Class Action Claim Processing

Have Aspects of Claim Processing Become Too Labor Intensive? Looking for ways to scale on demand without personnel or capital investment?

Some of the most challenging aspects of Class Action Case Administration are the labor management of claim processing, and the quality controls required to ensure timely, accurate, and cost effective handling. Mismanaged claim processing can result in missed deadlines, expense overruns, and unhappy clients and class members.

MetaSource’s Claims Assurance Program provides Class Action Administrators immediate relief with solutions that are easy to implement, are technology and process rich, and built to support cases of all sizes.

Our Claims Assurance Program combines 30 years of operating best practices with very secure (SAS 70 Type II and PCI Level 1 certified) domestic and offshore processing resources, which provides Administrators with large scale, complex and flexible production resources and capacity on demand. Gone are labor arbitrage requirements, capital investment for technology that becomes obsolete upon installation, as well as lease and facility expansion requirements.

The MetaSource Claim Processing suite of services provides Class Action Administrators with the following solutions:

Our solutions include any or all of the following services required in Class Action Claim Processing:

Forms Design – the design of the claim forms has a significant impact on the cost and quality of processing a claim. Paper specifications, form layout, form style, instructions and colors all have an effect on processing efficiencies.

Mailroom – secure pickup, transportation, opening, review and preparation of claim forms. Complete and auditable controls from the time a claim is received through the disbursement of benefits is critical.

Scanning – high speed image capture of claim forms. MetaSource uses the latest scanning technology that includes multi-feed detection, de-skew feature, image registration and volume reconciliation.

Paper Claim Processing – the most critical part of claim processing is the timely and accurate capture of claimant data. MetaSource uses extensive edits, validation tables, verification and quality controls to ensure complete and accurate data capture.

Electronic Claim Importing – the importing of electronic claims into the workflow and validation of the data. MetaSource is able to import electronic claims, validate the data that is submitted and integrate with the controls and procedures of the case program.

Exception Processing – with both paper and electronic claim submission there are those that require additional information and follow up. MetaSource identifies these transactions as part of the claim processing function to first validate the data that was provided and then move those claims that require special handling into the appropriate queues for exception processing.

Claim Archival and Retrieval – secure electronic archive and fast retrieval of paper and electronic claims. MetaSource has a state-of-the-art image archive and retrieval system for the secure and compliant storage of both electronic and paper based claims.

Call Center – an efficient, easy to use call center component is a key aspect to the efficient administration of a Class Action case. MetaSource’s state-of-the-art call center system and software provides a full array of IVR and live operator support.

Our Claim Processing team collaborates with each client to customize a solution that meets the needs of each case. This process focuses on each element from a cost, quality, and process efficiency perspective. We provide our services in a secure, SAS 70 Type II and PCI Level 1 environment allowing clients to focus on case administration, not back office management and technology functions.

Key features and benefits of this robust program include:

  • High-accuracy data capture and claims handling results in improved data quality, on-time delivery and cost containment.
  • Flexible service offering provides a perfect solution for every Class Action Administrator and their clients;
    • fully outsourced services,
    • discrete project work, and
    • collaborative processing solutions.
  • Improved turnaround time accelerate deliverables from days to hours.
  • Claim capture and processing expertise results in minimal vendor training and ramp up time.
  • Standardized and customized applications facilitate solutions built to Class Action Administrators’ demand and requirements.
  • Load balancing and extensive capacity eliminates backlogs and billing delays.
  • High-level of security through strict adherence to SAS 70 and PCI standards ensures the protection of privacy of claimant information.
  • Transaction pricing – you pay for what you process without capital or labor investment requirements