Category: Outsourced Call Center

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.

After-Hours Reporting and Claims Management

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February 5th, 2014

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Actec specializes in after-hours claims intake and management. Processing claims in an accurate and timely manner is crucial to effective FNOL. Achieving this requires an internal department trained in such practices, or seamless integration of an outsourced call center. Though there are many such solutions, the integration and customization of outsourcing is imperative in reaching the desired outcome. Actec’s many years of experience and highly skilled personnel serve to enhance the efficiency of a business while minimizing risk. To learn more, ask us.

Outsourcing First Notice of Loss Solutions

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March 20th, 2013

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First notice of loss presents an area of great opportunities for many medium and large-scale businesses to improve their bottom line. Decreasing risk and shrink while increasing quality of life for employees is a trade-off where everyone wins. But if it sounds too good to be true, that’s because it can be deceptively complex. Understanding the necessary protocols, staffing a facility with trained professionals, and following up on issues around the clock demands a skill set that most companies lack. For precisely this reason, the practice of outsourcing FNOL solutions is both a logical choice and a sound investment. Leveraging purpose-built professional call centers to field first notice of loss claim intake and handling allows businesses of many sizes to become more agile and adaptable.

Efficiently Manage Your Risks with Incident Reporting Services

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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.

After hours, Overflow and Call Center Closure coverage for FNOL

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December 7th, 2011

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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.

Hurricane Irene reminds us, do you have a back up plan?

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August 31st, 2011

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Many of Actec’s FNOL (First Notice of Loss) customers had their call centers temporarily shut down due to the recent Hurricane that ran up the east coast.  Most of these customers outsource to Actec for after hours coverage in addition to overflow.  During the storm calls were automatically flipped to Actec for handling.  Monday alone we handled an addition 20% over our normal daily volume.  Actec can set up disaster recovery programs for you so that your customers will receive the same great customer service they always receive.

Contact Paul Neleman at Actec systems for information on our FNOL services.  pneleman@actec.net

FRED system creates efficiencies in FNOL

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August 24th, 2011

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Recently Actec unveiled FRED version 1 in our contact center.  The Fred system was designed to allow for the following enhancements to our contact center specialists:

  • Improved client customization
  • Reduction of paper
  • Enhancement of best practices

By administering help content and other recources with an integrated maintenance tool, FRED refines claims management and organization.  This creates a frendlier and cost-efficient caller experience.

Fraud Prevention and Absence Management Via Outsourced Call Centers

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June 6th, 2011

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Unmanaged employee absences can grind an organization to a halt. As soon as an employee reports an absence, many steps must be taken. Automatic notification of all affected parties, activation of replacement procedures, and the intake process for absences related to short-term disability, long-term disability, or Family Medical Leave Act (FMLA) incidents are all pivotal in unfettered operation. Beyond these necessary and basic requirements, Actec also records the intended beginning and completion of the absence so you can plan accordingly, all without consuming your supervisors’ valuable time. Another equally critical component is to stay connected with feedback from your employees regarding fraud, theft, sexual harassment, ethical concerns, equipment breakdowns, and safety matters to eliminate potential problems before they evolve into serious liability issues and lawsuits. Soliciting such feedback from your employees not only reduces your liability, but it also increases retention and improves the working environment for all of your employees as it makes them better appreciate the important role they play in the communication cycle. It also keeps organizations in compliance with the Sarbanes-Oxley Act of 2002, which mandates that companies provide a way for employees to submit anonymous reports about financial irregularities without fear of retaliation. Going without an expert outsourced call center can have a devastating long-term impact on a company’s future. Without FNOL, organization and loss mitigation technologies, things fall through the cracks.

Top 3 FNOL Blogs

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May 25th, 2011

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We’ve been blogging for a while now here at Actec, and we thought it was time to share with you a few of our most popular blogs on first notice of loss, outsourcing, claims management, and other related issues.

For other insights on FNOL, outsourcing, claims handling, overflow, and other resource management, visit our website or check back soon here on our blog!