A new study from Celent, a research and consulting firm that focuses on information technology, lists key technology elements for insurance companies to implement to improve their systems to analyze claim technology requisites. It also presents several case studies of companies who implemented changes and how it affected their business.

According to one section in the 52-page study, which as a whole focuses on effective technology usage in the entire insurance industry, there are four key claim technology elements that can improve organizational structures and staffing levels of insurance companies.

The first is the establishment of an electronic case file. According to Celent, all claim information should be received electronically, or scanned into a system if need be. This allows for better claimant experiences and more accurate reserving, as well as easing compliance issues. Secondly, Celent said a rules-based workflow and skills-based routing system for claims should be implemented. This allows for claims to be modified and adjusted more easily. Thirdly, the company recommends automating fraud and subrogation referrals and medical bill reviews. Lastly, Celent said adjuster should concentrate on becoming wireless, which will allow field adjusters to transmit site reports, estimates, photos, and other information in real-time, and even issue payment in the field for uncontested claims.

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