Download PDF
Insurance Fraud Bureau Streamlines Document Handling with Nintex Platform
Technology Category
- Application Infrastructure & Middleware - Database Management & Storage
- Infrastructure as a Service (IaaS) - Cloud Computing
Applicable Industries
- Finance & Insurance
- Paper & Pulp
Use Cases
- Fraud Detection
- Security Claims Evaluation
The Challenge
The Insurance Fraud Bureau of Massachusetts (IFB) was grappling with a paper-intensive process for handling insurance fraud cases. The bureau investigates approximately 4,000 potential fraud cases annually, managing numerous documents related to these investigations. Eighty percent of these documents were paper-based, and 20 percent were electronic. The process involved bundling up paper documents and printing out electronic documents related to a case, resulting in boxes of documents. These boxes would not reach the assigned investigator until someone visited the regional office where the investigator worked, causing delays of up to a week. The manual, paper-based review process also posed a risk of lost documents and wasted time spent tracking down documents. The limited visibility of relevant documents for others on the investigation team also delayed processing. Furthermore, the bureau's decision to keep documents for three years instead of one year created additional storage challenges.
About The Customer
The Insurance Fraud Bureau of Massachusetts (IFB) is an investigative agency that operates on behalf of its insurance company clients. The bureau investigates approximately 4,000 potential fraud cases annually, managing a vast number of documents related to these investigations. The bureau was previously using a paper-intensive process for handling these cases, which was time-consuming, inefficient, and posed a risk of lost documents. The bureau's decision to extend the document retention period from one year to three years further exacerbated the challenge, as it did not have sufficient storage space for the additional paperwork.
The Solution
The bureau implemented an electronic process solution utilizing SharePoint 2013, KnowledgeLake Imaging for SharePoint, KnowledgeLake Capture, KnowledgeLake Connect, and Nintex Workflow 2013. The bureau now scans in paper documents related to cases so they're electronic, using KnowledgeLake Imaging for SharePoint and KnowledgeLake Capture. KnowledgeLake Imaging attaches metadata to documents during scanning for document search and retrieval, while KnowledgeLake Capture aids the actual scanning process with the bureau's multi-function machines. KnowledgeLake Connect allows employees to upload digital information, and Nintex Workflow 2013 provides a variety of review and approval options. Nintex workflows route the documents to the assigned investigator and notify team members when they can access them. The workflows also trigger actions and assign relevant tasks associated with the documents. With Nintex, all documents are put into a central online document library, tagged to the correct case, and routed accordingly.
Operational Impact
Quantitative Benefit
Related Case Studies.
Case Study
Wireless Improves Efficiency in Compressed Air Systems
Hollingsworth and Vose wanted to improve the efficiency of their compressed air system, lower the electricity expense component of manufacturing cost in their commodity industry, and conserve energy leading to lowered greenhouse gas emissions. Compressed air systems degrade over time and become leaky and inefficient. Hollingsworth and Vose wanted to increase the frequency of system inspections without paying the high cost of manual labor.
Case Study
Real-time In-vehicle Monitoring
The telematic solution provides this vital premium-adjusting information. The solution also helps detect and deter vehicle or trailer theft – as soon as a theft occurs, monitoring personnel can alert the appropriate authorities, providing an exact location.“With more and more insurance companies and major fleet operators interested in monitoring driver behaviour on the grounds of road safety, efficient logistics and costs, the market for this type of device and associated e-business services is growing rapidly within Italy and the rest of Europe,” says Franco.“The insurance companies are especially interested in the pay-per-use and pay-as-you-drive applications while other organisations employ the technology for road user charging.”“One million vehicles in Italy currently carry such devices and forecasts indicate that the European market will increase tenfold by 2014.However, for our technology to work effectively, we needed a highly reliable wireless data network to carry the information between the vehicles and monitoring stations.”
Case Study
Process Predictive Analysis in Pulp and Paper Mill
Common paper breaks consequently lead up to 60 minutes of downtime, delaying a potential $10K per hour of production value process. Thus, defective products cause financial and damage company's reputation. Improving quality and reducing defect rates can generate millions of dollars of revenue per year for your company.
Case Study
Safety First with Folksam
The competitiveness of the car insurance market is driving UBI growth as a means for insurance companies to differentiate their customer propositions as well as improving operational efficiency. An insurance model - usage-based insurance ("UBI") - offers possibilities for insurers to do more efficient market segmentation and accurate risk assessment and pricing. Insurers require an IoT solution for the purpose of data collection and performance analysis
Case Study
Smooth Transition to Energy Savings
The building was equipped with four end-of-life Trane water cooled chillers, located in the basement. Johnson Controls installed four York water cooled centrifugal chillers with unit mounted variable speed drives and a total installed cooling capacity of 6,8 MW. Each chiller has a capacity of 1,6 MW (variable to 1.9MW depending upon condenser water temperatures). Johnson Controls needed to design the equipment in such way that it would fit the dimensional constraints of the existing plant area and plant access route but also the specific performance requirements of the client. Morgan Stanley required the chiller plant to match the building load profile, turn down to match the low load requirement when needed and provide an improvement in the Energy Efficiency Ratio across the entire operating range. Other requirements were a reduction in the chiller noise level to improve the working environment in the plant room and a wide operating envelope coupled with intelligent controls to allow possible variation in both flow rate and temperature. The latter was needed to leverage increased capacity from a reduced number of machines during the different installation phases and allow future enhancement to a variable primary flow system.