• Exela Technologies BPA, LLC Announces Strategic Partnership with Michael PageRead more
  • Exela Technologies BPA, LLC. Announces Intention to Delist its Securities from Nasdaq and to Deregister its Securities under the Securities Exchange ActRead more
  • Exela Technologies BPA, LLC Recognized as a Strong Performer in Industry-Leading Task-Centric Automation Software ReportRead more

Two Huge Ways Intelligent Lockers Streamline Delivery & Operational Logistics for Enterprises

Two Huge Ways Intelligent Lockers Streamline Delivery & Operational Logistics for Enterprises
Default Image
Peter Bohjalian
Hashtag(s)

When it comes to package logistics and delivery, the ‘last mile’ is a metaphor used to describe the movement of goods from a centralized fulfillment center to their final destination.  Last-mile delivery is what happens after a package is dropped at reception, yet still needs to make it to the employee who ordered it. Or, when a package is delivered to a university mail center, yet still must be handed off to the student who ordered it.

Further complicating the last-mile delivery issue is that as eCommerce becomes more ubiquitous, the amounts of packages people receive at their universities, offices, or homes will continue to grow substantially. This has overwhelmed traditional last mile delivery strategies, where a shipping company like UPS delivers packages to a central location like a mailroom or the front desk. Enterprises, universities, and in many cases, logistics companies themselves are beginning to explore drastically different approaches to this last mile of package delivery.

While a variety of approaches are being tested, one of the most effective and straightforward so far has proven to be the implementation of intelligent lockers. Intelligent lockers, also sometimes referred to as intelligent parcel or mail lockers, are a scalable, customizable electronic locker systems that give both your on-site workers and office visitors alike an on-demand, secure space of their own which can be assigned daily as-needed based on requests for storage. As mobile workers without a permanent workplace become more prominent, another benefit of intelligent lockers emerges – they provide a storage option for mobile office workers and visitors.

Intelligent lockers not only cut through last-mile package delivery logistics – but they also simplify other emerging office management trends, like that of the mobile worker.

Here are two huge ways implementing intelligent lockers can streamline operations and logistics for enterprises:

1. Streamlines Last Mile Logistics Substantially

There is a myriad of ways that implementing intelligent lockers in your corporate or university setting streamlines last-mile package delivery logistics. They preemptively and substantially reduce the amount of labor and time that is needed to deliver packages. When a recipient’s package is securely stored for them in a locker, they can pick it up with an emailed or texted code, at their leisure. Mailroom associates don’t need to chase down your employees who are on the receiving end of inbound communications, and undelivered packages don’t compile in a single, centralized area.

With intelligent lockers, there’s no need for a signature, because only the package recipient has the current code to the locker that contains their package. This helps to keep the chain of custody controlled. Once it’s claimed, the locker resets with a new code, and the process can begin again. Beyond that, the convenient way employees or students can now claim packages means you’ll likely see a decrease in the volume of calls to, or complaints about your mail center, meaning intelligent lockers can improve your customer satisfaction. Intelligent lockers can be custom-finished to reflect your enterprise or university branding, and many even come with expiration date capabilities – meaning if a package goes unclaimed it may be removed from the locker and handled appropriately by mailroom personnel.

As package delivery rates rise by as much as 25-100% per day, traditional delivery strategies become obsolete. But with elegant, straightforward delivery strategies such as intelligent lockers, mail center managers are far from powerless in terms of managing these new inbound mail and package trends.

They’re useful for outbound packages as well. Placed near a business entrance or at reception, they can act as a secure storage center for packages waiting to be picked up on the outbound side by a parcel delivery service. Simply pass along the password to the postal worker as needed.

The usefulness of intelligent lockers is not strictly contained within the area of package delivery. As the number of mobile workers increases, and modern, flexible office management trends like hoteling gain steam – a whole host of alternative uses for intelligent lockers emerges.

2. Intelligent Lockers Aid in Modern Office Management/Hoteling

Constant connectivity has fundamentally changed the nature of how we work. On any given workday at large corporations, nearly 50% of dedicated work stations could be empty. The rise of the mobile workforce is great for business in many ways, but it also means that enterprises must adapt to meet the evolving demands of mobile employees and important guests coming and going.

