Outsource Claims Processing Services

Building Speed and Efficiency into Your Process

ExpertCallers has extensive knowledge and expertise in handling end-to-end offshore claims processing services. We leverage this knowledge to help you build operational efficiency, reduce costs and deliver the ultimate customer satisfaction.

Your customer is looking for easy claim handling process, accurate claim settlement, and quick resolution time. While, meeting these is a challenge, meeting them at reduced costs, is a bigger need and challenge. With experienced domain experts, global delivery centers, and established processes, we boost your claims processing efficiency to meet customer expectations minus the costs involved. This arms you with the differentiation you need to stand out from the rest.

We train our agents to get a proper understanding of every claims program needs, empower them to process claims assertively, coach them to meet quality requirements, and guide them to coordinate at every level. So, when you bank on us you bank on the best to support your processing requirements.

Claims Processing Service – How We Do It

Our well-rounded claims processing process includes the following steps:

  • Receive Claims
  • Eligibility Check
  • Check for Duplicate Claims
  • Benefit Determination Application
  • Verify Provider Details
  • Review Coding, Bundling & Diagnosis
  • Rules-based Edits
  • Claims Settlement
  • Claims Presentment

As an Expert Claims Processing Company, We Can Handle Diverse Types of Claims

When companies outsource claims processing services to us, the can bank on us to handle diverse types of claims, including:

  • General insurance claims
  • Auto insurance claims
  • Travel insurance claims
  • Home insurance claims
  • Liability insurance claims
  • Healthcare/critical illness insurance claims
  • Property insurance claims and many more
Quality of Customer Service Determines the
Efficiency of Claims Processing

The different types of outsourced claims processing services that we provide include:


  • Life Insurance Claim Processing
  • Auto Insurance Claim Processing
  • Health Insurance Claim Processing
  • General Insurance Claim Processing
  • New Business Acquitting
  • Claim Processing
  • Provider Excess Reinsurance
  • Specific Express Reinsurance
  • Insurance Claim Setup
  • Claim Document Imaging
  • Disbursement
  • Insurance Claim Eligibility and Estimation
  • Full Claim Adjudication
  • Claim Support and Auditing
  • Account Settlement
  • Modernization of Legacy Applications

Our Offshore Claims Processing Services Encompass


  • Resolution of claims deficiencies
  • Verification of claims substantiations
  • Carrying out failproof claims review and resolution
  • Managing claim-related correspondence
  • Converting documentation into a searchable database
  • Preparation of affidavits and recommendations for distribution
  • Creation of case-customized claim forms and claims-processing requirements
  • Providing comprehensive reporting
  • Calculating and reporting payment amounts
offshore claims processing services

We are Different; Here's Why

Quality Through Efficiency

Customers want quality and we strive to provide it through operational efficiency. We have made our process efficient by banking on: centralization to reduce touchpoints, systems enhancements to streamline workflow, and data analytics to take informed decisions. Unlike other claims processing companies, we treat efficiency as an evolving process and keep ourselves busy in discovering better ways to meet quality levels.

Unbeatable Open-To-Closing Claim Ratio

A great open-to-closing claim ratio reflects on the efficiency of your business, and the capability of our processes. Our claims processing call centers have adopted the best techniques – automated systems for chosen areas, understanding of deep internal codes, fraud control technology – to minimize claims submission errors. So, we outdo our competitors in providing the best open-to-closing claim ratio.

Control Over Changed Market Conditions

If your business is prepared to deal with sudden and unanticipated changes, you get a head start in changed market conditions. Our claims processing services is flexible enough to adapt to important business shifts and help you respond appropriately to the changed conditions. This foster continued customer relationships and sustained strong performance.

Outsource Claims Processing services

Key Features That Sets Us Apart from Standard Claims Processing Companies

Accurate eligibility checks
  • Check patient eligibility with multiple payers from one site
  • View complete benefit profiles for patients
Systematic error-checking
  • Automatic error-checking to catch mistakes before submission
  • Notification of errors, including instructions for correcting
Customized Reporting and Analytics
  • Instant and ongoing reports throughout the reimbursement cycle
  • Built-in analytics views to track payments, denials, and delays

Easy claim
tracking
  • Check claim status online, in real-time
  • Access easy-to-read
    summaries

Training and support
  • In-person and recorded training sessions for you and your staff
  • Dedicated consultant during the paperwork and implementation process
  • Ongoing support for the life of your account

Here’s How Companies That Have Benefited by Outsourcing Claims Processing Services to ExpertCallers

  • We helped a dental service provider reduce operational costs from 20 to 40 percent
  • We transformed key processes for a health insurer to boost customer satisfaction
  • We helped a leading insurance company increase customer retention and acquisition
  • We freed up managers of a claims processing company to focus on claims operations performance improvements


300+ Claims
Processing Agents
500
Claims Processed per Day
117.5 Claims
Processed Per Hour

Why Outsource Claims Processing Services to ExpertCallers?

When you outsource claims processing services to us, you derive the following benefits:

  • Claims processing cycle time cut short by 40%
  • Increase clean-claim rate by 97%
  • Automated routine tasks for enhanced productivity
  • Specialized services and expertise across a range of areas
  • Enhanced data capture and reporting
  • Reduced reconciliation activity for stakeholders
  • Claims standardization; prompt claim inspection within 48 hours and first report availability within 72 hours
  • Proficiency on multiple claims and bill review platforms
  • Stringent SLA (Service-Level Agreement) compliance measures
  • Timely post-inspection report updates
  • Knowledgeable resources
  • Lower administrative overheads
  • Detect duplicate claims
  • Hike adjudication rates
  • Quality output at reduced costs

When you outsource claims processing services to ExpertCallers, you will partner with a claims processing company that is focused on providing the most effective and reliable claims processing services using scripted call management system with back-end delivery and enterprise-level reporting systems.

Contact us today and discover the advantage to outsourcing claims processing services to ExpertCallers.

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