Category: FNOL Technology

High Tech Claims Management and Incident Reporting

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September 15th, 2014

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In incident reporting and claims management, it’s critical to stay ahead of the game. This means leveraging all available methods of communication and organization to optimize the client experience. Data integration across all contact methods is crucial. This includes telephone, e-mail, fax, and web entry in order to ensure consolidated reporting and may be filtered by contact method. Individual notices should immediately transmit via automated e-mail or fax to any number of recipients, based on the location, type of report and other criteria.

Scheduled summary reports must also available, allowing regular electronic distribution of reports daily, weekly, monthly, or by custom period to multiple recipients based on level of management within your organization. VoIP solutions are invaluable in enhancing telephonic intake by quickly connecting intake specialists with policyholder account information. Call switch statistics must be available for management reporting by individual incoming number. With these tools, complete call statistics and all associated time tracking may be summarized and archived down to thirty-minute intervals.

To maintain quality standards, Actec trainers and supervisors monitor daily, listening to live calls and recordings in conjunction with remote observation of FNOL intake. We record all calls, which are stored as .wav files and readily accessible. Using RightFax, we are also able to log and distribute in- and out-bound faxes and e-mails for efficient and fully accountable document management. Thorough, advanced organization is key to achieving FNOL success via claims management and incident reporting.

First Notice of Loss for Commercial & Personal Lines

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August 19th, 2014

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Don’t Let Your Claims Look Like This – Enlist a Professional

Cost-effective Incident Reporting management is dependent upon capturing accurate information, the first time, whenever an incident occurs. When policyholders call to report a notice, they should be greeted on behalf of your organization by an Intake Specialist, trained to handle worker’s compensation, auto, property, general liability, short-term disability, and long-term disability claims. The Intake Specialist must then capture all relevant data with specialized software, using a best practices workflow. Direct entry of notices into your in-house claims management application via the Internet or secure connection should also be available, as well as Medical Coding, Duplicate Checking, Quality Assurance Reviews and Notice Completion.

FNOL Technology Supports Uninterrupted Operation

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June 6th, 2014

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When leveraging FNOL (first notice of loss) operations, it’s crucial to stay ahead technologically, harnessing all available venues to maximize the client experience. Data must be integrated across all contact methods, including telephonic, e-mail, fax, and direct web entry, for consolidated reporting and may be filtered by contact method if needed. Individual notices should immediately transmit via automated e-mail or fax to any number of recipients, based on the location, type of report and other criteria. Scheduled summary reports must also available, allowing regular electronic distribution of reports daily, weekly, monthly, or by custom period to multiple recipients based on level of management within your organization.

VoIP solutions are invaluable in enhancing telephonic intake by quickly connecting intake specialists with policyholder account information. Call switch statistics must be available for management reporting by individual incoming number. With these tools, complete call statistics and all associated time tracking may be summarized and archived down to thirty-minute intervals.

To maintain quality standards, Actec trainers and supervisors monitor daily, listening to live calls and recordings in conjunction with remote observation of FNOL intake. We record all calls, which are stored as .wav files and readily accessible. Using RightFax, we are also able to log and distribute in- and out-bound faxes and e-mails for efficient and fully accountable document management. Thorough, advanced organization is key to achieving FNOL success.

Catastrophe Reporting: Weathing the Storm

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May 12th, 2014

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How can your business handle FNOL call volume in the event of a catastrophic incident? Outsourcing all specific-incident calls or general overflow to claim intake professionals will dramatically reduce the likelihood of long wait times, missed claims, and other volume-related issues. High bandwidth technology including fiber optics, VoIP switching, and cloud storage allow for greatly increased call handling efficacy. Further, custom scripts that capture critical information and automatically transfer to a central database for access and reporting will mean that your business is never in the dark. These are a few of the many attributes crucial to expert catastrophic incident reporting. To learn more, contact us.

Catastrophic Incident Reporting

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February 26th, 2014

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Catastrophic incidents can overwhelm your in-house claim reporting center. Professional call centers can help. For example, our call center is equipped with multiple T-1 and T-3 lines and state-of-the-art VoIP switch technology to handle high volumes.  We design custom scripts to capture the information you need and implement them for call center intake, email/fax entry and/or Internet self-service immediately. These attributes are critical to proper catostrphic incident reporting. To learn more, contact us.

