Tuesday, 18 December 2012

Genelco Web System

1.0 Executive Summary The Health care business is one of the high-speed growing industry opportunities in the corporate world. The USA in force(p) announced adjustment to their wellness care package for Americans, epoch other countries are constantly making improvement in this area to sustain the health of their citizens and last but non least to tap into the revenue potential of the industry. Sagicor Life Jamaica control one of the giant in the medical insurance area have done analysis on their current administration, clear some deficiencies and decided to introduce a new net based systems to improve its operations and its market share within their medical claim portfolio. This report provides an analysis of the implementation of the Genelco assemblyweb response provided by Genelco for Sagicor Life of Jamaica Limited (SLJ) for the processing of group health insurance claims. SLJ is the market leader in group health insurance; however they found that their current claims management system did not provide for online enrollment, access to info and claim tracking. Group benefit administrators, medical service providers and insured individuals, or course of study participants could not access information about eligibility, enrollment, claim status, or billing and payment history on a 24/7 basis.
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Health claims were not being submitted electronically which resulted in some operational inefficiency. They also recognize that by change magnitude the number of electronic group health claims and online queries, the number of data entry clerks and adjudicators could be minimised from a personnel of twenty quad (24) to three (3), thus cutting operational costs. SLJ further realized that their current system could not support their competitive strategy. These realizations locomote SLJ to initiate the process to complement the current Genelco Group government activity System with one that would meet the following strategic objectives: * protract provider base for group health electronic claims processing.... If you inadequacy to get a full essay, order it on our website: Ordercustompaper.com

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