should get a further training per your specific needs.

After we have mastered the tasks at hand, we communicate with client to decide which tasks to transfer next. When more procedures are in place, we will start a faster round from training to production.

TARGET MORE POTENTIAL PROJECTS

REPORTING & COMMUNICATIONS

Cover Operation insurance BPO service manager will send monthly reports and annual summary to timely show our performance. We also use emails and conference calls to communicate with client and address your concerns efficiently, make sure we are both on the same page and have smooth cooperation.

Once we have mastered most of the tasks, we will have the insight and know-how about your operational situation. In order to improve efficiency, refine procedures and remove redundancies, service delivery manager will work with your key staff as well as the team to refine your workflow and give advice.

MAKE RECOMMENDATIONS & REFINE WORKFLOW

IMPLEMENT THE OPTIMIZATION

After get client’s approval, we will optimize the workflow. Work with our clients to monitor performance and make sure the result exceeds the client’s expectation.

I.T. SECURITY

Last but most important, our I.T. specialist will collaborate with your I.T. department to establish a customizable security solution according to your specific requirement. We make sure the technology protection measures are reliable and your data is secure.