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Claims Processing

Featured Clients

U.S. Department of Labor

In 2014, the Department of Labor (DOL) awarded a 5-year contract to TDEC to provide Nationwide Operational Support and Case Create Services for the adjudication of workers’ compensation claims, payment of medical bills and workers’ compensation benefits. TDEC staff provides a full range of services from mailroom services, data entry, data preparation, coding, indexing, copying and imaging services, while adhering to a 24-to-48 hour processing time.

Ohio Bureau of Workers Compensation

TDEC provided processing services for the Ohio Bureau of Workers Compensation, which receives an average of 36,000 faxed claims-related documents per day. The original contract awarded TDEC half of the document volume with the remainder performed by the Ohio Field Offices. TDEC’s share was subsequently increased by 15% to provide relief to the Field Offices. With the additional workload, TDEC continued to meet or exceed all performance level requirements.

Services

  • Mail, fax and online receipt and processing
  • Application review for completeness
  • Document imaging and indexing
  • Data entry from multiple mediums
  • Data verification
  • Quality control
  • Bronzing
  • Coding
  • Clerical Support
  • Storage and disposal
  • Image and data delivery
  • Metadata reports

Benefits

  • Increased processing speeds
  • Improved services
  • Digitization of paper-based claims data
  • Searchable index of claims data
  • Reduced operational costs
  • Scalable resources

Resources

TEARSHEET: Claims Processing Project Expertise