About us
Welcome to The Digital Agency
We are professional advocates for the best interest of claim processing conducting comprehensive inspections maximize the claim value with a detail assessment ensuring all potential compensations for our clients
Who Are We
Recovery money specialist for claim often call a claim recovery specialist investigating analysis review and analyze claims data and payment history to find discrepancies issues like overpayments or payment denials initiate the process to recover funds
Our Mission
To ensure timely and accurate ethical review processing and filing of claims fulfilling the company promise to policyholder this mission has three key dimensions serving the customer supporting the company financial goals and upholding legal and ethical standards
What we do
review and verify cross examination for filing and submitting claims to ensure accuracy and completion of paperwork as well determine if claims are valid and payable specializing in coding systems to maintain claim records and facilitate the timely resolution payment of claim for policyholder
Development process
These involved steps is the initial process we take with the accuracy of being proficient in settling claims
Technology like Ai and robotic process automation (RPA) two handle repetitive tasks in process a request for compensation digitizing and streamlining the workflow this method reduce manual effort and improves accuracy and speed up the entire claim lifecycle
- Technology like optical character and recognition (OCR) intelligence document processing (IDP) to automatically extract relevant information for claim forms and supporting documents
- verification cross reference claim information against existing policy records and historic data checking for accuracy validity and eligibility
- Adjudication bases predefine business rules and AI power logics
This procedures identify and correct errors and investing in ongoing training for accurate coding and process adherences
This document outlines a comprehensive strategy that encompasses standardization of formats effective migration strategies management practice implementations of reporting tools and ongoing reviews and updates
- Defining data fields establish consistence naming convention units of measurement and data types across all sources
- Develop standardized templates for data entry to minimize errors and discrepancies during data collection
- implementing guidelines to ensure that all data is capture uniformly facilitating easier integration analytics.
Systematic innovative approach tools and practice that streamline the workflow while ensuring precision adopting several key technological strategies to enhance efficiency signific Ily reduce manual errors and accelerate the overall process time with intelligent (AI) machine learning (ML) technologies revolutionize the way claim are assessed historic data pattern and machine learning algorithms
- scanned documents into editable and searchable format which simplifies the extraction of critical information from paper claim submission
- adopting cloud base solution allows greater accessibility and collaboration enables real time sharing and updating
- proficient productivity also contributes to more accurate processing this reduce the chance of miscommunication and error caused by outdated data
This tool not only enhance the productivity but also contribute to more accurate processing by regular training session can help our staff stay update ed on technological advancement ensuring they can leverage this tool to their fullest potential
Processing mapping automation tolls and standard operation procedures (SOPs) develop for each stage of the claim process this ensure that all team member follow gridlines leading to consistency and reliability in processing claims
- Regular staff training on new technology and equipped with the skills and knowledge this can enhance efficiency and confidence in their role
- Proformance metrics indicators (KPI) to monitor efficiency of the claim process
- Collaborative tools utilized platforms allow team member to communicate and share information seamlessly
Defining objectives data collections and integrations for relevant disparate data sources and claim policy history details from customer interactions and external platform use.
- Triage and prioritizations automatically access claim severity and complexity to route high-cost or complicated ones to experience adjuster for -fast track low- risk claims automation
- Decision making support provide adjuster with data-driven recommendation on appropriate amounts of settlements offers base on historical claim outcomes
- operational efficiency identify bottlenecks in the claim process. for repetitive task like documents verifications and optimize resource allocations
Why choose us
01.
Straight Through processing
Our advance system automates the intake verification and payment of simple claims from end-to-end leading to a x% faster resolution rate than the industry average.
02.
Reduced operational costs
By automating reparative manual tasks we reduced your labor expenses and minimize the potential for human error which directly improves your bottom lines.
03.
Transparent and real time
communication
Policyholders get 24/7 access via self-service portal to check the status uploading documents and receive notifications dramatically reducing inbound inquiry calls to your agent
Some Numbers
Satisfied Clients
Projects Completed
Accolades Earned
Lines of Code
Our satisfied clients that we have in the United States is a significant amount of accomplishment and speaks volume about our service of being transparent and speed of their experience
Projects that is completed focus on the presenting the 150 satisfied clients with a strong foundation for optimizing claims from those projects to identify trends or improve of current procedures