As businesses seek to accommodate this growing mobile work force, they are turning to a trend called hoteling. A trend that’s emerged as a response to this growing mobile workforce, hoteling is reducing office-related costs by eliminating assigned workspaces for mobile workers and providing them with unassigned workspaces. However, when in the office, these workers need a secure space to store their belongings. Enter, intelligent lockers.

Whether it’s on-the-go mobile workers that need a secure place to store their belongings, or a set of employees without assigned desks that still need a way to receive inbound communications – intelligent lockers can help alleviate these pain points.

With intelligent lockers, everyone in your office – whether that is an employee from another site in for the day, or an overworked mail center struggling to track down employees who do not have an assigned workspace – can have a safe, easily accessible place to store their belongings, or pick up their mail, while easing the strain on your mail center personnel at the same time. You can even permanently assign intelligent lockers for frequent, high profile visitors. But no matter how you approach it, intelligent lockers are a logical, effective response to several difficult-to-adapt-to workplace trends – namely, increasing package volumes, and more mobile workers.

Due to increasing package volumes, and the proliferation of the mobile worker – enterprises and universities alike are dealing with various office and communications management issues that they have not had to confront before. But as solutions like intelligent lockers emerge, it’s becoming increasingly clear that stakeholders will have the tools they need to address these evolving trends.

Ways the Legal Industry Can Use Digital Mailroom

Ways the Legal Industry Can Use Digital Mailroom
Default Image
Lauren Cahn
Hashtag(s)

What is digital mail?

Digital mail (or “D-Mail”) refers to a web-based, end-to-end workflow solution that electronically manages your organization’s intake and distribution of inbound mail. Using state-of-the-art technology that enables intelligent data extraction, indexing, and electronic delivery, a digital mailroom automatically routes paper mail to the proper recipient—but without the need for paper or an actual mailroom. Want to know exactly how D-Mail works? Join us as we follow a piece of incoming paper mail through the D-Mail process here.

D-Mail has the power to benefit virtually ANY organization

Digitizing you’re your organization’s mail intake and distribution system is an important first step in the direction of a more sustainable, paper-free office. That’s a really important goal, and one Exela takes seriously. But it’s just one of many reasons D-Mail is such a game-changer, which also include:

Strategic re-allocation of human capital- Adopting a digital mailroom allows you to vastly reduce the number of person-hours you’re allocating to the opening, sorting, and in-office delivering of mail. This allows for new and improved re-allocations of human resources for increased productivity and improved efficiency, and perhaps even happier employees. This applies not only to mail personnel but to all personnel because, honestly, who doesn’t waste a whole bunch of time every single day dealing with incoming mail?

Reduction of human error -Digital mail reduces, if not eliminates, human error involved in sorting and distributing inbound mail. No more mis-deliveries. No more unattended piles of paper. No more unnecessary copies made for the wrong people.

Automatic electronic audit trail of all mail activity -D-mail translates into an electronic audit trail of all mail activity (volume of delivery, delivery time, trends, etc.) for better insight and analytics, especially if you apply such solutions as Cognitive Automation to identify trends, patterns, risk profiles, and produce accurate predictions at the touch of a button.

Automatic notifications and reminders -That envelope sitting on your desk isn’t going to remind you, itself, that you need to open it and deal with the contents. But D-Mail will, pinging you to remind you that you have mail that needs to opened and mail-related tasks that need to be dealt with.

Paper documents have a natural entry into automated workflows -Paper isn’t particularly useful when it comes to automated workflows. When you get your mail via D-Mail, your invoices get routed to your finance department’s payment processes. Your claims get routed to claims processing. Your customer inquiries get pulled into your marketing channels

D-Mail possesses super-powers for the legal industry

D-Mail is especially beneficial in the practice of law, particularly in law firms. In addition to the benefits that would be applicable to any organization, these are all specifically applicable to law firms:

- Automatic digitization of content that will likely be used in document drafting.

