The Challenge
- Manual claims processing was time-consuming and error-prone.
- High volume of claims created backlogs and delayed settlements.
- Customer dissatisfaction due to long turnaround times and lack of transparency.
Our Approach
- Process Mapping: Analysed existing workflows to identify automation opportunities.
- Bot Development: Built RPA bots to extract, validate, and process claims data across systems.
- System Integration: Integrated bots with legacy and modern platforms for seamless processing.
- Exception Handling: Set up workflows for handling claims that required human intervention.
- Change Enablement: Trained teams to work alongside bots and handle exception management.
The Solution: OJ StratTech implemented an RPA-driven claims processing framework that automatically ingested claim documents, validated data using business rules, and triggered settlements while flagging exceptions for human review. This accelerated turnaround while improving accuracy.
The Results
- Processing Time: Reduced claim processing time by 60%.
- Accuracy: Improved data accuracy by 40%, reducing rework.
- Customer Experience: 25% improvement in customer satisfaction scores.
- Scalability: Bots handled 3x more claims volume without additional staff.
Client Testimonial: "Thanks to OJ StratTech's automation expertise, our claims processing is faster, more accurate, and more customer-friendly. We've been able to reassign our teams to higher-value work while bots handle the grunt work flawlessly."