Elevating Efficiency in Australian Medical Insurance: Autom8’s Role in Transforming Claims Processing

Autom8 specializes in Robotic Process Automation (RPA), Service Robots, and Business AI solutions, which are revolutionizing business operations through advanced automation. With a profound grasp of RPA’s potential, Autom8 empowers businesses to prioritize strategic initiatives, enhance customer experiences, and optimize efficiency. Their industry-specific solutions, supported by skilled professionals, drive quantifiable outcomes. Rooted in a commitment to innovation, Autom8 maintains a leading position in automation and AI, enabling clients to unlock workforce potential and attain a competitive advantage.

Zero-touch claim lodgment is a prominent feature. To exemplify, consider the role of a client, an Australian Medical Insurance claims bot. In the past, when customers submitted claims online, manual intervention was necessary to locate pertinent information, cross-reference it with internal systems, validate policy details, and forward the claim to case management. Post-automation, the core process remains unchanged: customers submit claims online. Instead of human intervention, bots now take over, performing initial evaluations based on predefined criteria. If a bot is equipped to handle the claim, it emulates human actions by accessing various systems, aggregating data, and dispatching it to case management.

For complex cases beyond the bot’s capabilities, the bot promptly notifies human staff for manual intervention. In essence, this summarizes the bot’s role in processing insurance claims. Bots operate in a binary manner, executing tasks flawlessly when configured accurately. For the Australian medical insurance, barring human interference, the entire claim process is completed by the bot. Between January and July 2023, the insurer’s claims bot managed around 10,000 claims.

Autom8 asserts that bot errors only stem from human errors during bot programming. When instructions are accurately transcribed and bots are configured correctly, errors are eliminated. Bots only seek human assistance when uncertain about a task. Autom8 emphasizes the symbiotic relationship between robots and humans, where robots supplement rather than replace human roles.

Previously, concerns existed about robots displacing human jobs before automation’s practicality became evident. However, as demonstrated in medical insurance RPA implementation, the goal is to complement human labor, not supplant it.

Autom8 reports a surge in adoption rates over the past few years. While initially adopted by major global insurance companies, smaller underwriters are now embracing the technology, recognizing RPA’s transformative potential in streamlining processes and enhancing customer interactions.

RPA eliminates time-consuming tasks, allowing employees to concentrate on value-added activities like direct customer interactions. This includes tasks such as data entry, which is error-prone for humans but seamless for bots. Furthermore, RPA’s benefits extend beyond efficiency to comprehensive documentation, facilitating data-driven insights for process improvement.

Autom8 believes that with RPA in place, businesses can analyse process logs and derive insights to address issues at their source. This data-driven approach enables businesses to identify trends, anomalies, and opportunities for optimization.