Claims Operation

Enhance Your Claims Operation

 AEMERUS Consulting Group has a practical and pragmatic approach to improving the performance of your claims adjudication unit.


Our primary emphasis is to determine the precise steps and actions that will cost effectively improve service delivery, quality, accuracy and productivity. We will search out opportunities to:
  • Increase associate effectiveness, productivity and quality.
  • Enhance workflow processes.
  • Improve auto-adjudication rates and accuracy.
  • Achieve higher customer satisfaction levels through improved accuracy.
  • Decrease the cost per transaction.
  • Reduce medical loss ratio through the proper loading and administration of provider contracts.
The AEMERUS team understands that the perfect technology, if it does exist, may not be in your capital budget this year, or the next or the next. Given the realities of acquiring, customizing, implementing and converting to a new system, we know that you have objectives that must be met now, not someday in the future . That is why we assist client companies to effectively implement the changes required using reliability-based solution that focus on tangible performance improvement strategies.
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