Insurance Fraud Bureau of Massachusetts

Insurance Fraud Bureau of Massachusetts to Cut Hours from Investigation Process with i-Sight Case Management Software

Insurance Fraud Bureau of Mass. Case Study

Challenge:

• With an outdated system, investigators spent hours at the close of each case completing about half a dozen required forms for administrative and accounting staff.
• Investigators provided reports to managers about every two weeks, making it impossible for managers to help troubleshoot cases in real time.
• Managers had to wait half a day for administrative staff to create more in-depth reports with an Access database.

Solution:

• i-Sight Case Management Software emerged as the best match for IFB’s needs – providing the desired functionality, affordability and short ramp-up time.
• Workflow rules guide cases from one step to the next, automatically informing relevant parties of the status.
• The Web-based nature of the system makes information available to managers at any time. They can run ad hoc reports – easily and on their own.
• Investigators will no longer have to create forms manually to close out a case.

Results:

• i-Sight will reduce the time investigators spend filling out forms manually by several hours a week.
• The agency can process more cases with the same staff, and reduce administrative staffing needs.
• Managers can check in on cases at any time, giving them insight at least 1-2 weeks earlier than before.
• Reports are available at least half a day sooner than before.

“i-Sight will expedite cases. It will ensure that investigators spend their time on cases, rather than filling out reports. We expect to process more cases with the same staff and streamline administration of the whole process.” - Tony DiPaolo, VP, Chief of Investigations

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