Absence management through effective claim intake is a vital service for a wide variety of medium-to-large organizations around the country. These services can be performed in-house or outsourced to a professional dedicated call center, and serve to dramatically enhance efficiency and streamline operations. Learn more about how Absence Management can help you in some of our recent blogs:
Category: Absence Management
Popular Incident Reporting & Absence Management Blogs
Incident reporting, absence management, and the claim intake associated with these processes can prove challenging for most larger businesses. Are claims falling through the cracks? Could these lead to unnecessary legal action against your company? Is your organization losing valuable time as a result of a lacking absence management program? To learn how these solutions can improve your bottom line, check out these popular blogs:
Top Absence Management and Claims Management Blogs
Absence management greatly reduces corporate loss through improved communications and tracking systems. Implementing these systems through a highly trained outsourcing provider allows all parties involved to focus on what they do best. Claims management plays a crucial role in succeeding through absence management. Without a custom-tailored claim intake and management process, salient details are likely to slip through the cracks, defeating the purpose of the program. Learn more about how these solutions play crucial roles in major corporations throughout the world:
Day 1 Absence Management & Casual Absences
The key to effective and efficient absence management lies in responsiveness and adaptability. Tracking absences from day 1, segregating absence types, and managing various kinds of absences allows corporations to respond quickly to change and to avoid confusion. In this way, absence management is quite similar to FNOL. For more information on absence management, FNOL, and other related queries, contact us.
Claim Intake and Claims Management Best Practices
Incident reporting must be cost-effective to achieve long-term success in any organization. Cost-effective incident reporting and claims management is dependent upon capturing accurate information in a prompt and well-organized manner. When policyholders report a notice, greeting them professionally is important. Of equal importance, of course, is the professionalism exhibited on the other end of the process – data entry. Trained intake specialists must quickly and accurately ask the right questions and enter the appropriate information into the applicable form using a best practices workflow.
Only through years of first notice of loss (FNOL) experience can claim intake best practices be honed into a streamlined training program. Whether entering notices into a custom application, a standardized application, or your in-house claims management system, capturing the vital details quickly and effectively while maintaining a pleasant demeanor is paramount. Providing medical coding, duplicate checking, quality assurance reviews, and notice completion in addition to streamlined and skilled services keeps costs down and satisfaction up – where they belong.
Catastrophic Incident Reporting
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.
Popular FNOL and Absence Management Blogs
Here at Actec we’ve been blogging about the importance of FNOL and Absence Management Solutions for several years. Here are a few of our most popular recent blogs:
- Overflow and Call Center Closure Preparedness
- Absence Management and Your Business
- After-Hours Reporting and Claims Management
For more on these and other important topics, return to our blog soon!
Absence Management Case Study
When a Human Resources administration service company developed an in-house absence management system last summer, they wanted their current after-hours call center vendor to enter claims directly into the new application. The vendor refused to continue remote entry, offering instead to develop a custom intake solution – at the client’s expense – of their own.
The client came to Actec with two requirements: 1) that Actec use this application and 2) that we start in nine days! With an intensive week of training, manual preparation and connectivity and user setup, we opened our phone lines on target. Each of the accounts, primarily large, Fortune 500 companies, require special handling, from caller authorization to terminology, that is not provided on the intake system, so training and manual documentation was extremely critical.
The client provided on-site training during the week before the Saturday deadline. Actec prepared workstation manuals and developed backup intake forms to use during nightly system maintenance downtime, for subsequent reentry. The client plans to extend coverage to daytime overflow in the near future. Factors contributing to our success were: experience with a broad client base in the absence management, FMLA and disability arena, and organizational agility and flexibility.
Key Terms in FNOL & Absence Management
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.
Absence Management 2013: Terminology
When discussing absence management, it’s important to understand the many nuances relating to these initiatives. Let’s review some definitions which can apply to this growing field:
Disability Programs: Disability programs are narrower in scope than absence management and utilize processes to reduce the cost impact of disability, and provide methodologies to promote optimal recovery and return to work.
Health and Productivity Management: This can be defined as the integration of management, data, and services relating to all aspects of employee health that affect attendance and work performance, and is the broadest umbrella for such programs.
Behavioral Risk Integration: Many employers now utilize behavioral risk management as part of their absence management program to address underlying psychosocial issues that complicate claims or encourage absence. Behavioral health management is considered an integrated, interdisciplinary system of care that approaches individuals, families and communities as a whole and addresses the interactions between psychological, biological, sociocultural and environmental factors.
Workplace Wellness Programs: Workplace wellness can be defined as an organizational program designed to support improved health for all employees. It can include activities like health education, medical screenings, health fairs, weight management, health coaching, newsletters, on-site fitness centers and other wellness oriented educational programs.