Today, various high-tech systems, such as GPS and online map services, help people navigate the physical world, taking the guesswork out of the task of getting from point A to point B.People can now go online, type in some address criteria and a map is generated instantly, detailing critical intersections, which way to go and when to turn. What the claims world needs is an analogous system-one that helps the claims adjuster navigate the complex terrain of business and regulatory requirements.
Claims adjusters spend a significant amount of their time researching and applying regulatory and compliance rules. To add to this, most of the rules and regulations governing the processing of a claim may be in disparate formats (print and electronic) or even in multiple locations (state or county Web sites). Once an adjuster finds the information, it is often written in a way that only a seasoned attorney can understand. Assuming the correct information is located, the claims professional then needs to apply the rules and regulations, identify exceptions and then process the claim.
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