Nintex Case Studies LTCG Streamlines Claims Processing with Nintex’s Full-Cycle Automation

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	LTCG Streamlines Claims Processing with Nintex’s Full-Cycle Automation Nintex

LTCG Streamlines Claims Processing with Nintex’s Full-Cycle Automation

Nintex

Applicable Industries	Finance & Insurance Life Sciences
Use Cases	Leasing Finance Automation Material Handling Automation
Services	Cloud Planning, Design & Implementation Services
Challenge	Long Term Care Group (LTCG), a leading provider of business process outsourcing for the insurance industry, was facing a significant challenge in managing its day-to-day operations. A large proportion of LTCG’s work was based on handwritten documents such as notes and faxes, which required labor-intensive, manual efforts to process. These tasks were not only repetitive and time-consuming but also prone to human error. Furthermore, LTCG uses a proprietary software solution to interface with corporate insurance clients, adding an extra layer of complexity to the situation. Compatibility with this solution was a key prerequisite for LTCG when adopting new technologies. The company was in dire need of a solution that was straightforward to implement, very reliable, and easy to scale up at a later date. Read More
About Customer	Long Term Care Group (LTCG) is a leading provider of business process outsourcing for the insurance industry. The company manages complex long-term care portfolios to maximize financial performance. LTCG has more than 1.4 million long-term care policies currently under its management, representing nearly 20% of all active policies. The company serves over 50 national carriers, including every one of the top 10 insurers in the long-term care market. Based in the United States, LTCG is a significant player in the Health & Life Sciences industry. Read More
Solution	LTCG turned to Nintex’s full-cycle automation suite powered by AWS cloud to streamline their insurance billing and claims processing procedures. The company opted to use Nintex’s unique process discovery tool, part of the Nintex full-cycle automation suite, to identify further processes to automate in the insurance applications, billing/administration, and claims processing domains. The Full-Cycle Automation Suite is platform and application agnostic, meaning that it would have no trouble integrating seamlessly with LTCG’s existing proprietary software. In under two weeks, 83 unique processes were discovered and seven of these were rapidly automated. As a result, LTCG realized an improvement of up to 70% proficiency in claims processing, with human error practically eliminated. Read More Log in to view content
Contents

Applicable Industries

Finance & Insurance

Life Sciences

Use Cases

Leasing Finance Automation

Material Handling Automation

Services

Cloud Planning, Design & Implementation Services

Challenge

Long Term Care Group (LTCG), a leading provider of business process outsourcing for the insurance industry, was facing a significant challenge in managing its day-to-day operations. A large proportion of LTCG’s work was based on handwritten documents such as notes and faxes, which required labor-intensive, manual efforts to process. These tasks were not only repetitive and time-consuming but also prone to human error. Furthermore, LTCG uses a proprietary software solution to interface with corporate insurance clients, adding an extra layer of complexity to the situation. Compatibility with this solution was a key prerequisite for LTCG when adopting new technologies. The company was in dire need of a solution that was straightforward to implement, very reliable, and easy to scale up at a later date.

About Customer

Long Term Care Group (LTCG) is a leading provider of business process outsourcing for the insurance industry. The company manages complex long-term care portfolios to maximize financial performance. LTCG has more than 1.4 million long-term care policies currently under its management, representing nearly 20% of all active policies. The company serves over 50 national carriers, including every one of the top 10 insurers in the long-term care market. Based in the United States, LTCG is a significant player in the Health & Life Sciences industry.

Solution

LTCG turned to Nintex’s full-cycle automation suite powered by AWS cloud to streamline their insurance billing and claims processing procedures. The company opted to use Nintex’s unique process discovery tool, part of the Nintex full-cycle automation suite, to identify further processes to automate in the insurance applications, billing/administration, and claims processing domains. The Full-Cycle Automation Suite is platform and application agnostic, meaning that it would have no trouble integrating seamlessly with LTCG’s existing proprietary software. In under two weeks, 83 unique processes were discovered and seven of these were rapidly automated. As a result, LTCG realized an improvement of up to 70% proficiency in claims processing, with human error practically eliminated.

Impact #1	The implementation of Nintex’s full-cycle automation suite has brought about significant operational improvements for LTCG. The automation of claims processing has virtually eliminated human errors, leading to less time and money wasted on finding and correcting mistakes. This has also resulted in happier and more satisfied employees. Furthermore, agents are now able to focus more on providing an exceptional customer experience, leading to increased upselling opportunities and increased revenues per customer. The company has also seen an improvement in process proficiency of up to 70 percent, with processes now executed effortlessly and flawlessly with the highest degree of accuracy, speed, and delivery.

Impact #1

The implementation of Nintex’s full-cycle automation suite has brought about significant operational improvements for LTCG. The automation of claims processing has virtually eliminated human errors, leading to less time and money wasted on finding and correcting mistakes. This has also resulted in happier and more satisfied employees. Furthermore, agents are now able to focus more on providing an exceptional customer experience, leading to increased upselling opportunities and increased revenues per customer. The company has also seen an improvement in process proficiency of up to 70 percent, with processes now executed effortlessly and flawlessly with the highest degree of accuracy, speed, and delivery.

Benefit #1	$300,000 total cost savings per year
Benefit #2	Human error practically eliminated
Benefit #3	83 unique processes discovered within two weeks

Benefit #1

$300,000 total cost savings per year

Benefit #2

Human error practically eliminated

Benefit #3

83 unique processes discovered within two weeks

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Overview

LTCG Streamlines Claims Processing with Nintex’s Full-Cycle Automation

Operational Impact

Quantitative Benefit