Calibrated Resource Solutions® Claims Outsourcing Services for Payers and Health Insurers

Control claims administrative staff costs and quickly scale up or down to adjust to variances in claims volumes with Calibrated Resource Solutions Claims Outsourcing Services from Dell Perot Systems.

Challenge
For health plans with fluctuating claims processing requirements, and in markets where access to skilled claims professionals is limited, maintaining adequate staff to achieve performance objectives while controlling costs can be a frequent challenge.

Solution
Dell Perot Systems can provide scalable workforce solutions to effectively meet your performance and cost goals. CALIBRATED RESOURCE SOLUTIONS outsourcing services offers clients access to a flexible, highly skilled workforce with the ability to scale up or down based on work volumes. CALIBRATED RESOURCE SOLUTIONS outsourcing services enables a company to staff based on median volume requirements without losing the ability to expand productivity when necessary.

Once we define a customer's quality and production standards, we perform additional claims administration workload functions through one of our global service centers, providing predictable costs per claim. To ensure that we meet quality and production standards, we require all of our claim professionals to have a minimum of three years of experience. Employees participate in ongoing training programs on a variety of claims management systems and industry best practices to continually improve their skills and value to the organization.

Results
With CALIBRATED RESOURCE SOLUTIONS claims outsourcing services from Dell Perot Systems, your organization can enjoy:

• Predictable claims administration costs through maintenance of appropriate number of staff based on median claims volume
• Ability to scale staff up or down to adjust to increase or decrease of claims volume
• Experienced, highly skilled claims professionals to meet organizational performance objectives