4iSoft, a leading insurance centric IT services company has launched a specialized tool addressing audit functions for a pet insurance company.
Online PR News – 20-November-2013 – Delhi – CAT automates the claims audit process from end-to-end – from pulling audit samples directly from the claims administration database, intelligently assigning the samples to auditors, calculating audit scores based on table driven algorithms, disseminating results to concerned personnel through interactive, user-friendly views, and finally managing a multi-level appeals process.
In addition to maintaining historic, drill-down screen views of audits based on administrative security settings, CAT has a strong reporting feature too. This includes a library of standard reports coupled with an adhoc reporting capability - providing actionable insights on various aspects of the audit and the claims management functions, including objective scores to evaluate accuracy, detection of recurring error patterns, and identification of gaps in training, all geared to make the claims process more efficient and effective.
Brijesh Kumar, CEO, 4iSoft said at the launch, “CAT is designed to make the audit process more efficient, objective, and accountable”. Nora Kenner, Vice President, Product Management further added, “CAT provides timely feed back to all levels within the claims management department. Objective scoring and error identification help root out patterns, reveal areas for improvement, and target areas for training. And for the auditors, it cuts down on administrative tasks, letting them spend time on what they do best – audit!”
CAT is built with .NET technology and supports Web Services to integrate easily with claims management and workflow applications. Its robust architecture enables quick deployment and scalability.
4iSoft has filled a long-felt void in the claims audit function for pet insurance companies.