Using Digital Technology to Streamline Workers’ Compensation Bill Review

November 30, 2018 Brent MacLean

Brent MacLean is the General Manager of Conduent's Workers’ Compensation Services business unit.

Today’s changing workforce is adding complexity to the U.S. workers’ compensation system. While workplace injury and illness claims frequency is down, the average medical cost per lost-time claim keeps rising. These realities are impacting employers’ direct costs, such as indemnity payments and insurance premiums, as well as their indirect costs, such as reduced productivity, lower-quality output, and increased administrative costs.

To effectively manage risk and control workers’ compensation costs, claims payers need innovative, technology-driven solutions to accurately adjudicate injured workers’ medical bills and accelerate the return-to-work process. The medical bill review process is critical to advancing both of those objectives.

As cost pressures rise, so are claims professionals’ workloads and stress levels. The urgency to improve execution while optimizing clinical and financial outcomes demands complete, continuous visibility into critical claims data. But achieving these two objectives has been difficult to attain in workers’ compensation because of the large number of touchpoints and constituents involved in processing or adjudicating claims. That’s why today’s employers need a streamlined, automated and browser-agnostic technology to streamline interactions and drive modern, efficient digital experiences.   

Conduent’s Strataware® Shield claims portal is one solution that satisfies all of these business needs and expectations. Building off Strataware’s established adjuster portal framework, this new addition to Strataware features a completely redesigned user interface with expanded functionality and customization features to significantly improve the claims professional’s experience.

This first of several releases planned throughout 2019 introduces enhanced bill management features, including:

  • A vibrant, customizable and user-specific interface designed to enable fewer clicks and less scrolling
  • Smart filters for easy identification of bills, claims, providers and more
  • Sensitive claim indicators with security configurations for controlling user access
  • Interactive dashboards displaying individual, group, and team performance metrics
  • The ability to temporarily re-assign bill approval responsibility to other team members for out-of-office coverage
  • Single sign-on portal access for ease of integration with existing claims workflows

With Shield, our clients get a higher level of service in a portal architecture that’s more efficient and allows for faster, more accurate bill review outcomes. Watch for announcements of follow-on releases that will introduce further enhancements to workflow and dashboards and bring new analytics capabilities to help claims teams do even more.

For more information on Strataware Shield and Conduent’s presence in the workers compensation industry, stop by booth 6328 in the Expo at the National Workers’ Compensation and Disability Conference & Expo Dec. 5-6 at Mandalay Bay, Las Vegas.

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