Outsource Claims Processing Services

Whether it is healthcare, insurance, or any other type of finance and accounting service, claims to process deals with the requests from customers for settling outstanding due amounts. For claims, every company will have a separate claims division to deal with. Claims processing is a transaction processing service that is opposed to calling center services dealing with inbound and outbound services. It essentially deals with the back-end work or what is called the "back office work". This typically includes the workflow management for the claim once a formal request is made.

Organizations today prefer to outsource processing services as they can get access to competent services and concentrate more on core competencies. If you want to outsource processing services, consider outsourcing to India. India is an attractive destination for processing services and the business is growing by leaps and bounds every year.

Claims Processing Services We Offer

We not only offer high-quality processing service but are also reliable and trustworthy. As a leading claims processing services providing company, we offer the following services -

Claims Data Entry

When you outsource claims data entry, we maximize the productivity and precision of claims data entry. Depending on the information you want capturing, we will design a template to make the process seamless. Our template will include built-in fields for validation with rules, a permitted provider list, and medical codes for users to select. The output file layout of the claims data will be clearly defined where data entry will commence after receiving claim forms. Our team is adept in processing several claim types that include HCFA1500, UB-92, HCFA1450, UB-40, and so on.
Insurance Processing

If your insurance firm is seeing a high volume of commission statements, claim requests, and related documents, we'll have the data from disparate sources organized with precision and agility. From data entry and application processing to the examination of insurance claims and clearing existing backlog using OCR, we do it all through intelligent automation and BI so that processing time is shorter.
Customer Service Process Management

We also handle the end-to-end process in customer service to keep your customers happy with the claim process. We provide complete support via capable call center agents to avoid unnecessary delays.

The Processing Process We Follow

Getting a claim through the door involves all of the steps listed above and a successful claim is measured by the fewer iterations it takes for the claim to be processed. Also, the throughput (number of claims processed per person, per unit, per service provider) and the SLA compliance measures have to be good for a provider to be successful in this field. Our process is as follows -

01. Customer Filing a Request

In the process, the claim request will be raised by the insured through the insurer's touchpoint

02. The Claim Getting Registered

The client's claim will be taken to the next step and if preliminary assessment recognizes the claim requires, the request will be speedily processed

03. Validation of The Claim

The claim request will be validated after it is registered. The validation process involves authenticating the client ID and the claim eligibility

04. Settlement of The Claim

If the claim request meets all the eligibility criteria, it will be settled at the earliest to avoid a bottleneck in the process

Other Services You Can Benefit From

Call Center Software we use

Why Outsource Claims Processing Services to FWS?

Flatworld Solutions offers a range of services for insurers and agents to allow them to focus on more critical functions. Our services are defined by the following key differentiators -

Information Security

Being an ISO 27001 certified company we not only comply with the code of information security demanded by the industry but also the GDPR policies.
Skilled Experts

Flatworld Solutions is promoted by people with solid management experience and sound credentials who bring rich experience to the table. Flatworld Solutions hires experienced resources that are adept at global business practices and are competent on the job.
Cost-effective Services

With us, the cost will never again be a cause of concern as we have an array of solutions for all types of clients. You can choose between a standard solution and a custom one to save on the cost.
Best-in-class Infrastructure

Our call center technologies streamline the process, to improve productivity and efficiency.
Certified Company

We comply with the ISO 9001:2015 standards to prove our compliance with the standards and the SLA. This is the contract that is signed between the company and the vendor stipulating the various parameters of the services.
High-quality Customer Service

Error-free processing is measured by the number of times it goes in iterations between the customer and the processing BPO.
Quick Turnaround Time

The time taken to settle a claim right from the time it is filed to the time it is settled is smaller than anticipated.
Scalability

Scale as much as you like to improve productivity at all levels of processing by choosing our processing services.
Omni-channel Support

You can reach our agents by any preferred method and get support in the language of your choice. Our team can assist you as soon as possible with a solution.

Client Success Stories

FWS Provided Inbound Call Center Support Services to a Berlin-based Healthcare Consultant

Flatworld Solutions Provided Inbound Call Center Support Services to a Berlin-based Healthcare Consultant

Flatworld Solution's inbound call center support services reduced the effort of a back-end team working for a Berlin healthcare client. The positive outcome prompted service renewal.

FWS Provided Telecalling Lead Generation Services to a Leading Financial Firm

Flatworld Solutions Provided Telecalling Lead Generation Services to a Leading Financial Firm

Flatworld Solutions enabled a financial service firm to have a stream of qualified leads in the shortest time. Our tele-calling solution helped in meeting the client's requirement at the earliest.

Testimonials

My client Microsoft is very pleased with the results. Thanks for providing such outstanding results and for your high attention to quality. It's great to find a company you can trust to have your best interests at heart. We can also turn this success into other projects.

President, Market Research firm in Seattle More Testimonials »

Outsource Claims Processing Services to Flatworld Solutions

Flatworld Solutions is a reputed inbound call center service provider proficient in processing service. At FWS, we are consistent with our effort to ensure quality in our offering. With powerful solutions that act as a tailwind, most organizations thank our effort to make them the best business in the customer's eye. We offer call center services that eliminate the leg work and improve decision-making.