TPA Insurance and Corporate Credit Business
Key Challenges
The process was ineffective due to many manual steps and sub-activities that require human judgment.
Some of the key challenges were:
- The process was moderately complex and required checks and validation from multiple departments
- A time-intensive job with the expertise needed for execution depending on scenarios
- High individual dependence and various departments in presence contribute to delays in the process
- The possibility of human error was high in the processing
Our Solution
Our team took an RPA approach and design a solution that needs end-to-end process automation.
- Patients with insurance who undergo cashless care are extracted by a bot.
- A bot creates receivable ledger entries in SAP, which results in an automatic email to the appropriate TPA.
- If a payment is received, the bot adjusts the ledger record in SAP in accordance with business conventions after checking the mail and website for receivable payments.
- A bot prepares a payment file for the bank and sends the customer an email.
Automation Benefits
The deployed solution streamlines the operation and enhances the end-to-end TPA Insurance and Corporate Credit Business process. Here are some benefits after automation was visible.
- Ensure continuity of operation during influx transaction
- Keep a high customer satisfaction ratio
- Reduction of effort: 70 to 100%
- Staff were redeployed to perform valuable operations
- Financial and compliance risk minimized
- Reduce hospital backlogs
- Efficiency improved