The COVID-19 pandemic has impacted businesses large and small throughout the country, upending lives and economies in the process.
One critical issue facing the workers’ compensation industry is how a national health emergency of this scale will affect claims processing systems that are inadequately prepared for the deluge of claims that will be coming from the pandemic.
“Insurers have a tremendous incentive to contest the coming claims,” said Karen Houck, Director of Medical Bill Review and Corporate Compliance at Acrometis. “COVID-19 surprised everyone. These risks were not taken into account when they wrote premiums. Contesting inappropriate claims and refusing duplicate bills will require thousands of manual labor hours on top of current workloads and will likely cost insurers millions of dollars paying bad claims. The best solution is automation.”
At Acrometis, our tailor-made CLAIMExpert program quickly and accurately processes workers’ compensation claims to allow human teams to focus on mission critical functions and prevent overload. CLAIMExpert’s custom rule-setting also allows users to determine how to address duplicate and inappropriate claims with little or no manual handling.
To learn more about CLAIMExpert, click here.
Acrometis is a leader in automated workers’ compensation claims processing platforms, founded with the simple yet powerful mission of reducing the cost of risk for our clients. Our family of rules-based, expert claims processing platforms allows for meaningful changes to an organization’s workflow that in turn leads to maximized cost savings, efficiency gains and productivity growth over the lifecycle of a claim.