The unresolved challenges in need of Advanced Case Management (ACM) solutions are typically characterized by one or more of the following business problems:

• The Costly, Unproductive Process: “Addressing and resolving cases requires information and data from multiple sources and systems, which is very effort-intensive for our staff to compile. Case resolution then requires collaboration among multiple individuals and groups.”
• The Error-Prone Process: “With so much information available, it is easy for some key pieces to be overlooked by our staff and difficult to put in the appropriate context and apply the appropriate business rules consistently, resulting in errors and omissions.”
• The Non-Compliant Process: “If our decisions are later challenged, it is extremely difficult to demonstrate what information was or wasn’t reviewed, what decision criteria were used, or whether a consistent business process was applied.”
• The Rigid, Difficult-to-Modify Process: “Much of our resource base is being applied to keeping up with new laws and regulations – not operational innovation – and our competition is introducing new products, new customers, and improved processes at a pace we can’t match.”
  

The IPD Solution
As a long-time partner of customers in health, life, disability, workers’ compensation, and most other forms of insurance, IPD has discovered that, while there are many different kinds of “cases” across industries and business processes, they share similar patterns and challenges to which ACM solutions are applicable. IPD has resolved multiple, seemingly unrelated types of business challenges with ACM capabilities as the common denominator.

ACM Solutions for Insurance, from IPD offers game-changing capabilities that promise to deliver on the previously unfulfilled vision of cross-technology process optimization – largely using existing, proven IBM software components that most insurers already possess.

Advanced Case Management (ACM) a 360-Degree View

Leveraging the newly released IBM Case Manager platform as their foundation, IPD’s transformational ACM Solutions for Insurance provides powerful case management capabilities without replacing your existing administration systems. IPD ACM solutions manage insurance cases of virtually all types (e.g., enrollments, underwriting, authorizations, claims, etc.) from inception to completion; bringing together, within each case file, all necessary:

• Information (content, data, analytics, audit trails)
• Optimized processes (insurance-specific workflows, events, rules automation)
• Human interactions (decisions, exceptions, collaboration)