- The ability for larger law firms with employees scattered throughout multiple offices to share incoming information across locations. Just think: a single source of truth about a particular client or matter…

- Entry of incoming mail and information into legal industry-specific automated work flows (here are four you definitely want to know about). Need help envisioning how to get that going? Look no further than Why the O in LPO Should Stand for Optimization.

- Improve response time to client questions about their matters (and every lawyer knows just how important that really is).

Learn more about Digital Mailroom and discover what else Exela can do to optimize your legal business (spoiler alert: it’s not always just about the technology). Contact us today!

What is "Big Data"?

What is "Big Data"?
Default Image
Lauren Cahn
Hashtag(s)

“Every day, we create 2.5 quintillion bytes of data – so much, that 90% of data in the world today has been created in the last two years alone.” -- Computer Business Review

Information is the lifeblood of any business. Just as blood alone can’t support the body without a system for delivering it and its components to where it’s needed, all information generated or received by a business requires some level of processing to be useful. On a small scale, processing might involve an individual reviewing an email and forwarding it to a colleague with relevant data highlighted before filing it where it can be easily found for future reference. On a large scale, processing might involve tracking credit card transactions in real-time to identify opportunities for cross-selling and up-selling.

The term “Big Data” has evolved to refer to information generated or received by a business that challenges traditional processing tools because of its volume, velocity, or variety. However, because all information requires some degree of processing to be useful, and because data is getting “bigger” every day, adopting solutions for managing information assets has become a business imperative. Organizations that do so are better positioned to reap the economic benefits of the digital revolution. Even so, as of just two years ago, cross-industry studies were indicating less than half of structured data is actively used in making decisions, and less than 1% of unstructured data is analyzed, let alone used at all.

Stay tuned for more on the topic of Big Data management (also known as Enterprise Information Management, or “EIM”) and related matters, including our upcoming blog about Information Governance. In the meantime, here’s a look at Exela’s solutions for aggregating data from disparate sources and how we can turn even the most voluminous data sets into an organized, searchable source for generating actionable insights.

*Source for infographic: Harvard Business Review

What is the Cloud and Who Is Responsible for Guarding It?

What is the Cloud and Who Is Responsible for Guarding It?
Default Image
Lauren Cahn
Hashtag(s)

It’s been estimated that by 2020, at least 92% of all business will be conducted via the cloud.[1] Most of us have at least a vague understanding of the cloud as a ubiquitous, location-agnostic storage space for data and systems. What the cloud actually is, however, is far simpler. It’s the Internet, albeit “partitioned” into systems and data accessible solely by those with the proper credentials. Thus, when we talk about “cloud security,” we’re talking about methods for restricting access to particular data and systems stored on the Internet. Despite the cost savings and agility inherent in cloud computing, nearly two-thirds of organizations see security as a significant challenge for cloud adoption.

In late July of 2019, cloud security became a trending topic among experts and laymen alike when a major bank announced a hacker had accessed the personal data of more than 100 million bank customers and credit card applicants which had been stored in the cloud. Although the cloud had been hosted by a third party provider and couldn’t have happened without an inherent vulnerability at the cloud-host level, the FBI concluded the proximate cause of the breach was bank error (specifically, misconfiguration of a firewall). Cloud security made headlines again in late August when a cybersecurity software firm disclosed a cloud security incident impacting customer data going back to 2017.[2] The precise vulnerability exploited by the hacker has not yet been revealed, but whatever that turns out to be, it’s likely “blame” will be apportioned based on a “shared responsibility” model.

Under the shared responsibility model, which has been adopted by most cloud providers, the cloud host has responsibility for ensuring security “of” the cloud, while the cloud customer has responsibility for ensuring security “in” the cloud.[3]To put it another way, the host is responsible for securing the cloud, itself, while the customer is responsible for securing the assets is stores in the cloud. You’d be forgiven for thinking this allocation of responsibility seems a bit “cloudy,” because, it is. Indeed, it’s only growing more so with the proliferation of attack vectors and the introduction of new types of cloud computing and new methods for securing the cloud. It may well be that a better approach to cloud security is as a collaboration between host and customer, defining rules regarding who is responsible for what and responsibility and establishing workable feedback channels for adjusting those rules as the customer and its computing needs change.

