Traditional manual claims review is no longer sustainable. At a time of rapid medical advances and increasingly complex policy language, claims departments risk falling behind. RASCL is your solution – an advanced, cloud-based, digital tool that seamlessly integrates and instantaneously analyzes claims with a high level of consistency and accuracy. With this fully automated tool, insurers can maximize productivity and better identify and address claims leakage caused by fraud, waste, and abuse.
Claims departments are often evaluated based on processing speed for low-value, high-volume claims, yet traditional methods can’t keep pace. RASCL empowers claims teams to identify fraud, waste, and abuse in a more consistent and timely manner.
Capitalizing on machine learning and advanced technologies, RASCL can seamlessly integrate with existing claims systems. It combines expert rules from RGA’s medical experts and data scientists with published clinical rules and internationally recognized clinical guidelines, data-led machine learning and other advanced technologies.
RASCL improves claims portfolio performance by mitigating the need for manual review. The solution empowers you to:
RASCL eliminates the need for dual entry by employing existing claims data. RGA can also pool industry data locally, regionally, and globally to form cost benchmarks that can help RASCL improve over time.
Medical Director and Health Claims
RGA Global Medical
Improve the claims process and make the health reimbursement business more profitable with RASCL. For more information, contact your RGA Business Development representative.
