Employee Absence and Fraud Prevention Through Call Center Services

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November 18th, 2014

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Don’t let employee absences slow down your organization. As soon as an employee reports an absence, there are many steps to be taken. Automatic notification of all affected parties, activation of procedures to find a replacement, and beginning the intake process for absences related to short-term disability, long-term disability, or Family Medical Leave Act (FMLA) incidents are all crucial elements. Beyond this, Actec also records when the absence will begin and when the employee will return so you can plan accordingly, all without consuming your supervisors’ valuable time.

It’s equally critical 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. Proactively soliciting feedback from your employees not only reduces your liability, but it also increases retention and improves the working environment for all of your employees and keeps you 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.

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.

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.

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!

Zurich Receives High Marks

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May 13th, 2011

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Zurich was rated a close second in its category by risk managers, and 4th in class for claims handling. Actec handles all after-hours, weekend, holiday, and overflow calls for Zurich, and celebrates this triumph of efficiency and outsourcing FNOL in the insurance and risk management industries.

Claims Management, Organization, and Customization

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May 11th, 2011

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Claim intakeis not a one-size-fits-all service. Starting with an in-depth analysis of your goals and current process ensures development of a custom workflow that is right for you. It’s critical to use your business rules to ensure accuracy, minimize call times, and reduce follow-up calls.• Utilize a best practices workflow for a complete, logically organized report.
• Give customers a variety of reporting options like telephone, e-mail, fax, Internet, and even electronic file submission.
• Enter notices directly into your in-house claims management application, seamlessly launched from our contact tracking module, allowing for additional reporting, tracking, forms management, and dissemination capabilities.
• Respond quickly to critical incidents. Your customized plan specifies the data collected, format of reports, detailed recipient notification, and escalation procedures.
• Ensure correct routing of claims – even verify coverage upfront – with rules-driven policy and claim office assignment.
• Increase accuracy, consistency, and efficiency by providing policyholder, location, distribution, carrier, and employee demographic data to populate notices at intake.
• Customize list options with job titles, department codes, medical coding, PPO providers, and more.
• Send data in any file layout, at any frequency – we handle the rest to minimize your IT resource needs.

Three Articles on Understanding and Leveraging FNOL

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April 25th, 2011

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First Notice of Loss can be crucial to smooth business operation. Understanding the various aspects of FNOL and how to leverage it by different means (such as outsourcing) is crucial to maintaining visibility into company operational and organizational success. Here are three of our recent articles that explore the matter:

  1. What Is First Notice of Loss
  2. FNOL Execution in Inclement Conditions
  3. Outsourcing First Notice of Loss

Custom Reporting, Inquiries, and FNOL Outsourcing

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April 4th, 2011

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Not all incidents require a claim to be filed. Actec is a primary source for collecting and disseminating any type of critical information, including custom reports, such as sprinkler impairment notices, product recall reports, questionnaires and surveys. Actec also takes care of a variety of inquires and information requests including referrals to PPOs or other vendors or claim office contact information. Routing these high-volume, but low-yield, calls to a dedicated contact center greatly increases the efficiency of your claim management staff. Many different types of claim management, call reception, issue resolution, and resource management can be outsourced to a companies like Actec. And outsourcing claim management, first notice of loss (FNOL) or even just process reports and questionnaires can substantially increase profitability and decrease strain on a company’s central organizational structure.

Large-Scale Catastrophe Claims Management

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March 22nd, 2011

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Actec handled a large-scale catastrophic event for a multinational oil company. Total call volume was above 147,000 (in the first few days calls came on a general claims line until a dedicated 800 number was published) – over 60% received the first month, a daily average of more than 3000, peaking at over 8000. We captured more than 90,000 claim reports, 66% reported telephonically, the remaining 34% captured via a custom Internet report we developed and rolled out about eight hours after notification to proceed. We also participated in daily conference calls and supplied the client with detailed management reports four to five times daily, seven days a week, over a period of four months. Companies large and small require a resource that can organize and deploy adeptly in times of crisis. Don’t leave claim management to chance.

Top 3 Actec FNOL Blogs

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March 16th, 2011

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Our informational blog on first notice of loss has been running strong for a while now, so we figured it was a good time to check back on some of our most popular content. These are our top 3 blogs on FNOL issues and strategies:

  1. Actec Claim Management Operating in Inclement Conditions
  2. What Is Full-Cycle Claim and Incident Reporting?
  3. 7 Key Terms in the Field of First Notice of Loss

We hope that they provide insightful information, and look forward to producing more informative content about these highly relevant topics.