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.

If you want to outsource claims processing services, consider outsourcing to the Indian office of Flatworld Solutions. Inspired by the Lean Six Sigma philosophy, our approach uses Voice-of-Customer to Critical-to-Quality (VoC-to-CTQ) mapping to standardize our workflow. This allows us to significantly reduce rework, improve throughput, and ensure each touchpoint aligns with service-level targets.

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

We maximize claims accuracy and throughput using CTQs metrics and standardized workflows. Our team is adept at processing a variety of claims, including HCFA1500, UB-92, HCFA1450, and UB-40, among others.

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

Ensure a seamless claim lifecycle aligned with your customers’ unique needs. Our agents follow a standardized workflow to optimize first call resolution and Service Level Agreement (SLA) adherence.

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. Our claims workflow is structured around the Define, Measure, Analyze, Improve, and Control (DMAIC) framework to eliminate Non-Value-Add (NVA) steps and drive consistent throughput across all processing stages.

Our process is as follows -

Customer Filing a Request

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

The Claim Getting Registered

The client’s claim will be taken through a registration process embedded with Poka-Yoke mechanisms to prevent data entry errors. If preliminary assessment confirms eligibility, the claim is speedily processed.

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

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

Outbound Call Center Services

Outsource Telemarketing Services

Lead Generation Services

Customer Support Services

Technologies We Use

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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

We have built a reputation among globally leading enterprises with solid management experience and credentials. We use statistical root cause analysis to continuously identify and mitigate claim rejections and bottlenecks.

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

Accelerated processing cycle driven by cycle time baselining - from the time it is filed to the time it is settled. Our lean process optimization eliminates NVA steps, using which we have reduced cycle times by up to 32.2%.

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

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

A Berlin healthcare client partnered with Flatworld to handle inbound calls from patients and understand their medical needs. We restructured the support workflow using the DMAIC workflow framework and provided exceptional customer support with personalized assistance.

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.

Outsource Claims Processing Services to Flatworld Solutions

Flatworld Solutions is a reputed claims processing service provider with 20+ years of experience and 18000+ success stories. Anchored in the Lean Six Sigma best practices, our services are always delivered with consistent quality. With powerful solutions that act as a tailwind, most organizations thank our efforts to make them the best business in the customer's eye. We offer call center services that eliminate legwork and improve decision-making.