QA is a critical resource for your company. Spend more time in the most critical tasks - completing reviews and using results. Smart QA services allow you to leverage our expertise to:
Build review forms
Create and maintain reports
Assign and track reviews
Upload your claim data into our flexible database.
Choose and schedule the services that maximize your efficiency.
Create efficient forms using Observer's simple, intuitive interface.
Pre-fill claims data with your uploaded claim data
Show questions only when Calculate scores & variance
Embed reference guides
ClaimsOptions uploads your data for you. No technical discussions about data needed. Use this data to drive the content of your review forms and assign the right claims quickly.
Flexible & quickly adaptable to your data
Pre-fill Smart Forms with your critical claim data
Drive Smart Form workflows that show relevant questions for each claim
ClaimsOptions uses claim data-driven searches to find and assign the claims that have to be reviewed each month.
Build searches that are general or very specific to find the right files to review. Save and reuse.
Assign in bulk across multiple reviewers
Tag reviews with "Events" that group reviews by audit projects, targeted reviews, etc.
Receive regular reports on QA review volume
Focus on Insight & Improvement
Smart Reports – We put our expertise in compiling data and building reports at your disposal to create reports to your specifications. ClaimsOptions runs and delivers these reports monthly. Reporting options include
Results by process area
Individual adjusters and teams
One-click downloads of data to conduct in depth analysis