You can learn more about Exela’s approach to security here and in our current issue of PluggedIN, A Leap Into the Breach: Leveraging Cybersecurity to Master Your Domain.

[1] https://www.tripwire.com/state-of-security/security-data-protection/cloud/cloud-vs-premises-security/

[2] https://www.imperva.com/blog/ceoblog/

[3] https://securityboulevard.com/2019/05/cloud-security-a-shared-responsibility-shared-security-model/

What is Corporate Sustainability?

What is Corporate Sustainability?
Default Image
Lauren Cahn
Hashtag(s)

“Sustainability” means preserving the planet for future generations. “Corporate Sustainability” refers to the creation of long-term stakeholder value without compromising the future of our planet. To what degree a particular enterprise is engaged in corporate sustainability is reflected in:

  • The business in which the enterprise is engaged (e.g., manufacturing versus services)
  • How the enterprise operates its business (e.g., to what degree are the enterprise’s business practices consistent with environmental sustainability?)
  • How the enterprise supports and promotes sustainability among its workforce (e.g., to what degree does the enterprise engage its workforce in supporting and promoting a sustainable workplace?)
  • The degree to which the enterprise shares the global weight of responsibility for sustainability (e.g., is the enterprise involved in philanthropy that supports sustainability?)

Ultimately, corporate sustainability requires striking the appropriate balance between maximizing earnings, on the one hand, and minimizing environmental impact, on the other. Thus, corporate sustainability will look different among industries and among businesses within industries.

Exela’s approach to corporate sustainability is “organic” to our mission

Exela’s approach to corporate sustainability stems organically from our mission, which is to accelerate the business transformation of our customers using innovative strategies that create the most value using the least resources. In other words, corporate sustainability at Exela begins with the services and solutions we provide to our 4,000+ customers, which are comprised of businesses of every size, in every industry, all across the globe.

Here are just a few examples of how Exela’s services and solutions can help reduce paper use in the name of preserving our planet’s forests.

In addition, Exela has made efforts to create efficient workspaces and engender in our employees a sense of personal responsibility with regard to the environment. We have also chosen to throw our support behind philanthropic initiatives that directly support the planet’s future.

Please stay tuned for updates on Exela’s 2020 Corporate Sustainability campaign, including our I’m Accountable program, which we know is going to be a success because #TeamExela has proven to be admirably community-minded.

What is Information Governance?

What is Information Governance?
Default Image
Lauren Cahn

As part of our continuing education program for our employees, Exela offers enterprise-wide biweekly seminars on topics of current interest that pertain to our business. Lately, the focus has been on all things related to how we can help businesses tap into the inherent (and often, untapped) value of their enterprise data. Most recently, the focus was on “Information Governance,” which is crucial to any business’s plan to manage their enterprise information. This particular seminar featured a roundtable discussion featuring four of Exela’s leaders in information governance:

  • Saleem Ahmed, Vice President Business Strategy (SME)
  • Peter Caporal, Vice President Portfolio Management
  • Matt Crumrine, Vice President Business Development
  • Michael Marinelli, Client Engagement Director

The discussion, facilitated by Salar Salahshoor, our Director of Product Marketing, was fascinating, and employees have been talking about it ever since. Because the discussion touched on proprietary information and strategy, we can’t share the video or transcript. But because information governance is such an important topic—and seemingly so misunderstood—we felt it would be a disservice not to share what we can. We hope you find it as illuminating as we did:

What is information governance?

The term “information governance” refers to an enterprise’s overarching policy for handling all information in any form that is received from any source or generated by the enterprise, with the end game being the optimization of that information (i.e. maximizing value while mitigating risk associated with the information).

But hasn’t information governance always been part of the business landscape?

Information governance begins with the age-old truism that information is the lifeblood of any business. That’s as true today as it ever was. However, in the past, copying important documents for members of one’s working group and maintaining paper files in cardboard boxes for the length of time required by applicable laws, rules, and regulations could pass as an adequate form of “information governance.” Thanks to the digital revolution, information is now generated and received in mind-boggling volume, at mind-boggling speed, and in disparate forms. Not all information rises to the level of “Big Data,” but the volume and velocity at which information is generated and received in the current landscape, as well as the speed at which business is now conducted, demands a disciplined enterprise-level approach to managing the value, utility, risks, and requirements posed by the data deluge.

