Case Study

Streamlining a Health Fund

November 16, 2022

A large SEIU health fund that provides ancillary benefits nationally to over 20,000 active members was looking for solutions to streamline various manual processes. The fund chose our Novus 360 Benefits Admin Software solution to streamline its reimbursement management.

The Challenge

The fund was processing over 13,000 claims a year, with an average of 30-60 minutes spent manually processing each claim. Their staff had to manually input reimbursement documentation, receipts, forms, and more. The process was labor-intensive, costly, time-consuming, and prone to errors.

The Solution

With Novus 360 Benefits Admin Software, these claims are now automatically distributed.  Claims processors simply need to adjudicate the claim, reducing the processing time by 75% to an average of 7 minutes per claim!  

Additionally, wait time for member reimbursements has been reduced tremendously. Before, it could take 2-3 weeks or longer to receive a  payment. Now, these reimbursements are completed within 1-4 days. Many get adjudicated the same day and paid out in the same week.

“...both our staff and members have had better, happier experiences since we started using Novus 360 as we able to close the claims faster…”