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SITUATION
We were approached by a large global business ahead of their insurance arrangements being reviewed due to changing market conditions. The programme change meant they required one TPA to manage their claims portfolio across the globe.
SCENARIO
Our global TPA team were assembled to support the client to build out a seamless global process which included a single global data-set as well as a robust audit process to ensure quality is maintained across the globe.
OUTCOME
Since our appointment we have seen a reduction in average claims spend across the programme as well as identifying a number of key areas where risk improvements were required by our client. This included enhancing the process for new claim notifications to ensure an easy, quick and consistent format was implemented across all territories, providing significantly improved data to enable us to take a proactive approach on the claim from day 1. In addition, we identified a number of locations where insufficient claims documentation was received reducing our chances of defending the claim, increasing both cost and lifecycle of claim. This was addressed through an improved process, system & disciplines and assisted in reducing claims spend by 12% in year one.
