INTER Krankenversicherung: Using a System to Automate Long-Term Care Services

The Challenge

Insurers have to establish efficient processes to remain competitive. In order to cope with the very high manual effort, INTER health insurance was looking for a powerful system to support the billing of care services. The new system had to be connected to numerous peripheral systems such as Partner, Exkasso and Bestand. This is only possible with a mature interface concept.

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The Solution

The introduction of the standard software in|sure Health Claims in the service management of the long-term care insurance made it possible to significantly increase the efficiency of work processes. Existing invoice data from incoming items are taken over by the system and the refund is calculated according to the tariff model. The design and testing effort was low because in|sure Health Claims has already implemented the complex industry-standard pool tariffs of the long-term care insurance in its standard version.

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The Outcome

With in|sure Health Claims, INTER health insurance is now able to handle day-to-day processes in long-term care insurance and to manage the resulting work with existing employees. Administrators are provided with automated support in the calculation and reimbursement of care benefits. Recurring payments and the commissioning and processing of care reports are fully automated within the new system.

There had already been a need for change for a long time, especially in the area of long-term care insurance. Over the first year, the benefits of the new system became increasingly visible. After one year, we now have a balanced work situation. And the colleagues at adesso have familiarized themselves so well with the system that I would employ them as administrators at any time.”

Frank Herbold - Manager, Long-Term Care Insurance

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The PDF document contains the complete case study of the client INTER Krankenversicherung, with the challenges, solutions, project timeline and outcome of the "Using a System to Automate Long-Term Care Services" project.

About the Client INTER Krankenversicherung AG

INTER Krankenversicherung AG developed from the “Emergency Aid” health support fund, which was founded in 1926. The company offers the entire product range of private health insurance for the comprehensive health care of its policyholders. Its comprehensive customer service includes numerous assistance services. INTER Krankenversicherung AG is one of the financially strongest companies in the private health insurance industry.