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Volume : I, Issue : VII, August - 2011

A Study on Straight Through Processing In Medical Insurance Operations with special focus on Claims Processing and Settlements

Prof CM Maran,Prof B Ravikumar

Published By : Laxmi Book Publication

Abstract :

The insurance services industry is currently under pressure from a number of directions. Regulation and other government initiatives; product commoditisation; increased competition; and a rapidly changing distribution landscape are all eroding profit margins. At the same time, consumerism and the media; more powerful distributors; and today's retail experience have all combined to raise customer expectations. Success - or even survival - will require companies to significantly reduce their cost base, while delivering higher standards of service to both customers and distributors. The new business model must thus radically streamline operations, through techniques like Straight through Processing (STP) and intelligent automation, which provide immediate responses while reducing the cost per transaction. The winners will do this in a 'customer friendly' way that delivers a consistent customer experience at all touch points, building improved service into the fabric of the organisation - but with much lower operating costs. Flexible and designed to scale with your business, STP-i can deliver the required operational efficiencies, whilst providing a platform to support industry leading service levels.

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    Cite This Article :

    Prof CM Maran,Prof B Ravikumar, (2011). A Study on Straight Through Processing In Medical Insurance Operations with special focus on Claims Processing and Settlements. Indian Streams Research Journal, Vol. I, Issue. VII, http://oldisrj.lbp.world/UploadedData/385.pdf

    References :

    1. Article named “Stream lining Policy Administration” published in www.sap.com
    2. www.focus.heailh.in
    3. www.hdfcmediclaim.in
    4. HealthServices@Tata-AIG.com
    5. www.sap.com/industries/insurance./streamliningpolicy
    6. www.cgi.com
    7. “Accelerated claims processing with greater accuracy for less money” an article published in www.emc.com/captiva
    8. www.jdidata.com
    9. www.starhealth.in

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