Insurance

Health insurance companies continue to struggle with a variety of market forces, including escalating health care costs, industry consolidation and regulatory requirements. Surviving in today's competitive arena requires not only innovation but also process refinement. Content, process and compliance apply to every business decision made within your health insurance company, such as those involving underwriting, member enrollment, provider services, online and call center member inquiries and claims processing.

IBM® solutions for Enterprise Content Management (ECM) provide a flexible and scalable framework to:

• Manage content
• Facilitate collaboration. Use and share business content for more effective decision making
• Simplify decision-making
• Automate complex core business processes, such as underwriting, member enrollment, provider services and claims processing
• Transform and streamline processes for increased speed and improved accuracy
• Efficiently use and share content for more effective decision making
• Achieve  compliance  with regulatory requirements. Provide visibility to support compliance efforts, such as HIPAA
• Provide visibility to support compliance efforts, such as HIPAA
• Support new product initiatives to take advantage of market opportunities

• Empowering health plans to make better decisions with IBM ECM (2.47MB)
• OZ becomes a national cost-efficiency leader with IBM ECM solution