What’s at stake?

An estimated 30% of enterprises would be forced to shut down within weeks of a catastrophic event that destroyed their paper records (e.g., fire, flood, earthquake), according to Exela’s Vice President of Global Strategy (SME), Saleem Ahmed. But the loss of any single document creates an estimated 25 hours of additional work in recreating the information contained therein, and even in the most mundane day-to-day operations, a typical employee spends as many as 400 hours per year to search for documents. Again, this isn’t exactly news to most C-Suite executives. In fact, more than half of all enterprises have identified “information governance” as the largest anticipated area of enterprise spending going forward, according Exela's Vice President of Strategy & Business Development, Matt Crumrine.

Seems simple enough; what’s the part that’s misunderstood?

As the digital world invents and reinvents itself on an ongoing basis, new buzzwords emerge, and old buzzwords develop new meanings. Information governance has emerged as a buzzword alongside “information management,” which is used somewhat interchangeably with “enterprise information management” (EIM), Enterprise Content Management (ECM), and Master Data Management” (MDM).

Both information governance and information management are concerned with the entire life cycle of information. However, “information governance” is a concept distinct from “information management.” We’ll be discussing information management in upcoming blogs. For now, our Enterprise Content Management Solutions, our Master Data Management Solutions, and our Big Data Analytics Solutions can provide a preview of what information management can do for your business.

The difference between “information governance” and “information management”

Whereas information governance addresses an enterprise’s overarching policies and strategies with regard to information, information management addresses how those policies and strategies are carried out within the enterprise. If information is the lifeblood of your business, then information management is your business’s circulatory system, while information governance is your business’s backbone. If you need help getting started on designing and implementing an information governance plan for your enterprise, Exela can help. Schedule a consultation today.

Why the “O” in “LPO” Should Stand for “Optimization”

Why the “O” in “LPO” Should Stand for “Optimization”
Default Image
Lauren Cahn
Hashtag(s)

With so many promising ways for the legal industry to utilize business process automation to streamline the practice of law, it might be surprising to learn that only 2 in 10 legal departments (and even fewer law firms) are engaged in digital transformation initiatives. But that statistic doesn’t necessarily tell the whole story; what may be missing from the picture is “LPO.”

“LPO,” which stands for “legal process outsourcing,” refers to the transferring by law firms and legal departments of some portion of their support services to external vendors, both onsite and offsite, in an effort to focus more on their core business: providing legal services. While some might associate “outsourcing” more with “staffing” than with digital transformation, what we’ve found is that in practice, LPO can be a logical starting point for members of the legal industry in moving toward digital transformation. In fact, many of Exela’s legal industry customers have embraced LPO with great success.

For example, in the first year of Exela’s management of onsite support services for a global law firm, the firm saved 15% in equipment, 10% in labor, and 27% through our custom-designed Managed Print Services alone. In another unmitigated success, Exela’s LPO services netted a large multi-branch national law firm:

  • $430,000 in annual savings and cost avoidance,
  • 35% decrease in staffing demands over an 18-month period, and
  • A reduction of leased floor space as a result of consolidation of print and copy processes.

Now, here’s where the notion of “LPO” begins undergoing its own transformation—from “legal process outsourcing” to what we at Exela call, “legal process optimization.” The second law firm customer referenced above ended up saving a full $1.75 million in three years, as a result—not of staffing changes, but of technology and process improvements —such improvements being made possible by the customer’s adoption of legal process outsourcing as a starting point.

This particular customer’s journey from legal process outsourcing to legal process optimization began with a paring down of the firm’s existing network of satellite-based print-and-copy centers—24 at the firm’s corporate headquarters alone—into a single, centrally-located holistic document solution center. Initially, our centralized document processing solution increased production capacity and reduced delivery times (and in so doing, dramatically improved not only their employee experience but the experience of their clients). Over time, however, this solution evolved to handle far more than just print and copy work. Among other things, it paved the way for the adoption of an advanced eDiscovery system and other litigation support solutions.

