(Image credit: Dollar Photo Club.)

The Pennsylvania Financial Responsibility Assigned Claims Plan (PFRACP), a government organization that protects Pennsylvania residents involved in car accidents involving uninsured motorists, has selected OneShield’s (Marlborough, Mass.) cloud-hosted Market Solutions for TPAs to replace its legacy claims administration system. Using the OneShield Solution to modernize claims processing, PFRACP anticipates greater efficiency and accuracy.

“Our challenge was to find a systems vendor that understood our unique claims processing requirements, including the need to modify the system with limited or no programming skills,” comments Rob Carver, claims manager, PFRACP. “The core cloud-hosted platform was deployed within weeks of contract signing and configuration efforts to meet our unique processing requirements are underway.”

(Related: OneShield Boosts Claims Capabilities with CDS Acquisition)

PFRACP conducted a six-month review process to seek an alternative to its 15-year-old legacy system, which relied on manual processes to administer claims. To gain greater efficiencies, the organization chose OneShield’s Market Solutions for TPA’s offering, which the vendor describes as a secure, cloud-hosted and configurable end-to-end claims administration solution supporting multiple insurers, accounts, and lines of business with automated workflows and rules designed specifically to meet the unique needs of TPAs.

Greater Efficiency, New Functionality

By achieving greater automation of its claims administration, PFRACP expects to be able to handle a significantly greater number of claims per person, and thus reduce the need, for additional staffing in the future. Other benefits PFRACP anticipates through implementation of the OneShield system include:

• the ability to introduce user-configurable workflows that improve efficiencies and consistent handling of files with measurable touch points;
• new functionality, such as paperless files;
• having secure access to the system at a third-party vendor’s and attorney’s sites;
• replacement of many manual tasks with an automated rules engine; and
• automated population of routine forms.

“We are proud to be supporting PFRACP in its initiative to transform its claims administration system for the future,” comments Liza Smith, senior VP, Global Sales and Marketing, OneShield. “OneShield Market Solutions products are designed for lower cost and easy deployment by leveraging the flexibility of cloud base delivery. PFRAC is exactly the type of customer we designed these products for.”