BACKGROUND CHALLENGES / OBJECTIVES SNAPSHOT HCL develops an Integrated Claims Management system for the State Board of Wor...
RESULTS / BENEFITS THE SOLUTION <ul><li>HCL designed and developed a web based, Integrated Claims Management Solution [ICM...
Hello, I’m from HCL!  We work behind the scenes, helping our customers to shift paradigms and start revolutions. We use di...
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Hcl develops an integrated claims management system for the state board of workers’ compensation, state of georgia

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Hcl develops an integrated claims management system for the state board of workers’ compensation, state of georgia

  1. 3. BACKGROUND CHALLENGES / OBJECTIVES SNAPSHOT HCL develops an Integrated Claims Management system for the State Board of Workers’ Compensation (SBWC), State of Georgia <ul><li>The SBWC serves over a quarter of a million employers in Georgia and over 3.8 million workers.  It is funded by assessments from insurance companies and self-insured employers </li></ul><ul><li>It approached HCL to develop a web-based Integrated Claims Management System which would automate all the associated processes with claims management, alternative dispute resolution, trials, appeals, settlements, rehabilitation, managed care, licensure and quality assurance </li></ul><ul><li>Implement a stable, fully integrated solution capable of supporting SBWC’s mission well into the 21st century </li></ul><ul><li>Train SBWC’s employees in the use of this solution </li></ul><ul><li>Provide ongoing support to SBWC once the solution is deployed </li></ul><ul><li>Vertical: Public Services </li></ul><ul><li>Micro-vertical: Government </li></ul><ul><li>Service Areas: Application / Solution Development & Maintenance </li></ul><ul><li>Technologies: Kofax Capture Backup Solution, VeriSign SSL 128 bit, Data Junction, FileNet Software Lic, Data Cap Software, Unibar – Bar Code Generator, Oracle 9i 4 CPU Enterprise License </li></ul><ul><li>IPs / Frameworks: iGOVERN™ - Workers’ Compensation </li></ul>
  2. 4. RESULTS / BENEFITS THE SOLUTION <ul><li>HCL designed and developed a web based, Integrated Claims Management Solution [ICMS] to discharge the statutory responsibilities of the SBWC for the State of Georgia, which automated all the associated processes with claims management, alternative dispute resolution, trials, appeals, settlements, rehabilitation, managed care, licensure and quality assurance. </li></ul><ul><li>The project plan was based on an iterative approach using HCL Standard Software practices (HSSP) and the Rational Unified Process methodology. HCL believed that by using iterative development, software could be integrated early in each iteration instead of at the end of the project. Also, frequent integration dramatically reduced risk by exposing it early in the project lifecycle. Each iteration allowed meaningful feedback from SBWC and other agency users to witness the execution of a given iteration. </li></ul><ul><li>HCL utilized FileNet’s Panagon suite of software products (content management, workflow management), customizing them to the specific requirements of SBWC. This powerful COTS software is an industry leader in reliability and functionality, and is a proven performer in the workers’ compensation arena. </li></ul><ul><li>Specific Modules implemented: Claims Processing, Data Processing, Quality Assurance, Alternative Dispute Resolution (Mediations), Trial (Administrative Hearings), Appeals, Settlements, Rehabilitation, Managed Care, Licensure, Enforcement, Human Resources, Fiscal, Training, Information Technology </li></ul><ul><li>Improved workflow and routing of cases within the business </li></ul><ul><li>Improved customer service with additional service channels for more timely responses. Introduced new and enhanced services such as Internet renewals </li></ul><ul><li>Increased accuracy by decreasing the number of errors through stricter system controls and standards – this has led to more accurate documents </li></ul><ul><li>Decreased turnaround time and reduced backlogs - implementation of a new system resulted in streamlined processes and the elimination of many manual operations resulting in an increase in the amount of work the Division is capable of processing in the same period of time </li></ul><ul><li>Customers have convenient and timely access to required information - able to quickly locate and retrieve documents </li></ul><ul><li>More accurate data - the system is capable of generating ad-hoc reports providing readily available business data that is used to make management decisions </li></ul>
  3. 5. Hello, I’m from HCL! We work behind the scenes, helping our customers to shift paradigms and start revolutions. We use digital engineering to build superhuman capabilities. We make sure that the rate of progress far exceeds the price. And right now, 80,000 of us bright sparks are busy developing solutions for 500 customers in 31 countries across the world. How can I help you? www.hcltech.com

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