Another way our customers have stepped gradually into their digital transformation initiatives is by starting with Exela’s more traditional mailroom operation support and transitioning to automating various aspects of the mail process and, ultimately, large-scale digitizing of the “mailroom” (which we put in quotes because one of the many benefits of Exela’s Digital Mailroom is the promise of repurposing the “room” currently used to process mail). Digitizing incoming mail makes a logical first step toward document digitization, which, in turn, is just a hop-skip-and-a-jump away from enterprise information management, which, itself, is responsible for a great many digital transformation successes.

Of course, Digital Mailroom is, itself, only one piece of our Smart Office suite of solutions, which are used in multiple industries to streamline the workplace. These include Digital Lobby, Digital Concierge, and Digital Lockers, among others. For a more detailed look at how law firms (and others) are optimizing their businesses via digital transformation, don’t miss the 7 Ways Tech is Transforming Law Firms.

Wondering about your own business’s level of readiness to move forward along the digital path? Here are 8 factors we recommend taking into account.

Why You Need to Know LexiCode

Why You Need to Know LexiCode
Default Image
#Coding #MeetTheTeam
Hashtag(s)

In a slightly different twist on our #MeetTheTeam posts, today we’re presenting LexiCode, an Exela Technologies brand providing innovative Health Information Management (HIM) solutions to improve coding quality, minimize compliance risk, and drive reimbursement for our customers. Before joining the Exela Technologies family of brands, LexiCode already had more than three decades of experience enhancing coding operations in all healthcare provider environments. Under Exela’s brand umbrella, LexiCode has the additional leverage of Exela’s innovative solutions and global footprint to rapidly launch new services and optimize existing services.

“Sweets for the suite”

In late September, LexiCode made quite an impact on the AHIMA 2019 Conference in Chicago. AHIMA (American Health Information Management Association) is a leading resource for HIM education and accreditation, professional credentialing, policy-making and issue advocacy. Its annual conference is known as the “premier health data and information event for education and networking” and is always a great place for HIM professionals to learn about the latest trends in the healthcare information space. This year, LexiCode hosted a colorful and delicious “Sweet Solutions” booth—a pop-up “sweet-shoppe” filled with candy and other sweets that turned out to be the place to gather for satisfyingly edifying chat on all things “coding”—earning LexiCode many accolades, including this year’s 2019 Loyalty Appreciation Award.

Why coding requires “critical care”

Success in the healthcare space hinges on comprehensive and accurate coding. Unfortunately, the challenges to effective coding are many, including staffing shortages, inadequate training, and human error. Coding issues cost healthcare providers millions of dollars annually.

LexiCode resuscitates healthcare coding

LexiCode provides coding services and staffing to meet the challenges healthcare coding presents. To ensure that your facility is coding accurately, LexiCode can assist with in-depth analysis and modeling to determine risks and accuracy in coding as well as help your team implement corrective actions. Thousands of providers turn to LexiCode to ensure revenue accountability, coding accuracy, and a proactive approach to staffing. LexiCode’s solutions can be structured as temporary, long-term, or as-needed and address all records types and payment methodologies.

Got questions about LexiCode? Reach out today! Curious about how LexiCode has proven to be a game-changer in the healthcare space? Look no further than the results this hospital enjoyed as a result of partnering with LexiCode.

Why Today (Not Tomorrow) is the Time to Plan for Disaster

Why Today (Not Tomorrow) is the Time to Plan for Disaster
Why Today (Not Tomorrow) is the Time to Plan for Disaster
The Exela Team
Hashtag(s)

The past few years have been full of unexpected events making waves across every industry and in nearly every corner of the world. From hurricanes to power outages to global pandemics, it seems that disaster preparedness has never been as important as it is right now.

Exela’s latest edition of PluggedIN: “Recent Disasters Put Business Continuity Back in Focus” covers the increasing impact - and price tags - of natural disasters, as well as the changing nature of threats for which businesses must be prepared.