EDI Filing – A Vital Component of Claim Management

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February 12th, 2014

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Actec Systems is a leading provider of incident reporting and claim management services in the insurance industry. Having been in this field for many years, they have special expertise in handling workers’ compensation claim administration, short-term and long-term disability claims. The specialists pay special consideration to quick and accurate
capturing of complete information. It is vital that when an incident occurs, complete and critical details are collected. First Notice of Loss is the first report of a claim and forms an important part of your risk management program.

Whether it is commercial and personal lines claims, non-claim reports and inquiries or catastrophic events, Actec Systems is the best source for all of your risk management needs. The intake specialists are available 24/7, 365 days a year so that all vital details can be recorded in First Notice of Loss.  The incident notices are then distributed to other
specialists for a quick turn-around. With Actec Systems, you need not worry about the security of the information as their internet self-entry is completely secure. It is integrated with a back-end intake system to ensure there is no loss of functionality. EDI filing is also a part of their services. Claims are submitted via electronic data interchange for the purpose of submission, dissemination and data consolidation.

EDI filing is required to be done by every company and most of them find it difficult to complete the complications involved. With the increasing role of e-commerce, no business can afford to ignore the relevance of the internet in the success of their enterprise. The requirements of EDI filing are different for different states and without the help of professionals; it can be a time-consuming task. Also, missing or invalid data or delays in filing can cause you more fines and troubles. The specialists at Actec Systems
are committed to helping you with all of your EDI filing needs. They carefully review FROI, SROI and medical bill filings before submission to filing to avoid delays and time-consuming submissions. The best practices followed by Actec reduce the need for follow-up. For more details, please browse through www.actec.net.

Overflow and Call Center Closure Preparedness

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January 9th, 2014

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Since July 2004, Actec has provided all after-hours, overflow, holiday and unanticipated closure coverage for a large national insurance company. We currently have nearly 40 phone lines coming in for this client, for each of their claims offices, their primary care center and several large accounts with custom requirements. Calls range from 50 to 500 daily (primarily after-hours). When unexpected volume is directed to Actec, an additional several hundred calls can be offered during a 2-3 hour timeframe with short notice (if any). Our Intake Specialists enter claims real-time via Internet directly into the client’s claim system and take inquiry messages in our own application, which are automatically emailed to the appropriate recipients for prompt handling. This kind of preparedness is crucial in first notice of loss programs.

Key Terms in FNOL & Absence Management

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March 6th, 2013

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First notice of loss and absence management programs present a substantial opportunity for organizations to improve efficiency, decrease shrink, and increase the bottom line. The basic concepts of FNOL and absence management are simple enough, but it doesn’t take long to get bogged down in dense terminology and jargon. In this blog we’ll lay out some of the most important terms.

Incident Reporting – The process of transferring data from the initial instance of contact into a working claims document.

Workflow changes – Modifications to documentation and procedure based on new requirements set forth by legislation or corporate shifts in policy.

Intake Specialists – Personnel trained in first notice of loss and incident reporting procedures.

Claims Management – Processing incident reports to resolve necessary documentation, compensation, and other issues arising in the FNOL and absence management process.

Efficiently Manage Your Risks with Incident Reporting Services

Posted on

June 27th, 2012

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Actec Systems is a reputable name in the industry for providing efficient incident reporting services to clients. The intake specialists are experienced in handling calls and reporting all vital details at FNOL. The call center employs multiple T-1 and T-3 lines and the most advanced VoIP switch technology so not a single call gets missed. They conduct an in-depth analysis of your goals and design customized scripts to capture the details that you need and then offer your customers various reporting options such as e-mail, fax, internet and electronic file submission. They improve the quality and quantity of the data captured. The specialists at Actec Systems are experienced in designing and implementing highly intuitive workflow driven applications for your business.

The best feature of Actec Systems is that their solutions are customer driven. For effective incident reporting management, they employ the best practices for capturing complete information at the first time. The customized workflows ensure accuracy and reduction in call times. All data is accurately recorded in their proprietary system. The claims reports are then converted into actionable reports so you can start investigations, track activities and manage risks. The complete incident reports are sent to various recipients such as government agencies via EDI, mail, phone, e-mail or other format.

Incident reporting services help reduce the claims paid out, the handling expenses and administrative costs. The litigation costs as well as medical expenses also get reduced. Their clear and accurate details provide you a complete overview and you can easily identify risks and manage them. The benefits of incident reporting management include lowering call handle times and increasing the efficiency of customer services. With Actec services, you can gain a complete view of claims operations through real-time analytics. You will be in a position to conveniently resolve claims faster and gain higher customer satisfaction and loyalty. For more information about Actec Systems, please browse through www.actec.net.