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EMPLOYERS Insurance Group: Grasping Claims Efficiency

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approved, the corresponding medical bill is automatically routed for payment, and re- priced bills are imported back into iVOS," says Carlson. "We established a total of fifteen interfaces, five of which are with medical bill review companies," says Carlson. "At first, it was a challenge to configure all of the interfaces, but now that they're established, transfer of data is successful." [ claims oversight & compliance ] "iVOS helps to improve our claims- handling performance," Ozuna says. "Reporting tools identify unprocessed payments or open claims with a lack of activity. Supervisors can easily review caseloads to identify and address exceptions." In workers' compensation, almost every process has a statutory timeline attached to it. If deadlines are not met, companies can be assessed penalties. "Previously, we reviewed retrospective compliance reports," says Ozuna. "Since the review identified potential issues 'after the fact,' we were more exposed to potential penalties. iVOS tracks statutory timelines and notifies supervisors as deadlines are approaching. In this way, supervisors can proactively ensure timely action, reducing our exposure to potential penalties. is meets the objectives of our original charter, which included improving compliance with regulatory requirements." "It is critical for a claims organization to keep up with changes to legislation, regulations and federal mandates," Ozuna notes. "iVOS offers continual updates. ere's peace of mind in knowing Aon eSolutions keeps pace with today's ever- evolving claims environment." "Since we're focused on small businesses, our customers are agile and fast-paced by nature. It's critical that we're transactionally efficient; iVOS helps us achieve this, which in addition to properly managing loss costs, is the best way we can service our customers," concludes Ozuna. Please contact Kari Bryant on + 1 925 242 6110 or email kari.bryant@aon.com for more information the majOrity Of Our mail – aPPrOximately 85 Percent – is unDer eight Pages, sO we're able tO autOmate DistributiOn Of thOse Packages, which has yielDeD tremenDOus efficiency gains.

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