Workers Compensations Board
The State of West Virginia’s Office of the Inspector General (OIG) is responsible for investigating cases of suspected workers’ compensation fraud and abuse. The OIG has deployed i-Sight to track and manage these investigations from the initial tip through to legal prosecution. Customer Expressions configured i-Sight to fit their existing process:
Receipt: Cases are recorded at the Workers Compensation Board, over the OIG website, and from internal employees. This submission process includes web services for the gathering of pertinent claimant information.
Workflow: New cases automatically generate a notification email to the manager of the support group. This group is responsible for the initial investigation and/or validation of the tip. The manager can then easily assign the new case to a staff member, generating an email notice to the assignee. The assignee must then confirm ownership, which changes the status of the case to open.
From that point on, the system employs numerous workflow rules to guide the movement of a case from the OIG’s Support department through to Investigations and finally to Prosecution. Each step of the way involves manager reviews and approvals or denials that are facilitated by the i-Sight workflow.
Case management: At every step along the way, employees can record notes, create tasks, assign tasks to others, create emails, generate follow-up actions and attach documents. No case is ever lost or ignored, and employees always have the tools they need to perform. For example, the My Cases and My Actions case listings make it easy for a user to find and update his or her outstanding actions and cases.
Reporting: Reporting was a critical factor in the OIG’s decision to deploy i-Sight. The OIG required a tool that provides real-time analytical capabilities in order to identify trends as they arise. A time-tracking module also enables the organization to determine the average cost of resolving a case. This information has proven critical in establishing funding for the OIG.
Maintenance: i-Sight is a hosted solution, which means there are no IT resources required to install or maintain the software. According to Microsoft, 37% of a total project cost of deploying new enterprise software consists of expenses related to the support and maintenance of software by internal IT staff. The system administrator is a department manager, and is able to maintain user lists, pick lists, workflow rules, etc.
i-Sight case management software that can be configured to suit your organization and your unique requirements.
Thanks to its inherent flexibility, i-Sight has been deployed in many sectors including: manufacturing, municipalities, government and regulators, insurance and financial services, health care, life sciences, consumer services
For more information, please call us or join a live case management demo
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Case Management Software: Workers Compensation Board
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