As a global technology and business process optimization solutions provider, Exela considers business continuity planning a core component of our work. We take a proactive approach rather than a reactive one, not waiting until after a disaster to deal with recovery but instead building flexibility and redundancy into our business solutions. We think other companies can learn from our example.

Find out more about the evolving shape and scope of disasters, technology that helps to mitigate risk, and more specifics about how Exela approaches business continuity planning in the most recent edition of PluggedIN. ;

The full issue of PluggedIN is available for download now at https://www.exelatech.com/pluggedin.

What are Third Party Administrators?

What are Third Party Administrators?
Default Image
Matt Tarpey
Hashtag(s)

Consumers typically only ever see a small portion of the overall economy. A great deal of the exchanges of products and services aren’t between businesses and consumers, but rather between two businesses. Many companies contract with another business - or third party - to help handle specific tasks or processes, allowing them to focus more of their time and resources on core competencies.

While much of this business-to-business economy is made up of simple transactions, some services offered are much more involved, particularly in heavily regulated industries like insurance and healthcare. In many states, tasks like insurance claims processing must be handled by a Third-Party Administrator (TPA), like Exela Enterprise Solutions, Inc. But what exactly is a TPA?

Administrative functions are some of the most commonly outsourced, and the entities doing the work are referred to as “third-party administrators.” In the case of health insurance providers, everything from premium billing and customer enrollment to benefits management may be handled this way. However, claims administration makes up the majority of health insurance work handled by TPAs.

Insurance Claims Processing and TPAs

Thanks to the complex and often shifting regulatory landscape insurance companies have to deal with, the claims processing methods insurance companies typically use can be costly and labor-intensive. In many cases, existing workflows need a complete technology-driven overhaul. TPAs are able to provide the support and specific expertise needed to keep the claims management process running smoothly.

Organizations that set up their own health plans, rather than purchase one through an insurance company, also often outsource certain administrative responsibilities to TPAs. These companies likely have even less direct experience with the health insurance industry, and may work closely with a TPA to set up and manage the program.

As with any large-scale service provider, a quality TPA may be looked at almost as a natural extension of the in-house claims department.

Why partner with a TPA?

Partnering with an experienced TPA is an excellent option for self-insured companies or health insurance providers that need to scale up their claims administration capabilities, want to avoid the overhead costs of developing in-house solutions, and want to ensure accuracy and efficiency. In many states, third parties must be legally licensed to handle certain types of administrative work for other companies, a process that helps ensure quality service and security of your business’s assets and property.

Cost Savings

The most direct benefit and biggest reason health insurance companies seek out the services of TPAs is to save money. A good TPA partnership provides increased cash flow, reduced overhead, and more strategic allocation of resources, leading to greater overall efficiency. TPAs can also bring unique tools and processes to the table which prevent “certain-to-be-denied” claims from getting into the system, speeding up turnaround times and eliminating the need for time-consuming and costly back-and-forths with providers.

Information and Insights

There are very few industries - if any - that are more tightly regulated than healthcare. That means transparency and clear audit trails to ensure everything is operating properly. Great TPAs not only help health insurance companies maintain compliance, but they also provide actionable insights into relative costs, claims history, and useful metrics that can help improve productivity and return on investment. This kind of information enables better strategic decision-making and ongoing improvements.

Experience and Expertise

Becoming a licensed TPA has different requirements from state to state, but a central concern regardless of location is capability. That’s why health insurance companies across the country turn to TPAs to take advantage of their extensive experience and specific knowledge when it comes to regulations, account management, and claims adjudication. With these aspects of the business securely in the hands of an expert TPA, the healthcare company’s employees have more time to focus on their core competencies - such as providing exceptional service.

As a licensed TPA offering a comprehensive claims processing platform developed based on decades of direct experience and designed to streamline processes and identify opportunities for greater efficiency, Exela can deliver greater efficiency, reduce pended claims by 30%, and help generate 24% fewer clinical edit exceptions.

TPA licensing cement Exela’s position as a leading insurance industry partner, providing services across the value chain, including benefits administration, claims administration, billing services, accounting support, and reconciliation, through our PCH Global technology framework. Find out more about how PCH can simplify your firm’s critical processes.